Tienina Dupree
New York,NY
Summary
Diligent Revenue Cycle Manager aiming to leverage 26 years of financial reporting expertise and account monitoring to drive profit and contribute immediate value. Well-versed in billing cycle operations and revenue performance analysis. Highly skilled in procedure optimization and revenue metrics analysis to increase financial performance.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Revenue Cycle Manager
Montefiore Hospital
07.2023 - Current
- Develop annual business plan to maximize RCM; involving on-site operations, Chief physicians and Administration in developing annual business plan and collaborate with management to modify business plan to maximize revenue.
- Present regularly at conferences or industry events showcasing the accomplishments of the organization.
- Evaluate program outcomes using data-driven metrics, identifying areas for improvement and implementing targeted interventions.
- Set organizational goals and objectives to guide and direct company focus and achieve mission fulfillment.
- Streamline workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Provide leadership and direction to 10 direct reports on the revenue cycle and ensure the integrity, accuracy and effectiveness of the professional billing cycle, including charge entry, payment variance, professional coding, claims processing, cash posting, denial management and placements with third party collection agencies.
- Develop and implemented organizational strategies to achieve set goals and objectives and secured long-term success.
- Arrange new physicians to learn about revenue cycle requirements for billing and collections; collaborate with management and physicians to resolve issues/problems in a timely manner and prevent recurrence and prepare revenue cycle annual budget.
Revenue Cycle Consultant
Healthcare
12.2022 - 07.2023
- Partnered successfully with facilities departments to produce increased revenue and decrease AR days.
- Worked closely with clients on-site to improve information needed for billing, follow up, and increased collections of aged accounts.
- Handle credentialing and paperwork for all new providers in enrollment with Medicaid and Medicare enrollment.
- Reduced outstanding accounts receivable balances by diligently monitoring aging reports and following up on overdue invoices.
- Contributed to staff retention efforts by fostering a positive work environment, promoting teamwork, and recognizing employee achievements regularly.
- Streamlined office operations by implementing efficient administrative systems and procedures.
- Enhanced revenue generation by optimizing billing practices, coding accuracy, and pursuing timely reimbursements.
Revenue Cycle Manager
Columbia Presbyterian Medical Center
08.2021 - 12.2022
- Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Served as a liaison between the organization''s leadership team members and payers during contract negotiations, securing favorable terms for reimbursement rates.
- Negotiated contracts with third-party vendors for billing-related services, achieving cost savings without compromising quality.
- Identified discrepancies between budgetary targets and actual revenue and expenses.
- Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
- Developed a consistent and coordinated billing model to sustain or improve financial performance with 14 direct reports.
- Assess and report potential risks as it relates to changes in the coding and revenue structure to minimize negative consequences.
Revenue Cycle Manager
Mount Sinai Hospital - Department of Psychiatry
07.2018 - 08.2021
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Managed all aspects of operations and department functions for a leading hospital with 450 beds and conducted financial planning.
- Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
- Promoted a positive work environment through open communication channels, regular feedback sessions, and team-building activities.
- Evaluated key performance indicators regularly to identify areas of improvement or potential risks requiring attention in a proactive manner.
- Managed a $10M operating budget and identified strategic direction for the organization.
- Contributed to organizational growth by identifying opportunities for expansion through market research, risk assessment, and competitor analysis.
Revenue Cycle/Practice Manager of Operations
Columbia Presbyterian Medical Center
08.2015 - 08.2018
- Implemented a set of comprehensive tracking processes to monitor Scheduling, Admitting, Business Office, and Finance performance.
- Facilitated interdepartmental communication for seamless information sharing between clinical teams and administrative staff members.
- Managed financial processes, including billing, collections, and insurance reimbursements, resulting in increased revenue.
- Led and motivated a team of 30 staff members across several offices and multiple teams (billing, collections, cash application), ensured adequate resourcing, trained, and development for each of the above functions.
- Collaborated with physicians to develop strategic initiatives aimed at improving patient care quality and expanding service offerings.
