Tanya Piermattei
Richmond,RI
Summary
Revenue cycle manager with experience directing eligibility verification, prior authorizations, clean claim submission, denial resolution, accounts receivable follow-up, payer reimbursement audits, training, documentation, quality audits, cross functional team management, process updates, and system upgrades that improve front-end accuracy, optimize reimbursement and streamline workflow processes.
Overview
1
1
Certification
18
18
years of professional experience
Work History
Revenue Cycle Manager
Steward Health Care/Quorum Healthcare
Westwood, MA
07.2018 - 10.2026
- Provided leadership, coaching, strategic planning, and subject matter expertise to leads, analysts, and staff to optimize revenue cycle operational excellence.
- Directed revenue cycle operations for BlueCross, Medicaid and commercial insurances across Steward Health Care and Quorum Healthcare for hospital executives, HIM, Patient Access, Compliance, HR, and IT leadership.
- Oversaw workforce planning from interviewing, hiring, onboarding, and training, to performance management, internal audits, and disciplinary processes.
- Lead root cause analysis and correction action initiatives to improve operational efficiency, and financial outcomes.
- Generated month-end and high-dollar reports, identified front-end catalysts for back-end denials, and planned solutions to prevent claim payment delays.
- Lead operational reviews, escalations, and executive business reviews.
- Monitored compliance with payer rules, billing policies, and healthcare regulations to ensure adherence across operations.
- Implemented new policies and procedures for streamlining workflow processes within the revenue cycle department.
- Generated reports detailing key metrics such as days in accounts receivable, cash collections, coding accuracy, and denial rates.
- Reviewed account receivables, aging reports, and collection activity for accuracy.
- Analyzed and reported on billing cycle data to executive management.
- Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
- Performed data analysis to identify trends in denials and rejections and partnered with technology teams on workflow enhancements, system implementations, and operational optimization initiatives.
- Assisted with implementation of electronic health record system upgrades designed to optimize revenue cycle activities.
- Audited third-party payer contracts to verify accurate reimbursement rates applied to patient accounts.
- Supported external audits from vendors and payers.
- Oversaw training of staff on changes in insurance regulations and coding updates impacting reimbursement rates.
- Monitored daily cash flow activity, ensuring timely filing of claims and proper reimbursement for services rendered.
- Provided technical support for software systems used in the revenue cycle management process.
- Ensured adherence to HIPAA, client policies, security requirements, and healthcare regulations.
Team Lead/Supervisor
BCBSRI/Dell/NTT Data
Providence, RI
05.2010 - 07.2018
- Lead the Federal Employee Program claim and call center of BlueCross & BlueShield of RI, managing both onshore and offshore resources.
- Met local SLAs, KPIs, and federal regulations.
- Developed transition reporting, testing, training strategies, and documentation while maintaining inventory and production.
- Oversaw and motivated a staff of 20 with work assignment as well as assisting with coding, coordination of benefits and prioritization.
- The Federal Employee Program of BlueCross and BlueShield of RI was ranked the #1 Federal Employee Program in the country in 2015, 2016 and 2017 and received the Technology Initiative Award in 2016 for the number of automation programs implemented.
- Provided leadership and guidance to team members, ensuring that tasks were completed on time and to a high standard.
- Motivated and empowered team members to build customer satisfaction and loyalty to support retention and growth.
- Delegated daily tasks to team members to optimize group productivity.
- Monitored team progress and enforced deadlines.
- Resolved escalated customer complaints or queries promptly and efficiently.
- Guided team members through complex claims and enrollment questions.
- Trained staff on Blue Cross Rhode Island procedures and system updates.
- Conducted performance appraisals for team members, providing feedback and identifying areas of improvement.
- Held regular one-on-one coaching sessions with staff members to encourage personal development.
- Identified opportunities for process improvements, implementing changes when required.
- Coordinated team resources to achieve project goals.
- Coordinated Dell and NTT Data teams on incident resolution and escalation.
Assistant Office Manager, Records Manager, New Patient Coordinator and Medical Biller
CHOW Newco
Westerly, RI
08.2008 - 10.2009
- Coordinated new patient intake and insurance verification, prioritized phone calls, applied procedural (CPT) and diagnostic (ICD-9) coding for hospital visits, nursing home visits, office visits, injections, and home health certifications, billed insurance companies, posted payments, followed up on outstanding accounts, completed record requests, generated dictated letters, and organized storage systems.
- Managed office calendars and daily scheduling to optimize workflow at CHOW Newco.
- Ensured adequate supply levels at CHOW Newco by monitoring inventory and placing orders.
- Handled front desk responsibilities and facilitated visitor check-ins at CHOW Newco.
- Trained office personnel in administrative procedures and daily tasks to keep team efficient and consistent.
- Developed and implemented strategies that enhanced operational efficiency within the department.
- Managed office operations and procedures to ensure organizational effectiveness, efficiency and safety.
- Greeted visitors in a professional manner and provided assistance.
- Monitored payments due from clients and promptly contacted clients with past due payments.
- Coordinated with other supervisors, combining group efforts to achieve goals.
Medical Biller
New England Medical Billing
East Providence, RI
05.2008 - 07.2008
- Verified patient insurance coverage, eligibility and prior authorization status.
- Utilized procedural and diagnostic coding for hospital visits, nursing home visits, office visits, injections, and home health certifications.
- Released clean medical claims within timely filing regulations to insurance companies.
- Posted payments from remittances.
- Followed up on accounts receivable and denials to optimize reimbursement.
- Managed correspondence with medical offices.
Education
Certified Professional Coding Certificate -
Enos Medical Coding
Westerly, RI12-2009
Associate of Science - Medical Administration
Katherine Gibbs
Cranston, RI12-2009
Skills
- Revenue Cycle Management
- Denial and Appeal Management
- Accounts Receivable
- Medical Coding
- Medical Billing
- Insurance Verification
- Documentation
- EMR Systems
- Meditech
- FinThrive
- Salesforce
- Kronos/UltiPro/UKG
- Automation
- Analytical Thinking
- Continuous Improvement
- Time Management
- Team Leadership
- Team Management
- Cross Functional Collaboration
- Training and Quality Auditing
- Conflict Resolution
- Microsoft Office
- Medical Terminology
- Medical Terminology
Personal Information
Work Permit: US work authorization
Certification
- CPC
Timeline
Revenue Cycle Manager
Steward Health Care/Quorum Healthcare
07.2018 - 10.2026
Team Lead/Supervisor
BCBSRI/Dell/NTT Data
05.2010 - 07.2018
Assistant Office Manager, Records Manager, New Patient Coordinator and Medical Biller
CHOW Newco
08.2008 - 10.2009
Medical Biller
New England Medical Billing
05.2008 - 07.2008
Certified Professional Coding Certificate -
Enos Medical Coding
Associate of Science - Medical Administration
Katherine Gibbs