Member Team Service Representative

TIFFANY BURDEN

Professional Summary

Detail-oriented performer with over 10 years of working hard in busy, office-driven environments. Considered a team player with exemplary multitasking skills. Solid team player with upbeat, positive attitude and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, enthusiastic and results-oriented with

**************@*****.***

6326 S Pecos Rd. #2, LV, NV 89120

H: 702-***-****

C: 702-***-****

Skills

●HIPAA regulation observance

●Analytical thinking

●Healthcare billing

●Scheduling

●Clerical writing

●Data collection and management

●Medicaid statutes and regulations

●Records maintenance

●Batch total recording

●Effective communication skills

●Payment processing

●Coverage determination

●Customer service and support

●Organizational skills

●Excellent communication skills ● Analyzing data

Education

Expected in 06/2020

College of Southern Nevada

Las Vegas, NV

AA: Diagnostic Medical

Sonography

demonstrated passion for building relationships, cultivating partnerships and growing businesses. Personal and dedicated Customer Service Representative with extensive experience in the medical industry.Organized and detail-oriented,dedicated to improving efficiency, productivity. Analytical thinker skilled at developing innovative solutions to complex problems.

Work History

C3 Contact Channel - Pharmacy Customer Service Representative Las Vegas, NV

12/2019 - 05/2020

●Communicate directly with Doctors offices via telephone

●Providing overrides for pharmacy associates

●Address refill to soon rejections

●Verifying patients insurance coverage

●Verifying patient prescription history

●Faxing doctor offices prior authorizations forms

●Providing excellent customer service communicating with preferred or non network pharmacist

David L Phillips & Associates Law Firm - Legal

Secretary Las Vegas, NV

05/2016 - 01/2017

●Prepared legal correspondence and wrote professional letters for legal assistants and attorneys

●Scheduled and made appointments for three attorneys

●Developed and maintained filing and retrieval systems

●Maintained all new clients for multiple Attorneys

●Processed appeals, motions and pretrial agreements

●Completed accident reports, trial and courtroom requests and applications for clients

●Entered new cases into company database

●Answered and directed calls using the multi-line switchboard

●Scheduled all appointments, appearances and briefings

●Filed documents with the courts on behalf of the attorney

●Conducted daily accounting on all finances, deposits and safe

●Assisted in maintaining department attorney personnel files with utmost confidentiality

2003

Nevada Career Institute

Las Vegas, NV

Medical Billing / Coding: Medical

Insurance Billing

1997

Concorde Career College

San Bernardino, CA

Certified Medical Assistant: Medical Assisting

●Maintained office supplies by checking stocks and placing orders

●Processed and distributed invoices to bill clients

●Processed summonses, subpoenas and complaints

●Increased collection accounts recoveries by 50%

Budget Rent A Car - Claims Representative

Las Vegas, NV

08/2016 - 12/2016

●Tracked progress of all outstanding insurance claims

●Checked level and type of coverage and evaluated contracts

●Examined reports, accounts and evidence to determine integrity and accuracy of information

●Followed up with customers on unresolved issues increasing debt recovery by 15%

●Evaluated accuracy and quality of data entered into agency management system

●Finalized claims and collected necessary payments

●Processed payments that had been received from insurance companies and insured

●Accurately posted payments and adjustments both electronically and manually

●Assessed policy coverage and pulled contracts for review

Coffee Bean - Barista Cashier

Las Vegas, NV

10/2014 - 12/2015

●Maintained supply levels in counter and customer areas to meet typical demands

●Elevated customer loyalty by using strong conflict resolution and compassionate abilities to resolve customer problems

●Provided in-depth information to customers on beverage preparation and offered samples of latest brews

●Restocked display cases with attractive arrangements to promote specialty food items like bagels and muffins

●Verified data integrity and accuracy

●Memorized official and off-menu preparations to serve all customer beverage desires

●Merchandised display cases and diligently promoted prepared foods to drive business revenue

●Educated customers on beverage menu items and provided samples of daily brews

Advanced Pain Management - Front Office Medical Assistant

Las Vegas, NV

06/2008 - 06/2009

●Answered phones politely and directed callers to appropriate personnel

●Prepared medical charts, scanned documents and organized patient information

●Registered new patients and created files with detailed personal and medical information

●Performed basic medical duties such as removing sutures and administering medications

●Managed schedules and calendars for a four member team

Steinberg Diagnostic Medical Imaging Centers - Diagnostic

Scheduler

Las Vegas, NV

10/2005 - 01/2007

●Monitored multiple databases to keep track of all company inventory

●Planned and executed multiple surgeries for Pain

Management and Endocrinologist Physicians

●Prepared departmental contracts for attorney approval

●Effectively controlled release of proprietary and confidential information for general client lists North Vista Hospital - Health Information Technician

Las Vegas, NV

04/2003 - 11/2004

●Reviewed documentation for compliance with requirements and accuracy of information

●Implemented necessary changes based on evaluation of staffing requirements and floor assignments

●Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations

●Processed monthly reports for department performance

●Developed and implemented improvements to billing system to maximize efficiency, reduce delinquency and increase accuracy

●Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set

standards

●Confirmed accurate completion of forms/reports for the admission, transfer and/or discharge of each resident

●Provided respectful assistance to all parties, including patients, staff members and insurance company

representatives

●Worked as part of team to execute proper care of body mechanics and safety of patient

●Analyzed facility activities and data to properly assess risk management and improve services

.

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