Tiffany Alger
@tiffanyalger
Healthcare claims customer service advocate with experience in medical terminology, claims processing, and infection-conscious housekeeping.
What I'm looking for
I’m a healthcare-focused customer service professional with medical terminology experience and hands-on training across claims and clinical support. I bring a strong commitment to timeliness, productivity, and quality in every interaction.
In my current role as a Claims Customer Service Advocate, I respond to written and telephone inquiries using desk procedures, accurately document requests, and support the claims lifecycle. I verify coding, enter claims into the claim system, process adjustments and reprocessing, and examine claims and non-medical appeals according to contract and internal standards.
I also have extensive hospital operations experience, including housekeeping duties centered on infection control. I sanitized high-touch surfaces, performed deep cleanings for admissions and discharged rooms, supported patient care areas, and stepped up as a team lead by helping coworkers, training when needed, and assisting nursing staff.
Earlier roles strengthened my reliability and attention to detail, from distribution clerk work handling life-saving supply systems, inventory scanning, expiration/rotation, and equipment sanitation to customer-facing positions emphasizing food safety, cleanliness, and service standards like AIDET.
Experience
Work history, roles, and key accomplishments
Claims Customer Service Advocate
BlueCross BlueShield of South Carolina / Palmetto GBA
Aug 2025 - Present (10 months)
Respond to written and telephone claims inquiries following desk procedures, ensuring timeliness, productivity, and quality while accurately documenting requests. Examine and process claims and non-medical appeals by verifying correct coding, identifying incorrectly processed claims for adjustments, and referring complex issues and suspected fraud to leads or appropriate departments.
Digital Personal Shopper
Walmart
Apr 2025 - Jul 2025 (3 months)
Fulfilled online orders by locating, preparing, and packaging merchandise accurately for customer pickup. Coordinated product substitutions with customers as needed and assisted with loading purchased items into customers’ vehicles.
Hospital Housekeeper & Team Lead
Valley Health
Feb 2020 - Apr 2025 (5 years 2 months)
Provided hospital housekeeping support, including sanitizing high-touch surfaces and performing deep cleanings for discharged rooms and new patient admits. Removed soiled linens, managed trash changes, maintained cleanliness in patient care and staff areas, and stepped into a team lead role to help train and guide coworkers; also floated to other floors and supported nursing and hospital staff as
Distribution Clerk
Valley Health
Nov 2022 - Jan 2023 (2 months)
Stocked and replenished life-saving code carts and apparatuses, rotating stock and removing items with upcoming expiration dates. Scanned inventory on inpatient units using handheld devices, built and maintained isolation caddies and kits, and performed hospital equipment pickup, cleaning, and sanitation in line with Joint Commission and infection control standards.
McDonald's Crew Member
McDonald's
Apr 2018 - Sep 2018 (5 months)
Greeted customers, took orders, and input selections into the computer/POS system, assembling food orders for in-store and event needs. Followed recipes and food safety principles, maintained restaurant cleanliness, supported stocking, and maintained fast service during rush periods while assisting with closing duties.
Education
Degrees, certifications, and relevant coursework
Eastern West Virginia Community and Technical College
Certificate, Medical Assisting / Medical Administration
2021 -
Completed a fast-track Medical Assisting & Medical Administrative Assisting certificate at Eastern West Virginia Community and Technical College in 2021.
Hampshire Senior High School
High school diploma, Nursing
2014 - 2018
Earned a high school diploma at Hampshire Senior High School, with studies listed as 'Law Nursing.'
Availability
Location
Authorized to work in
Job categories
Skills
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