Tymesha Spellman, MPH

As a key contributor to the Revenue Cycle Management (RCM) team, I drive essential financial operations for one of the nation's leading clinical laboratories. My role involves a data-driven approach to accounts receivable, ensuring fiscal health and compliance within complex healthcare regulations.

Revenue Cycle Optimization: Proactively manage and assess the aging of 800+ patient accounts weekly, leveraging analytics to prioritize collection efforts and ensure consistent cash flow.

Process Automation & Efficiency: Championed efficiency gains by utilizing computer-based macros and advanced data entry techniques for AR processing, consistently exceeding departmental quality assurance (QA) benchmarks.

Compliance & Risk Mitigation: Subject matter expert in managing insurance denials, applying thorough research and resolution techniques to complex variances. Translate intricate denial codes into actionable insights using documented Standard Operating Procedures (SOPs) to maintain regulatory compliance (HIPAA).

Systems Proficiency: Highly proficient in enterprise billing software and data analysis to ensure system accuracy and currency in a high-volume environment.

Applied public health principles to real-world community challenges, focusing on maternal and infant health outcomes. This role deepened my understanding of systemic healthcare barriers and effective intervention strategies.

Population Health Management: Facilitated critical community outreach initiatives aimed at reducing health disparities and addressing the Social Determinants of Health (SDOH) for marginalized populations.

Community Collaboration: Developed and managed a robust referral network, connecting clients to vital resources (housing, education, nutrition), demonstrating expertise in collaborative community impact models.

Research & Analysis: Conducted qualitative analysis of Fetal Infant Mortality Review (FIMR) data and systemic inequities within the healthcare system, translating research into actionable program recommendations.

Coordinated essential health programs, leveraging strategic partnerships to improve service delivery and community engagement for the Latinx population in Eastern North Carolina.

Strategic Partnerships: Cultivated and maintained strategic alliances, partnering with 30+ diverse organizations to maximize program reach and effectiveness.

Program Implementation: Led the development and introduction of new initiatives focused on maintaining and improving service delivery, from facility improvements to patient care coordination.

Leadership Development: Designed and implemented a successful leadership development and team management framework, enhancing organizational capacity and facilitating internal promotions.

Provided vital administrative support and ensured seamless front-office operations for a dynamic non-profit environment.

Operational Efficiency: Managed high-volume administrative tasks, including processing 50+ calls daily and maintaining robust security and visitor management protocols.

Inventory Control: Streamlined supply chain management processes, maintaining optimal stock levels and managing purchase orders efficiently.