Tashawn Spearman
Shelby Township
Summary
Experienced healthcare management professional with a decade of expertise in optimizing provider enrollment, revenue cycle, and patient financial services. Proven track record in creating streamlined workflows and improving communication channels between providers, patients, and insurers. Holds an MBA in healthcare management, enhancing leadership capabilities to implement strategic changes in challenging healthcare environments. Focused on developing systems that support both staff efficiency and patient comfort.
Overview
14
14
years of professional experience
Work History
AI Data Trainer
Handshake AI Fellowship
Remote
11.2025 - 04.2026
- Developed training datasets, enhancing AI model performance and accuracy.
- Reviewed and validated annotated data to ensure consistency and quality assurance.
- Conducted training sessions for new team members on best practices in data handling.
- Implemented feedback mechanisms to improve data collection and annotation methods.
- Assisted in creating documentation for data management protocols and procedures.
- Proofread documents meticulously, ensuring accuracy and completeness of all paperwork.
Provider Enrollment Specialist
Ascension Health
Troy
11.2022 - 01.2026
- Developed systematic processes for data collection to ensure compliance with government enrollment updates.
- Implemented business solutions to mitigate provider enrollment reporting risks, enhancing accuracy and reliability.
- Maintained precise record keeping to facilitate provider revalidation efforts and support compliance initiatives.
Specialist, Appeals and Grievances
Molina Healthcare
Troy
06.2021 - 11.2022
- Gathered, reviewed, and verified pertinent information related to participating healthcare providers to support accurate processing of appeals and grievances.
- Initiated and maintained effective communication channels with service providers and clients to ensure seamless information flow.
- Analyzed patient data to identify trends in healthcare services.
- Collaborated with teams to improve operational workflows and service delivery.
- Coordinated training sessions for staff on new healthcare protocols.
Patient Access Representative ER
R1 RCM, Inc.
Novi
03.2022 - 10.2022
- Facilitated patient registration and verification processes for smooth admissions.
- Managed insurance authorization requests for various medical services.
- Handled incoming calls professionally, ensuring prompt assistance and support.
- Handled patient inquiries and resolved issues regarding billing and appointments.
- Facilitated patient discharges home upon completion of evaluations.
Billing Specialist
DMC Medical Group
Southfield
10.2020 - 06.2021
- Managed insurance verification and authorization for medical procedures consistently.
- Prepared and submitted accurate claims to third party payers electronically and by paper, ensuring timely processing.
- Coordinated with healthcare providers to ensure accurate charge capture and billing.
- Processed patient billing inquiries and resolved discrepancies efficiently.
- Maintained effective relationship with clearinghouse, following up on support issues to resolve discrepancies.
Patient Financial Services Representative
R1 RCM
Southfield
09.2016 - 10.2020
- Processed payment plans and set up financial arrangements for patients.
- Managed patient billing inquiries and resolved account discrepancies.
- Assisted patients in understanding insurance benefits and financial obligations.
- Answered questions and assisted patients with billing concerns, fostering clear communication and understanding.
- Identified and resolved claim edits through thorough understanding of billing guidelines and payer requirements.
Intern
Total Health Care, Inc.
Detroit
01.2019 - 03.2019
Claims Examiner
Molina Healthcare Inc
Detroit
01.2016 - 09.2016
Contact Center Advocate
Henry Ford Health System
Detroit
03.2012 - 01.2016
- Scheduled and rescheduled appointments for 50+ patients daily to ensure optimal patient flow.
- Verified insurance and inputted data into EMR to maintain accurate and timely patient records.
- Advised clients on legal rights and obligations in healthcare matters.
- Drafted and reviewed contracts, ensuring compliance with regulatory standards.
- Represented the health system in litigation and administrative hearings.
Education
MBA - Healthcare Management
Davenport University
Warren, MI04-2026
Bachelor's of Science - Health Service Administration
Davenport University
Warren, MI04-2019
Skills
- Insurance Verification
- Accounts Receivable
- Medical Billing/Coding
- CPT/HCPCS
- ICD-9 & 10
- Auditing
- Quality Assurance
- Utilization Management
- CMS
- HIPAA
- Athenahealth
- Cerner
- Epic
- EMR
- EncoderPro
- Medical Records
- Medical Scheduling
- Medical Terminology
- Client Service
- Client relations
- Hospital Experience
- Management
- Team Supervision
- Resource Coordination
- Analytics
- Office Administration
- MS Office Suite
- Organization/Planning
- Insurance Forms Verification
- NCQA Standards
- Resource Coordination
- Team Supervision
- Utilization Management
Timeline
AI Data Trainer
Handshake AI Fellowship
11.2025 - 04.2026
Provider Enrollment Specialist
Ascension Health
11.2022 - 01.2026
Patient Access Representative ER
R1 RCM, Inc.
03.2022 - 10.2022
Specialist, Appeals and Grievances
Molina Healthcare
06.2021 - 11.2022
Billing Specialist
DMC Medical Group
10.2020 - 06.2021
Intern
Total Health Care, Inc.
01.2019 - 03.2019
Patient Financial Services Representative
R1 RCM
09.2016 - 10.2020
Claims Examiner
Molina Healthcare Inc
01.2016 - 09.2016
Contact Center Advocate
Henry Ford Health System
03.2012 - 01.2016
MBA - Healthcare Management
Davenport University
Bachelor's of Science - Health Service Administration
Davenport University