Tiffany Forrest-Smith
Columbia
Summary
Seeking employment where transferable skills can be utilized to their full potential. Highly motivated and adaptable professional with a proven track record of successfully tackling diverse challenges in various industries. Possesses a strong ability to analyze complex situations, develop innovative solutions, and effectively communicate with diverse stakeholders. Committed to delivering exceptional results and continuously enhancing skill set to drive organizational success.
Overview
14
14
years of professional experience
Work History
Case Manager/AR Interim Leader
CENCORA
11.2016 - Current
- Supplies advanced support to healthcare recipients, clinicians, and caretakers.
- Facilitated advanced research, appeals resolution processes, adverse event reporting and benefit verification calls.
- Escalated customer complaints appropriately for further resolution.
- Developed expertise in identifying regional payer trend dynamics.
- Managed claim denials, billing errors, and other financial discrepancies.
- Executed timely drafting and dispatching of correspondence.
- Ensured compliance with SLAs through coordination with internal and external teams.
- Protected privacy of patients by maintaining confidentiality protocols.
- Analyzes data to address moderately complex issues.
- Exercised discretion in selecting suitable actions based on established procedures.
- Proactively executed responsibilities by prioritizing tasks within the queue.
- Executed duties based on predefined standard operating guidelines.
- Ensured efficient queue management by offering active feedback consistently.
- Undertakes varied duties in alignment with directives, covering services commonly handled by different representatives.
- Benefit verifications, Patient Assistance Program determinations)
- Applies organizational guidelines consistently to address diverse challenges.
- Reviewed call recordings to deliver actionable quality feedback, ensuring alignment with organizational standards.
- Evaluated team members' work to ensure accuracy and compliance.
- Monitored team members' productivity to ensure efficient workflow and goal achievement.
Intake Coordinator
Everlasting Vitality (Non-Profit)
01.2015 - 11.2016
- Handles and organizes all referral notifications.
- Reviewed daily logs and case notes to ensure continuity of care and timely documentation.
- Utilized discretion and judgment to manage patent and physician complaints.
- Streamlined supply tracking and delivery processes.
- Maintains log and any reports essential for appropriate billing and reorder process
- Transferred critical information about patient needs directly to Branch Manager.
- Managed telephone communications at branch office.
- Informed designated Case Managers promptly while updating schedules as required.
- Ensured accurate and timely record-keeping.
- Execute patient care tasks according to Branch Manager's directives.
Human Resources Coordinator (Internship)
Wrights Care Services
01.2015 - 08.2015
- Directed and backed up HR tasks for diverse business branches.
- Facilitated coordination between employees and insurance providers for optimal support.
- Maintained positive employee relations.
- Verified compliance with federal and state regulations for plan administration.
- Delivered administrative support to HR functions, focusing on recordkeeping and file maintenance.
Customer Service Representative
Sykes Call Center
01.2011 - 12.2011
- Coordinated significant numbers of inbound and outbound interactions promptly.
- Maintained adherence to communication protocols when addressing a variety of subjects.
- Clarified information to ensure understanding and resolve client challenges.
- Maximize revenue through strategic product upselling.
- Increased customer satisfaction by consistently going above and beyond.
- Maintained accurate and concise records of customer interactions in the call center system.
- Engaged in frequent seminars for ongoing professional development.
- Successfully reached predefined qualitative and quantitative goals.
Education
Bachelor's Degree - Criminology and Criminal Justice, Sociology
University Of South Carolina Columbia
Columbia, SC12.2015
Diploma -
Crestwood High School
06.2009
Skills
- Multi-tasking
- Prioritization skills
- Deadline management
- Goal setting
- Active listening
- Positive attitude
- Critical thinking
- Data entry and analysis
- MS office
- Social work
- Utilization management
- Goal achievement
- Professional ethics
- Interpersonal communication
Timeline
Case Manager/AR Interim Leader
CENCORA
11.2016 - Current
Intake Coordinator
Everlasting Vitality (Non-Profit)
01.2015 - 11.2016
Human Resources Coordinator (Internship)
Wrights Care Services
01.2015 - 08.2015
Customer Service Representative
Sykes Call Center
01.2011 - 12.2011
Bachelor's Degree - Criminology and Criminal Justice, Sociology
University Of South Carolina Columbia
Diploma -
Crestwood High School
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