Ryan Ellison

About Ryan Ellison

Out-of-Network Reimbursement & Complex Claims Leader | OON, Denials, IDR & Revenue Cycle Strategy | Provider-Focused Thought LeadershipOut-of-network reimbursement has become a structural stress test for the healthcare system—revealing how payer policy, regulation, and revenue-cycle operations behave when financial pressure is highest.I focus on the real mechanics behind OON reimbursement, denials, and complex claims across the full revenue cycle. For more than two decades, I’ve worked with health systems, academic medical centers, and specialty providers to understand payer behavior at the claim level: how underpayments occur, why disputes escalate, how denial strategies evolve, and which operational decisions materially change outcomes.My experience spans OON collections, denial management and appeals, IDR strategy under the No Surprises Act, early-out and bad-debt recovery, and downstream revenue-cycle performance. I approach these functions as interconnected, not siloed, because payer behavior upstream directly affects provider sustainability, staff burden, and patient access downstream.I spend my time helping executive, legal, and revenue-cycle leaders see what is actually happening in the market—not what policy intended, but how reimbursement works in practice. My perspective is grounded in data, pattern recognition, and long-term outcomes, with a consistent focus on protecting access to care while improving financial clarity in increasingly complex environments.Areas of Focus• Out-of-Network reimbursement strategy• Denials, underpayments, and complex claims recovery• No Surprises Act & IDR behavior analysis• Revenue cycle integration: early-out through bad debt• Payer-provider dispute dynamics & market trends

Experience

1. Vice President Sales-western Region

   Revco Solutions

   Dec 2024 — Present

Skills

• Cross-Functional Team Leadership
• Marketing Strategy
• Talent Acquisition
• Cost Control
• Performance Management
• Management
• Team Building
• Procedural Design
• Sales Management
• Leadership
• Operational Efficiency
• Team Leadership
• Sales / Marketing
• Sales
• Marketing
• Contract Negotiation
• Strategic Planning
• Employee Relations
• Decision Making
• Field Operations Management
• Leadership / Training
• Customer Service
• Coaching
• Training
• New Business Development
• Risk Assessment / Management
• Account Management
• Cold Calling / Prospecting
• Negotiation
• Business Analysis
• Business Development
• Strategy