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.

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.
• 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.
• 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.
• 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.

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.
• 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.
• 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.
• Successfully improved Provider Outreach operations, removing operational backlog for domestic operations and international operations while redesigning production flows and developing quality assessment teams for.

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.
• 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.

Education record

Bachelor Of Arts - Ba, Marketing