Revenue Cycle & Credentialing Leadership Professional

Yvonda Bradley

770-***-**** • **************@*****.*** • Norcross, GA 30093

Results-driven Revenue Cycle Manager experienced in hospital-based and professional billing operations. Achieved a 30% reduction in denials and a 10% increase in cash collections through strategic process optimization and team training. Focused on enhancing financial performance and compliance through leadership, staff development, and effective payer contract management.

Summary

Skills • Provider relations

• Audit & Denial Management

• Payer compliance

• Quadax

• Electronic Visit Verification(EVV)

• Government & Commercial Payers

• Epic

• Cerner

• Soarian

• NextGen

• AllScripts

• MedHost

• MediTech

• TruBridge

• Athena Health

• SSI

• WayStar

• Change Healthcare

• EClinicalWorks

• HHAeXchange

• CareBridge

• InSync

• Kareo

• AdvancedMD

• Optum

• Availity

• Navinet

• Sage Intacct

• ERP Integration

• Medical Billing & Claims Management

• Revenue cycle management

• Cost Reporting

01/2020 - Current

Manager, Revenue Cycle (HB/PB Reimbursement Assurance), UHS Of SummitRidge Hospital, Lawrenceville, USA

04/2019 - 04/2023

Revenue Cycle Manager Credentialing Specialist, Lakeview Behavioral Health, Norcross, USA

Experience

Managed reimbursement assurance functions and oversaw insurance follow-up staff, ensuring compliance with hospital billing and payer guidelines.

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Audit complex accounts to identify trends, implement recovery actions, and develop process improvements that reduced denials by 30% and increased clean claim rates by 25%, saving over $1.5M annually.

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Develop financial and operational reports to measure collections, unbilled accounts, and A/R aging; improved cash flow by $3M through targeted interventions.

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Partnered with internal leadership and external vendors to improve claim accuracy and strengthen payer relationships.

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Establish controls for cash posting and reconciliation, ensuring integrity of financial reporting.

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12/2015 - 04/2023

Medicare/Medicaid Billing Specialist, Emory Decatur Hospital, Decatur, USA Directed billing operations for HB/PB accounts, reducing outstanding A/R by 15% and increasing cash collections by 10% within 90 days.

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Conducted account audits, trend analyses, and payer compliance reviews, enhancing reimbursement timeliness and accuracy.

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Designed and implemented staff training programs, improving team productivity by 20% and reducing denials by 25% in six months.

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Managed full-cycle government billing operations; processed over 125 claims daily while ensuring accuracy and compliance with CMS regulations.

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Enhanced billing turnaround time and reduced rejection rates through proactive communication with payers and clearinghouses.

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Collaborated with revenue integrity to optimize billing workflows, resulting in 30% reduction in receivable aging.

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1/2026 - Present Part-Time/Contract

Revenue Cycle Consultant HB/PB Denials & Reconsiderations Frasier Healthcare Consulting Firm, Arlington, TX

Consulting

Experience

Provide RCM consulting services to healthcare organizations, supporting end-to-end revenue cycle operations, A/R optimization, denials management, and reimbursement improvement.

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Analyze A/R aging, denial trends, payer performance, and collection metrics to identify revenue leakage and improvement opportunities.

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Develop and implement workflow improvements designed to reduce aging, improve clean- claim rates, and accelerate reimbursement.

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Partner with leadership and operational teams to identify root causes of denials and develop corrective action plans.

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Provide guidance on billing, claims follow-up, payment posting, appeals, payer requirements, and revenue cycle workflows.

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Monitor KPIs including A/R days, aging, denial rate, net collections, DSO, and cash performance.

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Bachelor Of Science (B.S.), Electrical and Electronics Engineering Education South Carolina State University, Orangeburg, SC Certifications • Certified Professional Coder (CPC)

• Certified Revenue Cycle Professional (CRCP)

• HFMA Certification – Financial Management & Compliance Leadership

Highlights

Strategic Leadership: Drives measurable business results through engagement, goal-setting, and accountability.

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• Operational Planning: Anticipates resource needs and aligns staffing with revenue objectives. Quality Management: Implements audit systems ensuring billing accuracy and compliance with federal and payer regulations.

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