- Increased operational efficiency by implementing standardized processes for patient registration, insurance verification, and medical records management.
- Maintained strict adherence to HIPAA guidelines ensuring confidentiality of sensitive patient information throughout all aspects of practice administration duties.
Revenue Cycle Consultant
Murray Hill OB/GYN
05.2012 - 08.2015
- Conducted thorough audits of client accounts to ensure compliance with industry regulations, minimizing risk exposure and potential fines or penalties.
- Implemented process improvements that led to a reduction in claim denials and increased reimbursement rates from insurance companies.
- Improved financial reporting accuracy by implementing robust data validation processes, ensuring informed decision-making by senior leadership.
- Developed customized training programs to educate staff on best practices for revenue cycle management, improving overall productivity and performance levels.
- Increased patient financial responsibility collections through diligent follow-up efforts, effective communication with patients, and streamlined payment plan options.
Billing/ Coding Manager
Mount Sinai Health System
05.2010 - 05.2012
- Ensured compliance with healthcare regulations by conducting regular audits of medical records and implementing corrective actions when necessary.
- Maintained a high level of expertise in healthcare regulations, ensuring the organization remained compliant with all relevant laws and guidelines concerning medical records management.
- Ensured regulatory compliance by staying current on industry standards and implementing appropriate policies, procedures, and staff training programs.
- Developed policies and procedures for effective practice management.
- Established robust internal communication channels to keep staff informed about important updates or policy changes affecting their roles within the practice.
- Assisted in recruiting top-quality medical professionals to strengthen the practice''s reputation for excellence.
- Reduced wait times for patients, optimizing the flow of daily appointments and procedures.
Education
MBA - Health Services Administration
Monroe College
New Rochelle, NY12.2022
BBA - Health Services Administration
Monroe College
New Rochelle, NY04.2021
Skills
- Effective leader
- Exceptional interpersonal communication
- Performance Metrics
- Multiple Software Applications: Epic, Crown, Cubes, Eagle, Allscripts, E-commerce, API LaborWorkx, ERap, Sinai Central, IGreentree, Cognos Reporting, BI Portal, Cogito, Pre-AR Snapshot Report, BI Launch Pad
- Data Analytics
- Risk Assessment
- Conflict resolution
- Process improvement
- Recruitment and talent development
- Team Building Leadership
- Adaptability and Flexibility
- Decision-Making
- Critical Thinking
- Analytical Skills
Certification
- CPC (Certified Professional Coder), 2024, 2005
- CMBS (Certified Medical Billing Specialist), 2024, 2006
Accomplishments
- Created policies for the entire administrative team and streamlined processes that helped boost employee morale by 15%.
- Established an efficient document database during my first 45 days in Montefiore, reducing lag time by 10% and improving overall efficiency.
- Directed and managed a 50% increase in revenue by ending outside vendor collection contract to creating a team of ten direct reports in house improving quality of work, reduce costs and improve accounts receivable reimbursement through appeals, letter of medical necessity and other forms of increasing revenue growth.
- Implemented and led a 75% rise in revenue by concluding a contract with an external coding consultant and establishing an in-house team of three certified coders. This move enhanced the quality of work, cut expenses, and boosted the reimbursement of accounts receivable.
Timeline
Revenue Cycle Manager
Montefiore Hospital
07.2023 - Current
Revenue Cycle Consultant
Healthcare
12.2022 - 07.2023
Revenue Cycle Manager
Columbia Presbyterian Medical Center
08.2021 - 12.2022
Revenue Cycle Manager
Mount Sinai Hospital - Department of Psychiatry
07.2018 - 08.2021
Revenue Cycle/Practice Manager of Operations
Columbia Presbyterian Medical Center
08.2015 - 08.2018
Revenue Cycle Consultant
Murray Hill OB/GYN
05.2012 - 08.2015
Billing/ Coding Manager
Mount Sinai Health System
05.2010 - 05.2012
MBA - Health Services Administration
Monroe College
BBA - Health Services Administration
Monroe College
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