Looking for a job

Tiffany Mason

@tiffanymason

Message

I improve healthcare reimbursement through accurate claims, denials resolution, and insurance verification.

United States

Message

What I'm looking for

I'm looking to contribute my medical billing, claims resolution, benefits verification, and EMR documentation experience in a healthcare role focused on compliant, accurate reimbursement and patient support.

I've supported healthcare revenue cycle operations at Step Up on Second Street, Georgia Urology, and DeKalb Medical Center, managing Medicaid, Medicare, managed care, and commercial insurance billing workflows. I improve reimbursement accuracy through claims follow-up, prior authorizations, insurance verification, A/R review, and denial resolution.

At Step Up on Second Street, I identified root causes of rejected claims, increased first-pass clean claim rates by 15%, and helped speed revenue recovery. I also bring hands-on EMR/EHR documentation, HIPAA and PHI security practices, benefits verification, and patient, provider, and payer support.

Experience

Work history, roles, and key accomplishments

Medical Billing Analyst

Step Up On Second Street

Jun 2022 - Dec 2025 (3 years 6 months)

Managed Medicaid and managed care billing documentation, prior authorizations, claim follow-up, and PHI-sensitive records with strong focus on compliance and reimbursement accuracy. Led denials management by identifying root causes of rejected claims, increasing first-pass clean claim rates by 15% and speeding revenue recovery.

Medicaid Managed Care Prior Authorizations Claims Processing Denial Management HIPAA PHI GHVP Documentation

Medical Scribe

Diabetes & Endocrinology Associates

Dec 2020 - May 2022 (1 year 5 months)

Documented patient histories, lab results, and provider notes in EMR systems using accurate medical terminology. Validated clinical documentation, reducing errors and improving EMR turnaround time.

EMR Medical Terminology Clinical Documentation

Customer Service Representative

Allied Benefits

Feb 2021 - Apr 2022 (1 year 2 months)

Supported a third-party administrator (TPA) with health insurance claims processing, benefits administration, and member/provider inquiries. Handled benefits verification, eligibility review, claim status inquiries, and issue resolution while maintaining high service standards.

Benefits Verification Eligibility Review Claims Processing Customer Service Remote Support

Patient Care Advocate

Georgia Urology

May 2019 - Dec 2020 (1 year 7 months)

Coordinated patient scheduling, insurance verification, and prior authorizations for Medicare, Medicaid, and commercial insurance plans to support timely access to care. Prepared EMR charts, supported provider workflows, and assisted with clinical procedures to help maintain efficient patient flow and accurate visit documentation.

Patient Scheduling Insurance Verification Prior Authorizations Medicare Medicaid Commercial Insurance EMR Procédures

Medical Office Coordinator

Whitefoord Community Program

Jan 2018 - Apr 2019 (1 year 3 months)

Managed patient registration, provider calendars, EMR data integrity, and high-volume phone support in a busy community healthcare setting. Assisted with clinical procedures as needed, providing hands-on Medical Assistant support.

Patient Registration Provider Calendars EMR Phone Support Medical Assistant

Front Office Coordinator

Dekalb Medical Center

Jan 2014 - Dec 2018 (4 years 11 months)

Coordinated surgical scheduling, insurance verification, and prior authorizations for Medicare, Medicaid, and private insurance plans in a high-volume medical setting. Processed billing documentation, reviewed accounts receivable records, and supported claim-related reconciliation to improve data quality and billing accuracy.

Surgical Scheduling Insurance Verification Prior Authorizations Medicare Medicaid Accounts Receivable