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Tiffany Alger

@tiffanyalger

Healthcare claims customer service advocate with experience in medical terminology, claims processing, and infection-conscious housekeeping.

United States
Message

What I'm looking for

I’m looking for a healthcare-centered customer service role where I can apply medical terminology and claims processing, deliver accurate, timely resolutions, and contribute to quality standards through strong communication and infection-conscious work.

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

BG
Current

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.

VH

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

VH

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.

MC

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 logoEC

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.

HS

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.'

Tech stack

Software and tools used professionally

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