Eric Thomas Email & Phone Number

South Jordan, Ut, Us

Led the vision, strategy, and execution for all facets of Recovery and Revenue Cycle operations, with authority over six departments encompassing more than 320 domestic and 60 offshore team members operating out of multiple areas of the United States and in Pune and Hyderabad in India. Maintained accountability for budgets, forecasts, contract negotiations, and compliance with legal and regulatory requirements, including guidelines to safeguard PHI. Oversaw the annualized recovery of over $3.4B in claim overpayment savings across more than 60 national and regional insurance companies across the Commercial, Medicare, and Medicaid plans through various business units.Led the efforts to deliver over $650M in revenue annually across multiple business units/audit types.Coordinated cross-company initiatives encompassing audit quality, inventory management, TAT management, enhanced export strategies, and client-focused initiatives to accelerate the recovery pace in the dynamic healthcare sector while aligning closely with client requirements and motivations.Consistently evaluated monthly conversion rates to ensure precise forecasting and establish an effective baseline for new-year budget formulation. Developed operational strategies to enhance underperforming areas and elevate top performers to achieve optimal results.Worked with Sales and Legal teams to negotiate modifications and improvements to existing operational Statements of Work (SOWs) and assess the financial implications of new business contracts. Played a pivotal role in Long-Range Planning initiatives, contributing to the formulation of 5-year financial and technical strategies, tactical execution plans, cost/benefit analyses, and board approval discussions. Involved in crafting long-term technical strategies and operational system enhancements aimed at fostering new efficiencies and reducing reliance on manual auditing and recovery processes.

South Jordan, Ut, Us

Directed audit operations for 2 national and 2 regional payers, driving operations and production to effectively and efficiently identity Medicare, Medicaid, and Commercial overpayments. Oversaw operations for 75 domestic team members, while also building and expanding the international footprints, creating a 24-hour work cycle. Also absorbed two additional operation areas which were struggling, with the charge of overhauling the production environment and maximizing the conversion of opportunity to actual gains.• Successfully generated YoY growth despite navigating a global pandemic which impacted the ability to covert ID to revenue in 2020.• YOY savings increases achieved with 13,000 less audit hours (18,500 team member work hours).• Increased international operations staffing and monthly contributions by 327% for 2020 which delivered maximum value in savings identifications to our clients, while also dramatically changing the profitability metrics as a result of a new and more efficient 24 hours audit cycle.• For one national payer – increased YoY savings realizations by $9.4m while dramatically improving audit quality efforts and generating 120% revenue versus the previous year. This change in performance created a pathway for an elevated business relationship with this client in 2021.• In 2019, with an underperforming audit operation in performance and team engagement, we successfully drove increased performance with new analytics to direct operations to key areas for success, while also reengineering a new focus on team member development, increased communications, and fair and consistent accountability.• Drove changes in the QA process to deliver more immediate and impactful quality assessments to team members, dramatically decreasing controllable voids and improving the outlook with the client.• Collaborated with Audit Quality to optimize the production flow of offset claims, leading to multiple months of record performance.

South Jordan, Ut, Us

Effectively managed operations in Louisville, supervising a team of 30 direct and indirect reports. Introduced a series of process improvements that improved efficiency of daily tasks and assignments and identified new opportunities without compromising audit performance.• Re-engineered operations, sparking surges in ID to produce YOY revenue gains of $32M in 2015, $15M in 2016, and $25M in 2017, while increasing onshore staff from 30 full time team members in 2015 to 60 in 2017 to deliver maximum value to the client.• Served as the architect of a Contract Modeling initiative, leading to $15M in ID in 2018 and $20M in 2019 and the designation as a global growth initiative for 5 national payers.• Delivered significant growth, leading to the launch of international teams in Pune and Hyderabad. Worked with these teams to extract data from over 26,000 commercial contracts for onshore use.• Established a new Center of Excellence for data collection and provider outreach, transitioning these functions out of audit operations to increase audit capabilities without adding staff. This shifted over 13,000 ASA hours away from audit operations.• Successfully improved Provider Outreach operations, removing operational backlog for domestic operations and international operations while redesigning production flows and developing quality assessment teams for operational excellence.• Increased Provider Outreach to over $60m in 2019 and Close to $70m in 2020 while lowering the cycle to close a claim from 80 days to less than 40 for international operations and from 75 days to less than 10 for domestic operations.

Houston, Texas , Us

Coordinated and led audits for this healthcare collections corporation, working with the President of the Pharmacy Division to identify cross-benefit billing errors. Worked with internal client services representatives, IT, and clients to oversee the mining and collection of data. Hired based on strength in analytics and a passion for change, creating an entirely new audit opportunity and personally delivering the first $100K in savings.• Executed audits that led to over $6M in recoveries across three clients and nearly a 90% recovery rate for all clients.• Led the innovation of new medical claim audits, researching industry trends in billing errors and leading projects to create and implement audits throughout divisions and clients.• From 2010 to 2013, led four audits across multiple healthcare insurance providers, identifying over $18M in recoveries and opening new revenue streams for the Pharmacy division.• Partnered with providers and insurance companies to identify likely areas of overpayment and underpayment, and to identify trends and other indicators of error.• Identified overpayments and managed repayments through relationships with medical providers and facilities in areas of clinical assessment, records management and finance bookkeeping.• Personally identified 142% of overpayment/underpayment goals in 2010, 158% in 2011, 150% in 2012, and 172% in 2013.

Education record

Bachelor Of Arts - Ba, Marketing