Lorenzo Benedicty
Revenue Cycle || Innovation || Population Health
- Role
- Payment Integrity Manager at Kaiser Permanente
- Location
- San Francisco, CA, US
- LinkedIn followers
- 500 followers
About Lorenzo Benedicty
Hospital Revenue Cycle Leader specializing in payment integrity and payer–provider relations. I’ve led revenue integrity strategy from both sides of reimbursement, saving millions for hospital clients and preventing hundreds of millions in overpayments on the payer side.I align claims operations, finance, data and reporting, network management, and compliance to strengthen financial controls, optimize performance, and build high-performing teams and scalable and sustainable systems.The future of healthcare requires an integrated, interoperable healthcare database - powered by predictive analytics - to prevent disease, promote true wellness, and sustainably lower costs.
Experience
Payment Integrity Manager
May 2020 — Present · Oakland, CA, US
Leads department responsible for overpayment identification, audit, and recovery, and mitigation operations, preventing $10M+ leakage and $5M recoveries monthly (~7% of total claim spend) across multiple lines of business • YOY reduction (3-10%) in total overpayments as a % of total claim spend via mitigation efforts including operational and technology automations as well as risk area concept specific focuses including Clinical Trials, COB, Replacement, Transfer, and Readmission claims • YOY increase in % recovered of total overpayments identified (~65%), via process improvements including streamlined audit + notification + recovery workflows to reduce cycle times and administrative abrasion with providers • Partnered with key stakeholders to improve provider contracts\' rates and payment methodologies to prevent leakage and language to promote recovery • Collaborated with Compliance and Legal to re-review regulations and identify support to update policies and protocol to drive millions more in savings • Developed KPIs and analytics to drive strategic decisions, and organization and workflows • Managed operational service vendors, eg Data Mining, and guided design, testing, and implementation of new SAAS overpayment system • Championed remote workforce transition: Built infrastructure for communication, security, and business continuity
Education
UC San Diego
BS, Psychology, Human Development
2002 — 2007
Skills
- Contract Management
- Process Improvement
- Policy
- Auditing
- Healthcare
- Revenue Cycle
- Contract Review
- Hospitals
- Healthcare Consulting
- Teaching
- Real Estate Transactions
- Insurance
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