Tiffany S. Email and Phone Number
Highly qualified professional with excellent interpersonal and communication skills with the ability to effectively cultivate working relationships with a wide range of constituents, from a diverse workforce. Proven ability to interpret policies, analyze Medicare carrier reports, and identify gaps in complex contracts. Collaborate and contribute to new innovative changes in strategizing operational procedures, which resulted in efficient contracting proficiencies. Lead and initiate open dialogue during projects, to identify areas of inefficiencies within the contracting process. Provided subject matter expert guidance on enhancing the onboarding experience while executing contracts to meet critical deadlines. Continually maintain the highest level of integrity and compliance with HIPPA/PHI/PII and confidentiality policies, as it relates to contracting matters.
Carefree Insurance Services, A Cvs Health Company
View- Website:
- carefreeinsurance.net
- Employees:
- 64
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Insurance Agency ManagerCarefree Insurance Services, A Cvs Health Company Oct 2018 - PresentFlorida, United StatesMedicare Insurance Agency Service Manager involve in all carrier contracting processes, bycontinuously supporting and identifying the most complex issues with external vendors. Manage and cultivate sales agents, to ensure Medicare contracts are successfully executed, align to sell (Medicare Advantage, Ancillary, PDP, Indemnity, and Supplemental carriers). Effectivelymanage multiple sales agents, contracting tasks, and priorities within deadline.
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Provider Enrollment SpecialistEnvision Healthcare Apr 2016 - Oct 2018Fort Lauderdale, Florida, United StatesResponsible for credentialing and completing provider enrollment for physicians and allied health providers, to ensure payments for rendered services are received for our government (Medicare, Medicaid, and Tricare) and commercial insurance contracts (Humana, AvMed, Molina, Blue Cross and Blue Shield, Aetna, etc.). Knowledgeable with CAQH enrollment and re- attestations. -
Provider Enrollment SpecialistEci Healthcare, A Schumacher Clinical Partner Dec 2014 - Apr 2016Hollywood, Florida, United StatesResponsible for coordinating, processing, and tracking all new and existing providers required by each government (Medicare, Medicaid, and Tricare) and commercial insurance plans, to receive payment for rendered services. Managed and maintained provider contracts, served as subject matter expert & liaison for provider inquiries. Met required turnaround times and accuracy rates. -
Lead Case Manager/SupervisorNeighbor To Family Jun 2014 - Dec 2014Miami, Florida, United StatesResponsible for coordination of case management services, Veterans Administration Medical Treatment Authorization Request (TAR), reimbursement, and training/supervising Case Managers. Developed and maintained internal daily census, weekly roster, and quarterly/annual spreadsheets to designated areas. Assisted in the development of policy and procedures for the UAC program. Trained and provided weekly supervisions to the Case Managers, to ensure compliance within the company’s standardized metrics. Communicated with migrant children using translation devices to access for safety and wellbeing. -
Support Coordinator/AssessorQuality Support Coordination Inc. Jan 2012 - Mar 2014Covington, Louisiana, United StatesEffectively identified risk factors for potential waiver participants, to resolve barriers, constraints, and executed solutions for clients to live independently in the community. Developed community relationships with Medicaid providers to ensure compliance with the Department of Health and Hospitals rules and regulations. Monitored and evaluated 43 client’s progresses towards meeting goals through quarterly home visits, monthly telephone contacts, and appropriate interventions when relevant. -
Case ManagerHis House Children'S Home Sep 2007 - Nov 2011Miami, Florida, United StatesExpanded case managers and social work interns’ knowledge, on how to research, and incorporate federal and state rules to improve inequalities within caseload. Translated regulatory guidelines in accordance with the Department of Children and Families policies, while managing a caseload. Cultivated community partnerships within the social sector, to increase awareness in the foster care system. Developed safety plan protocols to ensure children were living in a safe environment free from abuse and neglect. Analyzed services for children and family, by implementing intervention strategies to increase social services support. Strengthened community relationships by creating awareness and education through forums to those less fortunate.
Tiffany S. Education Details
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Business Administration And Management, General -
Health/Health Care Administration/Management
Frequently Asked Questions about Tiffany S.
What company does Tiffany S. work for?
Tiffany S. works for Carefree Insurance Services, A Cvs Health Company
What is Tiffany S.'s role at the current company?
Tiffany S.'s current role is Healthcare Administrator.
What schools did Tiffany S. attend?
Tiffany S. attended Strayer University, Florida Agricultural And Mechanical University.
Who are Tiffany S.'s colleagues?
Tiffany S.'s colleagues are Kim Humphries, Jessica Burke, Barbara Sandoval, Kerry Belieu, Caren Palmaverde, Anthony Del Oso, Zanitra Wells.
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