Summary
Overview
Work History
Education
Skills
Timeline
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Derenda Malone

Brooklyn,OH

Summary

Highly qualified provider and hospital revenue processes with over a decade of experience Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 25 years of related experience to a dynamic position with room for career growth.

Overview

26
26
years of professional experience

Work History

Senior Revenue Cycle Specialist

University Hospital of Cleveland
07.2014 - Current
  • Increased revenue by identifying and resolving billing errors in a timely manner.
  • Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
  • Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
  • Ensured accurate billing with thorough audits of patient accounts and insurance claims.
  • Streamlined revenue cycle process for improved efficiency and faster payment collection.
  • Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships.

Senior Intake Specialist

Council For Economic Opportunities
09.1998 - 04.2016
  • Coordinated seamless transitions between intake and service delivery teams, minimizing disruption for clients.
  • Served as liaison between clients and internal stakeholders, facilitating open communication channels to address any issues or concerns promptly.
  • Strengthened relationships with referral sources, leading to increase in new clients and faster service provision.
  • Implemented feedback system to continuously improve intake process based on client needs and concerns.
  • Optimized resource allocation by regularly monitoring caseloads and adjusting staff assignments accordingly.

Account Billing Specialist/ PAS Financial Counselor

Cleveland Clinic Foundation
09.2000 - 07.2014
  • Conducted periodic reviews of existing accounts, identifying opportunities for upselling or adjustments based on payment history and client needs.
  • Increased cash flow with timely and accurate billing, ensuring prompt payment from clients.
  • Enhanced customer satisfaction by resolving billing disputes promptly and professionally.
  • Maintained up-to-date knowledge of industry regulations, ensuring compliance in all billing procedures.

Education

Business Management

Cuyahoga Community College
Cleveland, OH

College and Career Readiness -

Max Hays High School
Cleveland, OH
06.1994

Skills

  • Microsoft office
  • Medical Claims Resolution
  • Experience with collection Inbound and Outbound
  • Appeal high dollar denials with 98% turn over rate
  • Exceed productivity and audit
  • Knowledge of ICD-10
  • HIPAA Compliance, OSHA Certified
  • Strong problem-solving/customer service skills
  • Problem-Solving
  • Mentored and trained 40 coworkers
  • Insurance Verification
  • Identify and resolve provider credential issue affecting provider revenue
  • Claims review/Processing Proficiency
  • Professionalism and Ethics
  • Analytical Problem Solving
  • Writing reports
  • Coordinating documents

Timeline

Senior Revenue Cycle Specialist

University Hospital of Cleveland
07.2014 - Current

Account Billing Specialist/ PAS Financial Counselor

Cleveland Clinic Foundation
09.2000 - 07.2014

Senior Intake Specialist

Council For Economic Opportunities
09.1998 - 04.2016

Business Management

Cuyahoga Community College

College and Career Readiness -

Max Hays High School

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Derenda Malone