Tiffany Khuu
Petaluma
Summary
Healthcare professional skilled in administrative coordination and patient management. Brings valuable experience in optimizing practice operations and implementing best practices. Known for strong team collaboration and achieving high-quality results, adaptable to changing needs. Proficient in scheduling and patient communication, and office management.
Overview
15
15
years of professional experience
Work History
Practice Coordinator 3
University of California, San Francisco (UCSF)
05.2019 - Current
- Handling referral WQ- process and pitch internal and external referrals placed by primary care physician to specialty clinics
- Request for prior authorizations to HMO plans and follow up on status
- Notify the specialty clinics and patients of prior authorization approval or denial
- Handling billing WQs- review charges and solve error messages prior to claim submission
- Answer billing questions from patients and providers
- Handling incoming in-basket messages from patients, providers and specialty clinics
- Cover the front desk when needed- check-in and check-out, scheduling, registering and insurance eligibility verification
Financial Counselor in the Transfer Center
Stanford Healthcare
08.2016 - 03.2018
- Verify coverage and benefits for each transfer request (Medicare, Medi-Cal, PPO, HMOs, CCS, Managed Medi-Cal, Medicare Advantage and Workman’s Comp)
- Contact referring facility Case Manager's and/or the Transfer Center to obtain and follow up on prior authorizations for non-contracted and contracted health plans
- Contact health plan UR Case Manager’s to verify of approval or denial
- Send emails to appropriate departments to advise of financial clearance
- Send emails to Stanford’s Contracting Department to secure an LOA
- Reconcile the CAD Work as a liaison with Stanford's Transfer Center Nurses to advise of financial clearance
- Submit IP admission notifications when patient admits to insurance via phone or fax
- Follow up on IP admission notification status the next day of admission via phone
- Send emails to the appropriate department to ask If they will be following for admission
Billing Coordinator
Pacific Eye Associates
06.2013 - 11.2015
- Charge entry posting to insurance
- Work on claim denials and payments
- Request and issue refunds for patients and insurance
- Educate and answer insurance questions from patients
- Assist patients with their statements, questions and/or concerns
- Assist other departments with insurance and balance questions
- Collect balances
Authorization/Referral Coordinator
01.2012 - 06.2013
- Obtain and follow up on authorizations prior to appointments via paper or phone
- Ensure approved authorization is received and accurate prior to appointments
- Follow up on denied authorizations
- Input authorization details in computer system
Patient Care Coordinator
07.2010 - 06.2013
- Train new staff with insurance verification, scheduling appointments and checking in and out protocol
- Assist and solve issues escalated from staff members
- Verify end of day money reports
- Educate staff members and answer questions they may have
- Resolve patient complaints
- Create/maintain staff work schedule
- Greet and register patients
- Verify insurance to ensure patient’s visit is eligible
- Educate and answer insurance questions from patients
- Schedule new and return appointments with the appropriate doctor
Education
High School Diploma -
Philip & Sala Burton High School
San Francisco, CA06.2009
Skills
- Driven and independent
- Self-reliant professional
- Skilled in managing multiple tasks
- Strong focus on accuracy
- Collaborative team member
- Effective problem resolution
- Efficient in acquiring new skills
- Healthcare vocabulary expertise
- Insurance expertise
- Insurance eligibility verification
- Appointment coordination
- Proficient in EPIC, MS Office
- Advanced Excel proficiency
- Email management
Languages
Chinese (Cantonese)
Native or Bilingual
Timeline
Practice Coordinator 3
University of California, San Francisco (UCSF)
05.2019 - Current
Financial Counselor in the Transfer Center
Stanford Healthcare
08.2016 - 03.2018
Billing Coordinator
Pacific Eye Associates
06.2013 - 11.2015
Authorization/Referral Coordinator
01.2012 - 06.2013
Patient Care Coordinator
07.2010 - 06.2013
High School Diploma -
Philip & Sala Burton High School
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