Tiffiny Stephens
Atlanta,GA
Summary
Accomplished Claims Associate with a proven track record at State Farm, adept in claims processing and delivering exceptional customer service. Skilled in policy interpretation and effective communication, I excel in fast-paced environments, ensuring meticulous data entry and resolution of complex issues. Demonstrated success in improving process efficiency and fostering teamwork, I am committed to achieving high customer satisfaction and operational excellence.
Overview
11
11
years of professional experience
Work History
Claims Associate
State Farm
11.2023 - Current
- Delivering remarkable customer experience throughout handling of lower complexity claims
- Communicate with internal and external customers via phone and other communication channels
- Receive and process claim information to determine steps toward resolution
- Followed up with customers on unresolved issues.
- Issue payments to shops and customers
Clinical Scheduler
City of Hope
06.2022 - 06.2023
- Managed cancellations or no-shows efficiently, proactively filling open slots with patients from waitlists or urgent care needs.
- Ensured compliance with HIPAA regulations while handling sensitive patient information during all aspects of appointment scheduling processes.
- Assisted in the training of new schedulers, sharing knowledge and best practices for efficient schedule management processes.
- Followed up with patients to reschedule missed appointments.
Patient Support Associate
Northshore University Health
07.2021 - 06.2022
- Greeted, checked patients ina and out for clinical appointments
- Registered patients for labs and schedule office visits
- Collect Cash and Credit Card payments
- Process insurance information
Patient Access Associate
Piedmont Atlanta Hospital
01.2019 - 07.2021
- Upheld the highest standards of professional integrity by maintaining confidentiality and adhering to all relevant healthcare regulations and policies.
- Reduced errors in patient registration by meticulously collecting and inputting data into electronic health records.
- Engaged with patients to provide critical information.
- Secured patients’ acknowledgements and consents on required forms/notices
- Responsible for making sure all diagnostic appointments had correct orders.
Clinic Benefit Specialist
Alliance Spine and Pain Centers
07.2013 - 01.2019
- Verifying insurance benefits for clinic and procedural patients to determine visits are covered.
- Reviewing clinical information for medical necessity.
- Placing call to various health plans to obtain appropriate accurate benefit information
- Developing effective relations with insurance representative as well as physicians and physician office staff.
- Ensure proactive resolution of any scheduling conflicts
Education
Certified Medical Insurance Specialist - Medical Billing/ Insurance
Professional Skills Institute of Nursing
Toledo, OH04-2006
Skills
- Claims Processing
- Claims
- Claims Investigation
- Policy Interpretation
- Medical Terminology
- Data Entry
- Customer Service
- Teamwork & Delegation
- Microsoft Office Suite
- Billing & Record Keeping
- Decision-Making
- Effective Communication
Timeline
Claims Associate
State Farm
11.2023 - Current
Clinical Scheduler
City of Hope
06.2022 - 06.2023
Patient Support Associate
Northshore University Health
07.2021 - 06.2022
Patient Access Associate
Piedmont Atlanta Hospital
01.2019 - 07.2021
Clinic Benefit Specialist
Alliance Spine and Pain Centers
07.2013 - 01.2019
Certified Medical Insurance Specialist - Medical Billing/ Insurance
Professional Skills Institute of Nursing
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