Tiffany N. Sims
Woodstock,GA
Summary
To obtain a challenging intermediate position which will utilize and increase current skill set to offer opportunities for advancement.
Overview
17
17
years of professional experience
Work History
Financial Coordinator
Atlanta Oral & Facial Surgery
03.2023 - Current
- Streamlined month-end closing procedures, reducing time spent on reconciliations and adjustments.
- Maintained a high level of confidentiality when handling sensitive financial information and employee records.
- Collaborated with cross-functional teams to develop realistic project budgets that aligned with business objectives.
- Reduced billing errors by consistently verifying insurance eligibility prior to service delivery.
- Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
- Improved patient satisfaction by efficiently managing dental insurance claims and coordinating with providers.
- Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
- Streamlined claim submission process for faster reimbursement and reduced claim denials.
- Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
- Assisted patients in completing necessary paperwork for filing claims, ensuring timely submission of required documentation.
- Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.
- Maintained accurate records of patient treatments, billing information, and insurance details to ensure seamless communication between patients, providers, and insurers.
- Ensured timely payment collection from both patients and insurance companies by diligently tracking outstanding balances.
- Conducted regular reviews of billed services against actual treatment rendered to ensure accuracy in coding practices leading to optimal reimbursement rates from insurers.
- Enhanced office productivity by effectively scheduling appointments according to provider availability and patient needs.
- Educated dental team members on insurance policies and procedures to promote a cohesive office environment focused on quality patient care.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Handled account payments and provided information regarding outstanding balances.
- Kept vendor files accurate and up-to-date to expedite payment processing.
- Collaborated with customers to resolve disputes.
- Responded to customer concerns and questions on daily basis.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Utilized various software programs to process customer payments.
- Audited and corrected billing and posting documents for accuracy.
- Maintained accurate records of customer payments.
- Maintained strict confidentiality of patient information while adhering to HIPAA regulations throughout all interactions and communications.
- Collaborated with clinical teams to optimize patient care coordination and financial management.
- Assisted patients in understanding their benefits and coverage, clarifying complex insurance terms, and providing guidance on out-of-pocket expenses.
- Improved patient satisfaction by efficiently addressing and resolving billing-related inquiries.
- Analyzed monthly reports to identify patterns in denials and areas for improvement in billing processes.
- Expedited claims processing by accurately submitting electronic claims within established timeframes consistently.
- Provided compassionate support to families facing financial hardships due to medical expenses, helping them identify resources for assistance.
- Streamlined the payment process for patients by implementing user-friendly online payment options.
- Developed relationships with community organizations, establishing referral networks for financial assistance programs available to patients.
- Updated patients'' financial records promptly after receiving payments or adjustments, ensuring timely reporting of account status changes.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Trained new staff on filing, phone etiquette and other office duties.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Facilitated communication between patients and various departments and staff.
- Recommended service improvements to minimize recurring patient issues and complaints.
- Provided excellent customer service to patients and medical staff.
- Verified patient insurance eligibility and entered patient information into system.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Followed document protocols to safeguard confidentiality of patient records.
- Resolved customer complaints using established follow-up procedures.
Customer Service Specialist
Atlanta North Dermatology & Skin Care
03.2022 - 03.2023
- Primary duties include providing a supportive role for 7 providers including 4 doctors, 3 P.A.'s, 1 medical Esthetician, a head nurse that does Nurse Visits, including suture removal, wound care, phlebotomy, and prescription injections.
- Additional primary roles are to Check patients in, verifying patient information, insurance benefits, quoting doctors visits and procedures.
- During this time I have acquired skills in pulling Insurance benefits including co-pays and applicable deductibles.
- Additionally, checking patients out using ECW, adding billing codes to collect payment due at time of service and remainder billed to the patients Insurance companies. And appropriately scheduling patients next office visit(s).
- Closing duties are as follows: ensuring all patients are checked out, reconciling the days money intake by breaking down the credit cards, cash, check, Care Credit, Allergan Alle Points, and refunds taken in for the day.
- While in this role I have also taken the lead in products sales under the Esthetician for all skin care products and support lead for make up sales.
- Maintaining 200- 300 scans a day of patient demographic and medical records.
- Assist in Doctor to Doctor referrals.
Digital and Social Media Manager
Signature Image
03.2021 - 03.2022
- As lead supporting role at Signature Image, I am responsible for opening, closing, and cleaning the spa. Organizing all customer data for each appointment that day, including making sure all medical history forms, consent forms, and pre and post operation forms have been received and filled out by clients.
- Answering phones and scheduling all appointments, answering all questions via social media platforms, in person, and the phone in regards to procedures, time frames, memberships, and all other matters regarding Med Spa.
- Warmly greeting and rooming all clients for each appointment.
- Maintaining pricing, keeping inventory, and selling high end skin care products.
- Check out all customers at the end of their appointment and scheduling future appointments.
- Increased social media presence, communications, and content, including Google Business Page, Facebook, Instagram, and TikTok. As well as studying and establishing new procedures for content creation and management.
- Helping organize, maintain, create, and post any promotions going on at Med Spa.
- Established communication with vendors and individual company promotions.
- Keeping records of customer membership programs, redeeming customer points, and ensure that Signature Image is compensated for all rewards given to customers.
- Help manage company website ensuring new pricing, products, blogs, and services are up to date and accurate.
Customer Service Representative
Custom Disposal Service, Inc
07.2020 - 02.2021
- Managing large amounts of incoming calls and emails, while maintaining a people oriented positive attitude with attention to detail, followed up with the appropriate product knowledge.
- Serves customers by providing product and service information and resolving product and service problems.
