Steffeny Derry

Results-driven Revenue Cycle Management (RCM) Specialist with 10+ years of experience in healthcare billing, including ABA and behavioral health. Proven track record of managing full-cycle RCM operations across multi-state accounts, driving high collection rates (98% in 2025; 96% YTD 2026), and improving financial performance through proactive claim resolution and data-driven insights. Skilled in payer relations, denial management, and client communication, with a strong focus on optimizing workflows and enhancing provider satisfaction across Medicaid, TRICARE, BCBS, and commercial payers.

RCM Specialist at MeBe Family (2023-01 – Present)

Manage full-cycle RCM operations for five states (AZ, CO, TX, VA, WA), while supporting California accounts across Medicaid, TRICARE, BCBS, and commercial payers using Availity, Navinet, UHC Provider Portal, Anthem/BCBS portals, Tricare East/West, and state Medicaid systems.

• Serve as a key point of contact for internal stakeholders, providing guidance on billing processes, payer requirements, and issue resolution.
• Consistently achieve high collection performance, maintaining a 98% collection rate in 2025 and 96% year-to-date in 2026.
• Oversee accounts receivable, ensuring timely follow-up on outstanding balances through payer calls, portal research, and appeals submission.
• Conduct daily billing audits to identify and resolve issues including unconverted appointments, missing diagnoses, authorization mismatches, and modifier errors.
• Perform weekly batch billing to ensure accurate and timely claims submission.
• Manage patient responsibility invoicing, collections, and payment plan setup, improving cash flow and patient account resolution.
• Analyze denial trends and underpayments across multiple payer types, implementing corrective actions to reduce rejections and accelerate reimbursement.
• Handle medical record requests and cost projections to support financial planning and payer compliance.
• Collaborate with cross-functional teams to streamline workflows and improve operational efficiency.

RCM Specialist / Project Manager at Leading Medical Services (2021-01 – 2024-08)

Led end-to-end revenue cycle management operations across Medicaid, TRICARE, BCBS, Workers' Compensation, and commercial insurance plans, utilizing Availity, Navinet, Anthem/BCBS portals, Tricare systems, Change Healthcare, Waystar, Office Ally, Zelis, Payspan, and Medicaid state portals.

• Generated and analyzed weekly and monthly productivity and financial reports to guide operational decision-making.
• Identified and resolved billing discrepancies, improving reimbursement accuracy and reducing delays for both patients and payors.
• Delivered high-level customer service by addressing inquiries from patients, facility staff, and third-party vendors.
• Developed and implemented standard operating procedures (SOPs) to improve team efficiency and consistency across RCM processes.
• Managed and coordinated special projects, ensuring timely execution aligned with contractual requirements.

Claims Specialist at Medical Code Verification LLC (2012-10 – 2021-01)

Reviewed outpatient physician claims for private insurance, BCBS plans, and Workers' Compensation, utilizing payer systems and claim platforms including Change Healthcare and Office Ally to validate coding and reimbursement accuracy.

• Investigated denied claim lines and determined final approval or denial outcomes based on payer guidelines.
• Produced daily reporting on claim batch findings, supporting transparency and quality control.
• Conducted in-depth research on coding updates and maintained detailed tracking in Excel-based reporting tools.
• Collaborated on ICD-10 transition initiatives, including development of ICD-9 to ICD-10 crosswalks and remark code implementation.
• Participated in client calls and webinars, providing subject matter expertise and resolving coding-related inquiries.

Bachelor of Science in Health Information Technology – Western Governors University (2023-08)

Associate of Applied Science in Medical Billing and Coding Specialist – Medtech College (2011-06 – 2012-09)