Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tiffany McMenamin

Ridley Park

Summary

Accomplished CEO/Owner of Spinsanity Health and Wellness and seasoned Insurance Reimbursement Specialist at Crozer Chester Medical Center, I excel in operational excellence and effective decision-making. Leveraging strategic visioning, I've spearheaded growth and enhanced brand reputation. Proficient in medical coding software, my analytical skills ensure compliance and efficiency, embodying a customer-focused approach to drive substantial business achievements.

Overview

17
17
years of professional experience

Work History

CEO/Owner

Spinsanity Health and Wellness Center
02.2020 - Current
  • Achieved company growth by implementing strategic plans and streamlining operations.
  • Managed partnerships and strategic business relationships by negotiating contract terms and handling conflicts.
  • Developed key operational initiatives to drive and maintain substantial business growth.
  • Enhanced brand reputation with effective marketing campaigns and public relations efforts.

Insurance Reimbursement Specialist

Crozer Chester Medical Center
08.2008 - 07.2020
  • Improved claim processing efficiency by streamlining workflows and implementing best practices.
  • Reduced outstanding account receivables by proactively identifying and resolving billing discrepancies.
  • Maintained up-to-date knowledge on all relevant coding changes, effectively reducing instances of coding-related errors or delays in claim processing times.
  • Provided exceptional customer service to clients throughout the claims process, addressing inquiries promptly and professionally while keeping them updated on claim status progressions at all stages of the process.

Insurance/Medical Coding

Crozer Chester Health System
08.2008 - 07.2020

- Accurately code medical diagnoses and procedures using ICD-9/10, CPT, and HCPCS coding systems, ensuring compliance with federal regulations and insurance requirements.

- Collaborate with healthcare providers to clarify documentation and ensure accurate coding for optimal reimbursement.

- Track financial performance and reimbursement metrics, identifying trends and discrepancies to improve revenue cycle efficiency.

- Process and submit claims to major insurance companies, monitoring the status and resolving any issues that arise.

- Conduct regular audits of coding practices to ensure compliance and accuracy, providing training to staff as needed.

Education

Business Communication

Community College of Philadelphia
Philadelphia, PA
04.1996

Skills

  • Effective decision making
  • Operational excellence
  • Customer focus
  • Strategic visioning
  • Proficient in medical coding software and electronic health record (EHR) systems
  • Strong knowledge of healthcare regulations and compliance standards- Excellent analytical and problem-solving skills
  • Effective communication and interpersonal skills
  • Detail-oriented with a focus on accuracy and efficiency

Timeline

CEO/Owner

Spinsanity Health and Wellness Center
02.2020 - Current

Insurance Reimbursement Specialist

Crozer Chester Medical Center
08.2008 - 07.2020

Insurance/Medical Coding

Crozer Chester Health System
08.2008 - 07.2020

Business Communication

Community College of Philadelphia
Tiffany McMenamin