Ask a Revenue Cycle Leader is a new series featuring insights from health system and hospital revenue cycle executives nationwide. Becker’s poses questions on the most pressing issues in healthcare finance — from payer relations and automation to workforce and patient experience. We welcome responses from all revenue cycle, finance and reimbursement leaders.
Question: What are you thankful for as a revenue cycle leader this year?
Editor’s note: Responses were lightly edited for clarity and length.
Cyndra Alderman. Senior Director of Revenue Management Operations at Orlando (Fla.) Health: I am thankful for the team members that allow me to be their leader and for the ability to pour into them with great tools such as the 6 Working Genius. I am thrilled to see the impact of how they will collaborate within our department to ensure the continued success of our organization. Orlando Health is expanding its footprint and access to care, and it is necessary to ensure that we are using our resources effectively and continually evaluating how we can create an environment of safety for our team members to thrive. It’s unheard of these days to have team members with uninterrupted service that spans longer than 20 years. I am proud to say that I have 25 team members who exceed this timeframe, with four of them having 35 years of service. Orlando Health is an amazing place to work, and my team is a great example of the dedication and passion necessary to support the vision of our organization.
Vivian Boyd. Chair of Revenue Cycle Billing and Accounts Receivable at Mayo Clinic (Rochester, Minn.): As a revenue cycle leader, I’m grateful for the teams who continue to innovate in the face of extraordinary complexity. This year, I’ve seen our staff embrace AI, automation, and new operating models not as disruptions, but as opportunities to elevate care, strengthen financial stewardship and deliver a better patient experience. I’m thankful for the partnerships across clinical practice, IT and finance that have helped us move from incremental improvement to true transformation. Most of all, I’m grateful for the trust our people place in us as we shape a more intelligent, resilient and future-ready revenue ecosystem.
Joanna Caballero. Corporate Vice President of Revenue Cycle at Scripps Health (San Diego): As a revenue cycle leader, I am thankful for the teams who show up every single day with resilience, compassion and commitment to our patients. I am grateful to the many partners across my organization — clinical and non-clinical — who remind me how critical collaboration is! I am most grateful for the privilege of supporting teams who make a difference in people’s lives in ways most will never see.
Beth Carlson. Vice President and Chief Revenue Cycle Officer at WVU Medicine (Morgantown, W.Va.): I’m grateful for our industry leaders who constantly raise the bar on our commitment to making healthcare simpler and more seamless for the patients we serve. In revenue cycle, our victories are like uncut diamonds — rare, resilient and created under pressure — and I’m grateful for every one of them!
Catherine LoPresti. Vice President of Professional Revenue Cycle at Hackensack Meridian Health (Edison, N.J.): As a revenue cycle leader, I am particularly thankful this year for the accelerated adoption of intelligent automation and AI-driven analytics. These technologies are empowering our teams to work smarter, not harder, by automating repetitive tasks and providing predictive insights to prevent denials. This allows us to focus on more complex challenges and, most importantly, on creating a more seamless and compassionate financial experience for our patients. I am also incredibly grateful for the resilience and adaptability of our revenue cycle professionals, who continue to navigate the evolving healthcare landscape with dedication and expertise. Their commitment is the cornerstone of our financial stability and our ability to support our organization’s mission of providing quality care.
Sandra Johnson. Vice President and Chief Revenue Officer at MedStar Health (Columbia, Md.): I’m thankful for my revenue cycle staff. We have been through so much that could have prevented us from accomplishing our goals. Cyberattacks, vendor issues, extremely old systems, the heavy cloud we are all living under, but no matter what my staff has shown we will not be denied. They have the resilience, the dedication, the willpower to push through for our patients, our department, and our organization. They are shining stars, and nothing keeps them down. They always rise up.
Next question: What is your proudest accomplishment of 2025? If you are interested in responding, please send responses to Andrew Cass at acass@beckershealthcare.com.
