Summary
Overview
Work History
Education
Skills
Affiliations
References
Timeline
Generic

Ryheem Tinsley Sr

Middletown,NY

Summary

With over two decades of expertise in the Revenue Cycle, honed at prestigious institutions like Northwell Health, I excel in streamlining billing processes and enhancing revenue operations. My proficiency in medical terminology, coupled with a detail-oriented mindset, has led to significant improvements in claims accuracy and staff training efficiency. My approach is rooted in strong interpersonal skills, ensuring collaborative success across departments.

Overview

22
22
years of professional experience

Work History

Revenue Cycle Analyst

Northwell Health
Sleepy Hollow, NY
11.2022 - Current
  • Analyzed complex billing issues, identified root causes, and developed solutions to improve revenue cycle operations.
  • Provided support to department managers by researching billing discrepancies and responding to inquiries.
  • Participated in team meetings to discuss process improvements and provide feedback on current initiatives.
  • Supported staff with claims inquiries and issues, and served as the primary contact before escalating to the manager.
  • I worked on special projects and important settlement files.
  • Facilitated payment review training for new staff.
  • Oversee production metrics, and communicate the weekly status to team members.
  • Performed quality review reports on each team member to ensure that the quality review of each claim meets or exceeds the department's standards.
  • Participated in interview process to evaluate potential candidates.

Accounts Receivable Representative III

Northwell Health
Sleepy Hollow, NY
07.2020 - 11.2022
  • Assessed variance accuracy to identify legitimate underpayments.
  • Reviewed various insurance contracts.
  • Analyzed portfolio daily for consistent accuracy in variances.
  • Submitted daily appeals on verified underpaid accounts.
  • Collaborated with Contract Management team to identify underpaid accounts.
  • Assisted staff with resolving claims-related questions.

Senior Patient Account Representative

Phelps Memorial Hospital
Sleepy Hollow, NY
06.2002 - 07.2020
  • Handled customer inquiries related to payments and bills with professionalism.
  • Participated in revenue cycle processes, working to maximize profitability and increase revenue.
  • Reviewed denied claims to determine the cause of denial and researched any discrepancies.
  • Updated statuses and noted changes for all claims.
  • Worked with multiple departments to expedite denial processing.
  • Collaborated with physicians on non-medically necessary denial cases, where I provided guidance on medical policies to support overturning denials.
  • Appealed denied and insufficiently paid claims on a daily basis.
  • Assisted staff with resolving claims-related questions.

Education

High School Diploma -

Peekskill High School
Peekskill, NY
06-1998

Some College (No Degree) -

Westchester Community College
Valhalla, NY

Skills

20 years of Revenue Cycle Expertise

Proficient in Medical Terminology

Detail-Oriented Mindset

Highly Organized

Reimbursement Calculation Expertise

Strong Interpersonal Skills

Affiliations

  • I coach travel flag football for an organization called Old Skewl Sports.
  • I am currently in the process of becoming certified as a youth football referee.

References

References available upon request.

Timeline

Revenue Cycle Analyst

Northwell Health
11.2022 - Current

Accounts Receivable Representative III

Northwell Health
07.2020 - 11.2022

Senior Patient Account Representative

Phelps Memorial Hospital
06.2002 - 07.2020

High School Diploma -

Peekskill High School

Some College (No Degree) -

Westchester Community College

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Ryheem Tinsley Sr