Tiffany Belcher
Lugoff
Summary
I have over 30 years of exceptional customer service in an office, managerial and educational setting. I have outstanding teamwork experience, approaching everyone with a smile. I provide extraordinary care and concern while always offering quality work. Feedback from my peers and job evaluations have proven my top-notch dedication, and the ability to problem solve and work in stressful situations.
Knowledgeable with comprehensive background in facilitating authorization processes and ensuring compliance with industry regulations. Proven track record in collaborating with cross-functional teams to streamline workflows and enhance operational efficiency. Demonstrated ability in problem-solving and maintaining meticulous records.
Overview
16
16
years of professional experience
Work History
Authorization Coordinator
Southern Oregon Neurosurgery
03.2023 - Current
- Coordinated patient authorization processes to ensure timely approval and scheduling of procedures.
- Streamlined communication between patients, insurance companies, and healthcare providers to enhance workflow efficiency.
- Developed training materials for new staff to improve understanding of authorization protocols and software systems.
- Mentored junior staff on best practices for handling complex authorizations and navigating insurance requirements.
- Collaborated with clinical teams to address authorization challenges, enhancing patient care coordination efforts.
- Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
- Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
- Calculated estimated copay based on current insurance benefits.
- Reviewed authorizations from payer to determine approved or denied items.
- Enhanced communication between healthcare providers and insurance companies, reducing delays in patient treatment approvals.
- Submitted for prior authorization with required documentation to appropriate funding source.
- Maintained consistent follow-up on status of prior authorization requests.
- Reviewed documentation for accuracy and assessment of necessity.
- Streamlined authorization processes by implementing a centralized tracking system for pending and approved requests.
- Acted as a resource for clinical staff, providing guidance on insurance requirements and authorization protocols.
- Maintained up-to-date knowledge of insurance policies, enabling accurate evaluation of coverage eligibility criteria for patients.
- Stayed informed about regulatory changes relevant to the healthcare industry, ensuring compliance in all authorization activities.
- Increased efficiency in handling authorization cases through effective prioritization based on urgency and complexity levels.
- Reduced errors in documentation submissions by performing meticulous quality checks before forwarding them to insurance companies.
- Coordinated seamless transitions of care for patients requiring referrals to specialty services, facilitating smooth handoffs between providers.
- Provided exceptional customer service to patients, addressing their concerns related to insurance coverage and authorizations promptly and empathetically.
Admissions Coordinator
Magnolia Manor of Midway
12.2019 - 03.2023
- Assisted other facilities/case workers and families with nursing home referrals, thoroughly reading medical and insurance information to see if we were able to meet the needs of potential residents.
- Facilities liaison for Hospice providers and Hospitals
- Worked with residents and the family in completing documentation to receive Medicaid benefits, also doing renewals for Medicaid for all residents.
- Worked renewals for Medicaid and collecting documentation.
- Verified benefits and eligibility with insurance companies.
- Completed and filed paperwork with the Social Security Administration to ensure all residents were receiving their benefits.
- Assisted residents with the interview process and questions with their benefits.
- I would keep updated and organized files on all residents.
- Responsible for the Resident trust fund, with the utmost accountability of all funds received and disbursed.
- Proficient with accounts payable and accounts receivable.
- Answered phone calls, greeted, and assisted those visiting for tours.
Scheduling Coordinator and Front Office Clerk
Glenvue Health & Rehab
09.2019 - 12.2019
- Scheduled transportation and doctor appointments so they would coordinate and made sure they attended these appointments.
- Dealt with high stress situations.
- Trained new staff on scheduling procedures, fostering a culture of teamwork and efficiency.
- Analyzed scheduling data to identify trends, informing strategic decisions for staffing needs.
- Assisted residents with filling out forms.
- Developed and maintained scheduling systems, enhancing accuracy of appointments and staff assignments.
- Coordinated patient scheduling to optimize resource allocation and minimize wait times.
- Managed communication between departments to ensure timely updates and seamless operations.
Patient Accounts Billing Team
Myriad Genetic Laboratories
04.2018 - 03.2019
- Demonstrated respect, friendliness, and willingness to help wherever needed.
- Versatile professional with strong problem-solving skills and history of adapting to diverse challenges. Applies innovative solutions and technical expertise to deliver exceptional results. Committed to streamlining processes and advancing organizational objectives.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Used critical thinking to break down problems, evaluate solutions, and make decisions.
- Took Escalated phone calls from patients, Physicians offices, Insurance companies.
- Managed patient accounts
- Trained others on procedures and protocols
- Ran financial assistance program for patients in need of help.
Instructional Assistant
Granite School District
01.2011 - 01.2016
- Received Educated of the Year award, 2013.
- Provided one-on-one support to students with special needs, enabling them to achieve academic success.
- Instructed through lectures, discussions, and demonstrations in one or more subjects, such as English, mathematics, social studies.
- Managed classroom materials inventory, ensuring necessary supplies were available for daily lessons and activities.
- Participated in professional development opportunities, staying current on best practices in education and instructional support.
- Delivered curriculum in both one-on-one lessons and group learning environments.
- Trained new staff in classroom procedures and educational tools, promoting consistency in instruction.
- Implemented behavior management techniques to maintain a positive and focused learning environment.
Education
High School -
Granite High School
01-1993
Skills
- Strong Customer Service Skills
- Type 40wpm
- Proficient in Excel
- Time Management
- Communication
- Strong Work Ethic
- Critical Thinking
- Handling Pressure
- Problem Solving
- 10 key
- Prior authorization
- Patient confidentiality compliance
- Healthcare regulations
- Medical terminology proficiency
- Teamwork and collaboration
- Attention to detail
- Multitasking Abilities
- Reliability
- Organizational skills
- Adaptability and flexibility
- Decision-making
- Self motivation
Timeline
Authorization Coordinator
Southern Oregon Neurosurgery
03.2023 - Current
Admissions Coordinator
Magnolia Manor of Midway
12.2019 - 03.2023
Scheduling Coordinator and Front Office Clerk
Glenvue Health & Rehab
09.2019 - 12.2019
Patient Accounts Billing Team
Myriad Genetic Laboratories
04.2018 - 03.2019
Instructional Assistant
Granite School District
01.2011 - 01.2016
High School -
Granite High School