Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Tiffany Pimpo

Forest Lake

Summary

Detail-oriented professional with exceptional communication and project management skills, adept at navigating fast-paced environments while effectively managing multiple tasks. Recognized for a proactive approach to identifying and resolving issues, with a strong focus on process optimization and supporting team objectives. Equipped with robust problem-solving abilities and a commitment to continuous learning, poised to contribute to team success and drive positive results. Eager to embrace new challenges and advance organizational goals with dedication and enthusiasm.

Overview

11
11
years of professional experience

Work History

Claims Services Supervisor

UCare
08.2024 - Current
  • WAH
  • Oversaw daily operations to ensure adherence to organizational policies and procedures.
  • Trained and mentored staff to enhance team performance and productivity.
  • Coordinated cross-departmental communication to facilitate project alignment and collaboration.
  • Led regular team meetings to discuss operational challenges and solutions.
  • Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
  • Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
  • Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
  • Implemented rewards and recognition program that significantly increased employee engagement and satisfaction.

SuperUser (Team Lead)

UCare
06.2022 - 08.2024
  • WAH
  • Coached team members in techniques necessary to complete job tasks.
  • Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.

Claims Analyst

UCare
01.2019 - 06.2022
  • WAH

Medical Office Assistant

North Memorial Health
12.2017 - 02.2018
  • Coordinated patient scheduling to optimize clinic workflow and enhance patient experience.
  • Managed electronic health records, ensuring accuracy and confidentiality of patient information.
  • Implemented process improvements that streamlined appointment check-in procedures, reducing wait times.
  • Demonstrated excellent multitasking abilities while simultaneously handling various administrative tasks such as answering phones, greeting patients, and data entry.

Administrative Assistant

Anoka Technical College
05.2015 - 05.2017
  • Developed and maintained filing systems to ensure accurate document retrieval and organization.
  • Mentored new administrative staff on college policies and procedures, fostering team development.
  • Provided administrative support for special projects, ensuring timely completion of deliverables.
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
  • Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
  • Ensured accurate record-keeping with diligent data entry and database management for vital company information.

Education

Associates Degree - Medical Administration

Anoka Technical College
Anoka, MN
12.2022

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Liberty High Charter School
01.2007

Certificate - Business Administration

Anoka Ramsey Community College
Coon Rapids
01-2009

Skills

  • Leadership of cross-functional teams
  • Excellent organizational and time management skills with attention to detail
  • Strong work ethic
  • Collaborative cross-departmental teamwork
  • Strong understanding of Microsoft office applications such as Word, PowerPoint, Excel, creating schedules, setting up Teams meetings with Outlook and Teams
  • Familiar with Zoom
  • Maintains composure during challenging situations
  • Excellent customer service skills
  • Proficient in providing support
  • Ability to manage work processes and meet production standards
  • Great understanding of Coordination of Benefits
  • Medicaid, Medicare, IFP, Duals (MSHO) plans, and managed care organization experience in claims processing
  • Experience with HealthRules Payer
  • Strong ability to adapt to new software and technology
  • Excellent comprehension and retention skills
  • Experience running a large team of 19 claims analyst
  • Ability to problem solve
  • Effective verbal and written communication skills
  • Ability to exercise independent and sound judgment
  • Knowledge in working and sending SFs in MACESS
  • Experience with business process improvement, such as redesigning, and optimizing workflows to boost efficiency and improve claims processing
  • Experience with RPA bot management with claims inventory and certain claims processing
  • Effective presentation skills
  • Experience with EIDBI claims processing and claims management
  • Schedule management
  • Calendar management

Accomplishments

  • Documented and resolved Coordination of Benefits claims processing issues during the first implementation of the Coordination of Benefits Team which led to improved claims processing for the rest of the department.
  • Supervised a cross-functional team of 19 staff members who specialized in EIDBI processing, Coordination of Benefits, Member Reimbursements, senior level claims processing, and monitoring of multiple RPA output reports.
  • Used Microsoft Excel to develop claims inventory tracking spreadsheets, and production tracking.
  • Collaborated with the Optimization Team as well as some of the Lead Robotic Process Automation Engineers in the development of multiple RPA bots for claims processing to reduce claims inventory.
  • Designed a more efficient Excel template to track and manage office personnel daily production.
  • Held first-point-of-contact for all internal and external communications with executive-level officers.
  • Assisted management with the training of staff members within the claims department.

Timeline

Claims Services Supervisor

UCare
08.2024 - Current

SuperUser (Team Lead)

UCare
06.2022 - 08.2024

Claims Analyst

UCare
01.2019 - 06.2022

Medical Office Assistant

North Memorial Health
12.2017 - 02.2018

Administrative Assistant

Anoka Technical College
05.2015 - 05.2017

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Liberty High Charter School

Associates Degree - Medical Administration

Anoka Technical College

Certificate - Business Administration

Anoka Ramsey Community College
Tiffany Pimpo