Anthony E.

Anthony E. Email and Phone Number

Expert and experienced Revenue Cycle Executive | Expert in Operational Excellence & Strategic Partnerships | Increased Cashflow by over 50% and Reduced Operating Expenses by $1.5M | Connecting people to achieve goals
Anthony E.'s Location
Austin, Texas, United States, United States
About Anthony E.

As a seasoned revenue cycle management executive with over 25 years of experience managing end-to-end revenue cycles for Academic & Profit Healthcare Delivery Systems, core Competencies include offshore workflow standardization, denial management, client engagement and relationship management, budgeting, negotiation, automation innovation, managed care contracting negotiations, and team building.My track record is marked by significant achievements, including successfully recovering over $1 million from Blue Cross and Blue Shield, decreasing operational costs by over $1.5 million through reorganization, and reducing A/R days from 51 to 41. As a strategic leader, I've overseen the development of best-in-class revenue cycle solutions, increasing cash flow by 50% within six months and consistently achieving 100% performance cash to net revenue. I've also managed sizeable offshore revenue cycle teams and large onshore teams. I excel in building productive teams and managing onshore and offshore FTEs across various functional areas. My strong project management skills have been instrumental in implementing new practice management applications, deploying integrated inventory management systems, and transitioning workforces to remote operations without disrupting productivity.Leveraging my Revenue Cycle Management (RCM) proficiency, I'm adept at identifying and executing strategies that enhance revenue growth while aligning with industry standards. Let's connect if you're looking for a dynamic leader who can drive your organization's financial performance and operational excellence to new heights.

