Malynda Nichols
New Haven
Summary
Results-driven Revenue Cycle Specialist known for high productivity and efficient task completion. Specialize in billing, coding accuracy, and compliance regulation management. Excel in analytical problem-solving, negotiation, and communication skills, ensuring smooth operation within revenue cycle processes. Committed to maximizing revenue while maintaining high levels of integrity and professionalism.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist
Stamford Health
Stamford
12.2021 - Current
- Responsible for managing claim denials related to authorization, medical record requests, and coordination of benefits
- Actively manage, maintain, and communicate denial/appeal activity to appropriate management
- Works independently to plan and organize activities that directly impact reimbursement
- Securing reimbursement and minimizing organizational write-offs
- Conducts comprehensive reviews of the claim denial and account, to determine what action to take to obtain reimbursement.
Billing Office Specialist
Stonington Institute
Stonington
09.2016 - 01.2018
- Check eligibility and benefit verifications.
- Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
- Check each insurance payment for accuracy and compliance with the contracted discount.
- Enter daily charges for partial hospitalization and intensive outpatient programs.
- Post payments from commercial insurance, Medicare, Connecticut Medicaid, TriCare, and VA.
Medical Assistant
Stonington Institute
Stonington
03.2013 - 09.2016
- Measure vital signs, height/weight, and collect laboratory specimens.
- Complete paperwork needed for labs, blood work, urinalysis, and toxicity screenings.
- Regularly provide support and guidance to clients during assigned work hours.
Medical Scribe
Emergency Medicine Physicians
New London
08.2010 - 12.2011
- Collected History and Physical Examination information for the emergency physician.
- Documented any procedures performed and diagnostic tests ordered.
- Completed referral forms, collated test results, and flagged results for the physician.
Education
Information Technology - Associate's degree
University of Phoenix
Tempe, AZSkills
- Policy interpretation
- Medical terminology
- Phlebotomy and injection administration
- Administrative and medical office experience
- Connecticut Medicaid and Medicare knowledge
- Microsoft Office Suite proficiency
- Analytical skills
- Medical billing and coding (ICD-10, ICD-9, CPT)
- Insurance verification and claims processing
- Patient care and vital signs monitoring
- HIPAA compliance and ethics
- Team collaboration and problem-solving
- Claims management and denial resolution strategies
- Healthcare finance expertise
- Data entry and transcription skills
Certification
- Driver's License
- BLS Certification
- Certified Medical Assistant
- AED Certification
- CPR Certification
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Revenue Cycle Specialist
Stamford Health
12.2021 - Current
Billing Office Specialist
Stonington Institute
09.2016 - 01.2018
Medical Assistant
Stonington Institute
03.2013 - 09.2016
Medical Scribe
Emergency Medicine Physicians
08.2010 - 12.2011
Information Technology - Associate's degree
University of Phoenix