- Attracts potential customers by answering product and service questions and suggesting information about other products and services.
- Open customer accounts by recording account information, process orders, prepare correspondences, and fulfill customer needs to ensure customer satisfaction.
- Followed by maintaining financial accounts by processing customer adjustments.
- Retrieving, and processing customers payments for services.
- Keep records of customer interactions, process customer accounts, and file documents.
Etsy Shop Owner/Operator
Abby Rae by Tiffany
08.2016 - 01.2020
- Online Entrepreneurship- As owner and operator of my Etsy business, I created designs, learning new techniques to create branded clothing and other various merchandise.
- Pricing and listing each item with photographs, descriptions, and marketing for each item.
- Customer Service was of utmost importance, keeping customers’ expectations of timelines, quality, and communication to the highest regard.
- As well as maintaining high quality products with changing markets and vendors, as needed.
- During my time running my own business I brought in a little under 2,000 sales.
- With a revenue of around $30,000.
- Including sales with up to 60 items per order.
- My skills acquired with Accounts Payable/Receivable was very helpful running the back-end Abby Rae by Tiffany.
Home Child Care
08.2016 - 10.2017
- Provided in home childcare to an infant in conjunction with caring for my own infant.
- Supervise and monitor the safety of children.
- Prepare and organize mealtimes and snacks.
- Help children keep good hygiene.
- Change the diapers of infants.
- Organize activities and implement a curriculum that allows children to learn about the world and explore their interests.
- Keep records of children’s progress, routines, and interests.
- As well as read and play with babies and toddlers to introduce basic concepts.
- Develop schedules and routines to ensure that children have enough physical activity, rest, and playtime.
- Provide enriching educational activities, lead songs and learning exercises, and provide structure and accountability in a compassionate fashion.
- While maintaining excellent verbal and written communication with parents.
Front Office Manager
AllCredit Acceptance Company, LLC
03.2013 - 02.2015
- Answer all telephone calls, assist customers with accounts, take payments via telephone, over the counter, through the internet, and via Western Union.
- Recorded, reported and maintained the daily and monthly accounts receivable reports and deposits.
- Processed all car titles for new accounts and paid off accounts.
- Set up and maintained all car accidents reports, followed throughout the process working with the insurance companies and customers, ensuring that all claims are processed and paid out accordingly.
- Received all Bankruptcies filed by customers, processing all filings on the reported bankruptcies, ensuring that AllCredit was being paid correctly on all bankruptcies, and closing out all bankruptcies when each one has ended.
- Maintained all investor documents.
- Responsible for all customer and accounts payable files.
- Assisted with the setup of all company events.
- Maintained office supplies.
Front Office Manager
North Ridge Roofing, Inc, R Diversified Services
08.2012 - 03.2013
- Answer all phone lines, assist and answer all questions and concerns for incoming calls.
- Record all residential and commercial customers’ contact information.
- Commercial division- creates new work orders; coordinate the scheduling of the technician and personnel onsite.
- Follow up, receive and revise bids from the technicians, revise, and mark up the inspection reports, and submit the reports to corporate personnel.
- Upon approval of the job I then build the job file physically and electronically.
- This process includes coordinating the technicians with the job dates given, material, and equipment with the property.
- As well as payroll for the technicians and the invoicing for the job upon completion.
- For A & R Diversified Services I receive and print architectural plans to scale and verify measurements.
- Coordinate the job plans.
- My duties also include running errands for the office and performing as a personal assistant to the three owners.
Administrative Assistant/Receptionist
Summit Commercial Technologies
10.2011 - 08.2012
- Answer all phone lines, assist and answer all questions or concerns.
- Create, maintain, and update all customer contact information.
- Create new work orders, follow-up, coordinate technician and property scheduling.
- Revise final Inspection.
- Reports and send into corporate for approval.
- Also responsible for invoicing and purchase order numbers.
- Other duties include personal assistant to the owners, filing, and running office related errands.
Administrative Assistant/ Receptionist/Sales Support
Academy Roofing
07.2007 - 08.2010
- Scheduled appointments, input/maintained new and established customers, and disbursed customers to appropriate salesman.
- Assisted in Insurance claims and processes.
- Direct assistant to Owner, maintained switchboard for a staff of 120, handled all new hire enrollments, mail distribution, accounts payable/receivable and daily deposits.
Education
Graduate -
North Springs High School
Atlanta, GA05.2002
Skills
- Content Development
- Program direction
- Social media
- Schedule Management
- Medical terminology knowledge
- Good listening skills
- Creative problem solving
- CRM
- Recordkeeping strengths
- Sales Reporting
- Trained in consumer marketing
- Direct sales
- Proficient in eClinicalWorks (ECW)
Timeline
Financial Coordinator
Atlanta Oral & Facial Surgery
03.2023 - Current
Customer Service Specialist
Atlanta North Dermatology & Skin Care
03.2022 - 03.2023
Digital and Social Media Manager
Signature Image
03.2021 - 03.2022
Customer Service Representative
Custom Disposal Service, Inc
07.2020 - 02.2021
Etsy Shop Owner/Operator
Abby Rae by Tiffany
08.2016 - 01.2020
Home Child Care
08.2016 - 10.2017
Front Office Manager
AllCredit Acceptance Company, LLC
03.2013 - 02.2015
Front Office Manager
North Ridge Roofing, Inc, R Diversified Services
08.2012 - 03.2013
Administrative Assistant/Receptionist
Summit Commercial Technologies
10.2011 - 08.2012
Administrative Assistant/ Receptionist/Sales Support
Academy Roofing
07.2007 - 08.2010
Graduate -
North Springs High School
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