Anthony E.'s Current Company Details

Expert and experienced Revenue Cycle Executive | Expert in Operational Excellence & Strategic Partnerships | Increased Cashflow by over 50% and Reduced Operating Expenses by $1.5M | Connecting people to achieve goals
Anthony E. Work Experience Details
  • Pwc
    Director Revenue Cycle Manager Services
    Pwc Apr 2022 - Oct 2024
    Austin, Texas, United States
    The Director is a leadership position that brings business knowledge, innovation, and insight to create distinctive value for its clients while creating a culture of individual ownership and accountability for high performance. The Director provides strategic leadership to achieve the organization's business objectives. ● I Provided Leadership & Management for Legacy Professional & Hospital wind-down engagements at large teaching hospitals in the USA● We Achieved the established KPIs and OKR, such as cash to goal, First-touch resolution, executive reporting, and internal financial goals.● I Provided Leadership to a sizeable offshore Team to support offshore productivity and quality.● Interfaced and fostered client engagement through email, team calls, and in-person visits.● Successfully implemented problem-solving strategies to identify and resolve revenue cycle discrepancies, increasing overall department efficiency● I mentored and provided opportunities for my direct reports to aspire to their respective goals
  • Texas Tech University Health Sciences Center El Paso
    Executive Director, Revenue Cycle Medical Faculty Practice Plan
    Texas Tech University Health Sciences Center El Paso Apr 2019 - Mar 2022
    El Paso, Texas Area
    The Executive Director of The Faculty Practice plan is responsible for the end-to-end revenue cycle for 455 teaching physicians. Additionally, the ED is responsible for preparing revenue and expense budgets .● Reduced Operating expenses by more than 1.5 million dollars through reorganization and optimization of resources.● Successfully negotiated with Blue Cross and Blue Shield the recovery of over $1.0 million related to Tax ID and NPI Issues.● Reduced final denials related to eligibility and authorizations to less than 4% of gross revenue.● Reduced A/R Days for all financial categories except local government YOY days decreased from 51 to 41 days.● Responsible for 51 FTEs across various functional areas of the revenue cycle● Utilized Project Management skills and tools to drive ongoing results.● Redesigned Enterprise Task Management System ETM to allow for standardization of task assignment.● Managed large team of onshore and offshore FTE’s ● Implemented a Presumptive Charity Care Eligibility workflow that will allow the Institution to discern bad debt accounts from charity care. Accurately reflect in State Reporting the amount of charity care provided.● Oversaw developing and issuing an RFP for Revenue Cycle Services that enabled the Institution to reduce charge lag in Radiology, Pathology, Anesthesia, Psychiatry, and Emergency Medicine to acceptable levels.● Prepared CARES application during COVID-19, which resulted in the Institution receiving over 1.0 million dollars.● Participating in State Taskforce for Round 3 CARES Funding
  • Millennium Healthcare Asc Of Clifton New Jersey
    Executive Director Financial Services
    Millennium Healthcare Asc Of Clifton New Jersey Mar 2018 - Mar 2019
    Clifton New Jersey
    The Executive Director is responsible for strategic leadership in developing best in class revenue cycle solutions for Millennium. The Executive Director develops with the revenue cycle team policies, procedures, and workflows that result in achieving key KPI'sSelected New Practice Management Application to replace a legacy platformKey Achievements:• Selected New Practice Management Application to replace a legacy platform• Successful Go-Live as of September 1st, 2018 without any disruption in cash flow• Increased Cashflow first six months by over 50% per month• Decreased Chart and Bill lag to acceptable levels• Developed Productivity and Quality Metrics for Revenue Cycle Specialists• Developed Project Timeline with Milestones • Reorganized Revenue Cycle Department to align more closely with industry standards• Developed and Implemented Policies and Procedures that effectively guide revenue cycle work• Overseeing the deployment of an intergrated inventory management system for ASC
  • Hca
    Director Revenue Cycle West Central Division Hca
    Hca Oct 2013 - Feb 2018
    Austin, Texas, United States
    Responsible for providing strategic leadership and operational oversight for a 35-member remote workforce with six direct reports. Drive departmental performance through proactive analysis and collaboration with operational and practice teams to establish and meet production and quality targets.**Key Achievements: **• Led a remote workforce of 40 FTEs, overseeing six direct reports.• Consistently achieved 100% cash-to-net revenue performance over a rolling 12-month period.• Maintained 3% or less denial rates for the last 36 months.• Optimized cost structure to align with corporate financial objectives.• Successfully partnered with Central Coding Operations & Brentwood PSC to realign 40 FTEs into a corporate framework.• Spearheaded the implementation of EPIC PB Resolute within an eight-month timeline.• Developed pre- and post-billing work queues with operations and coding teams.• Led the integration of a PPMS merger from a legacy system to EPIC PB Resolute in partnership with HCA Physician Services and Central West Texas Division leadership.• Revamped the Provider Enrollment Department, streamlining onboarding and reducing claim hold times.• Reduced charge lag to under three days for office-based work and six days for hospital-based tasks.• Directed a successful 12-month transition of 35 FTEs from office-based roles to a remote work environments.• Achieved a net insurance AR day reduction to 22 days, down from 42 in 2014.• Prepare and present monthly operational reviews with key performance metrics to senior management.• Achieved 86% participation and 79% engagement in the 2017 Employee Engagement Survey.• Established a centralized pre-authorization and referral department, significantly reducing initial denial rates.• Hands-on expertise with EPIC PB Resolute
  • Atlantic Shore Orthopedic Associates
    Chief Operations Officer
    Atlantic Shore Orthopedic Associates May 2007 - Jun 2013
    Northfield, Nj
    As the COO I oversaw the operational efficiency and strategic execution of the organization, with responsibilities spanning operational leadership, financial management, compliance, team leadership, patient experience, and stakeholder collaboration.Key Achievements:• Developed and executed a strategic turnaround plan, revitalizing failing practice operations and revenue cycle management.• Optimized staffing structures to align with industry standards based on provider headcount.• I successfully migrated the revenue cycle from a legacy system to EclinicalWorks, improving operational efficiencies.• Reversed a gross operating loss, achieving profitability in all subsequent years following year one.• Ensured compliance with PQRS standards, securing incentive qualification for physicians.• Introduced a budget process focused on revenue growth, contributing to year-over-year increases in physician compensation.• Negotiated favorable payer contracts and strategically terminated unfavorable agreements, enhancing financial outcomes.• We designed workflows for handling first, second, and third-level appeals for No-Fault, Workers' Compensation, Medicare, and other payers.• I implemented a DME inventory control system, optimizing supply chain management.• We renegotiated major third-party payer contracts, resulting in significant rate improvements.• Collaborated with legal teams to arbitrate No-Fault and Workers' Compensation cases.

Anthony E. Education Details

Frequently Asked Questions about Anthony E.

What is Anthony E.'s role at the current company?

Anthony E.'s current role is Expert and experienced Revenue Cycle Executive | Expert in Operational Excellence & Strategic Partnerships | Increased Cashflow by over 50% and Reduced Operating Expenses by $1.5M | Connecting people to achieve goals.

What schools did Anthony E. attend?

Anthony E. attended Brooklyn College, Brooklyn College, New School Of Social Research/nyu, The New School.

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