Cynthia (Tia) Marden
Phoenix,AZ
Summary
Accomplished Vice President of Operations and RCM Management with experience in end-to-end operations, process improvement, technology implementation, data analytics and employee development. Highly motivated medical professional with unique ability to translate executive leadership initiatives and client needs to effectively and efficiently achieve strategic objectives. Skilled at working under pressure and adapting to new situations and challenges while supporting team needs.
Overview
16
16
years of professional experience
Work History
Dir Med Clin Ops
Optum
10.2023 - Current
- Collaboration during Prospero and Landmark merger to create and optimize revenue cycle processes and procedures
- Demonstrated ability to analyze, track and trend coding, billing, encounter submission and payments to ensure seamless and efficient RCM operations
- Creation and implementation of payment solution for payer and patient processes
- Coordination with ELT and department leaders to implement technology solutions, reporting, workflow automation and efficient end-to-end revenue cycle processes
- Ability to support multiple markets, locations and services
- Passionate about sharing and executing corporate strategy and organizational mission as we merged with Optum
VP Billing and Medical Staff Services
Prospero
06.2021 - Current
- Creation, implementation and oversight of all revenue cycle management aspects including coding, billing, auditing, risk and value-based initiatives, provider coaching, coding policies and auditing procedures
- Responsible for all metrics, KPIs and dashboards to track and monitor weekly and monthly performance targets and ensure RCM team continues to exceed expectations
- Developed quality and risk adjustment training to support providers and coders in documentation standards for burden of illness
- Maintained all coding activities to be completed within 5 days of the patient’s appointments
- Managed all credentialing activities for providers across 26 states including credentialing, re-credentialing, payer enrollment, state and federal regulation and compliance monitoring, collaborating practice agreements and payer delegation
- Initiated automated workflows to utilize CAQH, NPPES and PECOS for the onboarding process and maintained an average of 21 days for new provider credentialing
- Exceeded employee satisfaction survey results at 4.8 (out of 5.0) on provider feedback in regard to onboarding process
VP of Operations / COO
Bayless Integrated Healthcare (Now Denova Collaborative Health)
08.2018 - 06.2021
- Responsible for day-to-day operations and team oversight of over 250 employees across multiple departments
- Increased client satisfaction by 23% year over year by focusing on employee development, morale, retention, and patient experience
- Monitored and evaluated organizational processes and procedures to ensure improvement in performance, efficiency, cost effectiveness and communication
- Increased psychiatric visits by 52%, Primary Care by 36% and Behavioral Health by 21% in 2020
- Created and implemented operational framework including KPI's, playbooks and SOPs for all support staff
- Accountable for KPIs and performance of clinic support staff
- Quality and Compliance department, Population Health
- Engagement Center (Call Center) and EHR administration
- Project Management for all technology vendors and collaborations including EMR conversion
- Developed new hire training process and 30/60/90-day feedback loop
- Spearheaded cross-functional initiatives across departments to achieve business goals for bottom-line profits.
Director of Operations
Integrated Medical Services
10.2013 - 08.2018
- Created and implemented operational policies and procedures for 65(+) clinic locations
- Oversaw successful implementation of operational strategies and policies to drive organizational growth and productivity.
- Maintained open communication and translated needs between staff, providers, clients and IT to ensure needs met
- Supported practice managers and administrators on day-to-day operations such as increasing revenue, managing budget, staffing, inventory, customer service and process improvement
- Continuous research and understanding of quality improvement and risk strategies to decrease spend and increase organizational/provider performance on incentive programs
- Developed acquisition process for onboarding providers/offices including office setup, employee and provider training, process implementation, EHR conversion, Marketing, and patient relations
- Project manager for conversation to an outsourced revenue cycle management company including training all employee levels on workflow changes and reporting
Practice/Revenue Cycle Manager
Feldman Family Practice
07.2012 - 10.2013
- Assessed all billing and front-end procedures and implemented improvements to increase revenue and decrease expenses
- Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
- Supervised, trained and coached employees on day-to-day operations
- Project Manager for implementation of conversion to an EMR from paper charts, including building templates, training employees and vendor relations
- Managed revenue cycle from charge entry to accounts receivable
- Increased reimbursement amounts up to 14% for commercial plans by renegotiating contracts
- Assisted in process improvement and efficiency to sustain practice growth
- Practice was acquired by IMS and I joined as the practice manager
Personal Banker/MIT
JPMorgan Chase
07.2008 - 04.2012
- Increase branch P&L by offering products to fit customers financial needs and maintain monthly sales goals
- Assist customers with any account maintenance and ensure great customer service
- Continuously maintain and deepen current business and personal customer relationships
- Knowledgeable on policy and procedures to ensure consistency and company guideline
Education
MBA Organizational Leadership -
Eastern University
PA11.2024
BS Business Administration -
Southern New Hampshire University
Manchester, NH06.2017
Medical Coding and Billing -
Clark University
Woburn, MA04.2005
Skills
- Operations Management
- RCM Operations
- Employee Development
- Risk Adjustment
- Quality Improvement
- Operational Efficiency
- Process Improvement
- Project Management
Hobbies / Activities
- Volunteer and Foster for the Arizona Humane Society
- Team Manager: Boys Team Charity - North Valley League Chapter
- Board Member: TBHS Baseball Booster
- Travel
- Reading
Timeline
Dir Med Clin Ops
Optum
10.2023 - Current
VP Billing and Medical Staff Services
Prospero
06.2021 - Current
VP of Operations / COO
Bayless Integrated Healthcare (Now Denova Collaborative Health)
08.2018 - 06.2021
Director of Operations
Integrated Medical Services
10.2013 - 08.2018
Practice/Revenue Cycle Manager
Feldman Family Practice
07.2012 - 10.2013
Personal Banker/MIT
JPMorgan Chase
07.2008 - 04.2012
MBA Organizational Leadership -
Eastern University
BS Business Administration -
Southern New Hampshire University
Medical Coding and Billing -
Clark University
Similar Profiles
Tracey McAllisterTracey McAllister
Sr UX UI Engineer - Product Manager at OptumSr UX UI Engineer - Product Manager at Optum
MANJUNATH HUNACHIKATTIMANJUNATH HUNACHIKATTI
Associate Medical Coder at OptumAssociate Medical Coder at Optum
MRIDHULA KALLIVALAPPILMRIDHULA KALLIVALAPPIL
Medical Coding Analyst at OptumMedical Coding Analyst at Optum