Yvonda Bradley
Norcross,GA
Summary
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.
Overview
1
1
Certification
11
11
years of professional experience
Work History
Manager, Revenue Cycle (HB/PB Reimbursement Assurance)
UHS of SummitRidge Hospital
Lawrenceville, USA
01.2020 - Current
- Managed reimbursement assurance functions and oversaw insurance follow-up staff, ensuring compliance with hospital billing and payer guidelines.
- 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.
- Develop financial and operational reports to measure collections, unbilled accounts, and A/R aging; improved cash flow by $3M through targeted interventions.
- Partnered with internal leadership and external vendors to improve claim accuracy and strengthen payer relationships.
- Establish controls for cash posting and reconciliation, ensuring integrity of financial reporting.
Revenue Cycle Manager | Credentialing Specialist
Lakeview Behavioral Health
Norcross, USA
04.2019 - 04.2023
- Directed billing operations for HB/PB accounts, reducing outstanding A/R by 15% and increasing cash collections by 10% within 90 days.
- Conducted account audits, trend analyses, and payer compliance reviews, enhancing reimbursement timeliness and accuracy.
- Designed and implemented staff training programs, improving team productivity by 20% and reducing denials by 25% in six months.
- Collaborated with compliance and risk management on credentialing audits, ensuring compliance with NCQA and payer standards.
Medicare/Medicaid Billing Specialist
Emory Decatur Hospital
Decatur, USA
12.2015 - 04.2023
- Managed full-cycle government billing operations; processed over 125 claims daily while ensuring accuracy and compliance with CMS regulations.
- Enhanced billing turnaround time and reduced rejection rates through proactive communication with payers and clearinghouses.
- Collaborated with revenue integrity to optimize billing workflows, resulting in 30% reduction in receivable aging.
- Coordinated with finance to streamline payment posting and account reconciliation during month-end closing.
Education
Bachelor of Science (B.S.) - Electrical and Electronics Engineering
South Carolina State University
Orangeburg, SCSkills
- Provider relations
- Audit & Denial Management
- Claim auditing
- Payer compliance
- Financial reporting
- Billing compliance
- Business planning
- Data Management
- Training program development
- Electronic Visit Verification(EVV)
- Process optimization
- Workflow redesign
- Recovery Programs
- 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
- Billing Management
- Medical billing
- Claims processing
- Revenue cycle management
- Team leadership
- Financial reporting
- Performance management
- Strategic planning
- Cross-functional teamwork
- Workforce management
- Problem solving
- Attention to detail
- Process improvement
- Business administration
- Team leadership
- Change management
- Expense tracking
- Goal setting
- Root Cause Analysis
- Customer relationship management
- Competitor research
- Networking strategies
- Lead generation
- Shift scheduling
- Recruiting and interviewing
- Staff development
- Expectation setting
- Partnership development
- Complex Problem-solving
- Effective communication
- Team leadership
- Financial management
- Inventory management
- Visual Reporting
- Training program development
- Data analysis
- Customer relationship management (CRM)
- Financial reporting
- Revenue management
- Audit & Denial Management
- Process improvement
Certification
- Certified Professional Coder (CPC)
- Certified Revenue Cycle Professional (CRCP)
- Certified Risk Adjustment Coder (CRC)
- HFMA Certification – Financial Management & Compliance
Leadership Highlights
- Strategic Leadership: Drives measurable business results through engagement, goal-setting, and accountability.
- 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.
Timeline
Manager, Revenue Cycle (HB/PB Reimbursement Assurance)
UHS of SummitRidge Hospital
01.2020 - Current
Revenue Cycle Manager | Credentialing Specialist
Lakeview Behavioral Health
04.2019 - 04.2023
Medicare/Medicaid Billing Specialist
Emory Decatur Hospital
12.2015 - 04.2023
Bachelor of Science (B.S.) - Electrical and Electronics Engineering
South Carolina State University