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

  1. Senior Vice President, Revenue Cycle Operations

    R1 RCM

    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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