Tiffany Spinelli
Summary
Detail-driven Revenue Cycle Manager with over 10+ years of progressive experience leading hospital billing, collections, and reimbursement operations. Proven expertise in denials management, claims follow-up, and insurance verification, with a strong record of optimizing cash flow and reducing accounts receivable days. Skilled in team leadership, staff training, and cross-functional collaboration with major hospitals including NYU Hospital Center. Proficient with Epic, NYU Lutheran, and other hospital systems. Seeking to leverage healthcare revenue cycle expertise to transition into a challenging entry-level insurance role.
Overview
16
16
years of professional experience
Work History
Manager, Revenue Cycle Operations
RTR Financial Services
01.2009 - Current
- Supervise and mentor a team of 18 employees, ensuring high-quality customer service and consistent achievement of daily productivity quotas in medical billing and insurance follow-up.
- Manage end-to-end claims follow-up with major insurance carriers to ensure timely payments aligned with contract terms, specializing in claims for NYU Hospital Center and other major hospitals across New York.
- File retro authorizations, submit appeals, correct coding errors and lead resolution of denied or underpaid claims, including No-Fault and Workers’ Compensation cases.
- Maintain and update a detailed patient database, ensuring accuracy in demographics and insurance information across systems like Epic and NYU Lutheran platforms.
- Collaborate with NYU teams during weekly conference calls to resolve outstanding issues and ensure claims are current and accurate.
- Facilitate weekly staff meetings, performance reviews, and feedback sessions to drive team development and accountability.
- Interview and trained new hires on revenue cycle processes, insurance guidelines, and internal systems, applying adult learning principles to improve onboarding and retention.
- Monitor and track the status of all open insurance claims, escalating issues as necessary to reduce A/R days and improve cash flow.
Education
Certified Medical Assisant
Sanford–Brown
New York, NYSkills
- Revenue cycle optimization
- A/R Days Monitoring
- Cash flow management
- Weekly invoice analysis and payment posting
- Team Leadership & Staff Development
- Task streamlining
- Cross-functional collaboration
- Strategic Planning
Timeline
Manager, Revenue Cycle Operations
RTR Financial Services
01.2009 - Current
Certified Medical Assisant
Sanford–Brown
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