Nathan Brinza
- Role
- Senior Vice President, Revenue Cycle Operations at R1 RCM
- Location
- Denver, CO, US
- LinkedIn followers
- 500 followers
About Nathan Brinza
Dynamic healthcare executive proficient in developing and implementing cutting-edge…
Experience
Senior Vice President, Revenue Cycle Operations
Apr 2021 — Present
Areas of Responsibility: Oversees the Cash Posting, Automated Targeted Balance and PMO department for the Global Shared Services Revenue Cycle Operations. Team consists of operational SMEs operational project management, analytical reporting, continuous improvement, client transition and onboarding and revenue cycle focused training teams. P&L responsibility with a focus on improving operational efficiencies, quality, reducing cost, ensuring seamless new client transitions and developing a best-in-class workforce. Major Achievements • Recipient of the Pinnacle of Excellence Award (1 of 5 recipients globally) • Created custom technology (R1 Post) to streamline the revenue cycle reimbursement process. Built R1 Post from a use case to a minimum viable product to final product that automated bank deposit to 835 remittance matching allowing for automatic payment posting and general ledger balance transfers, and automated claim level transaction reconciliation. • Managed redesign of claims billing process from 100+ claims editors and clearinghouses to a consolidated platform. • Developed custom file within claim billing editor that enhanced the association of an 837 claim file to an 835 remittance file resulting in an improved claim-to-remit matching rate from 47% to 96%. • Leveraged business intelligence to identify payer specific behavioral response logic and made enhancements to R1 Decision tool to reduce non-value added account touches and allow for accounts to be worked in FIFO methodology • Responsible for strategic planning and oversight of transition and onboarding all new clients to onshore and global business shared services locations (BPO / BPS) • Onboarded new hospital and physician customers with a combined net revenue over $45 Billion • Scaled global operations from to revenue cycle operators • Established, implemented, and monitored operational SLA’s and KPI’s during new client onboarding to ensure successful transition
Education
University of Wisconsin-Madison
BA, International Relations
1998 — 2003
DePaul Driehaus College of Business
MBA, Health Sector Management and Leadership & Change Management
2008 — 2011
DePaul University
MS, Public Service Management
2005 — 2006
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