Kevin is a Senior Director with over 19 years of experience collaborating with healthcare organizations to drive enhanced revenue cycle performance. He has been responsible for leading patient access re-design efforts, accounts receivable reduction initiatives and Epic electronic health record optimization engagements that have led to sustained improvements in net revenue, cash flow, automation, productivity, and reporting transparency.
Kevin has extensive experience developing methodologies and implementing solutions to enhance Epic revenue cycle functionality related to reporting, metric management, work queue (WQ) prioritization, and account flow. Prior to joining Pinnacle, Kevin was a project manager at Navigant Consulting, Inc. and Huron Consulting Group where he oversaw revenue cycle transformation projects and Epic revenue cycle implementations. Representative examples of Kevin’s experience include:
- Led the development and implementation of a comprehensive Epic HB WQ re-design to reduce overlap and WQ black holes, increase reporting transparency, and improve WQ stratification for billing, follow-up, denials/variance, self-pay, and credits. Outcomes included a net reduction of 600+ WQs and the identification and resolution of 15K+ accounts that were failing to qualify for staff WQs.
- Managed a remittance code (RMC) audit to ensure logic was designed in a way that accurately identified and routed denials within Epic to drive transparent reporting and accountability. This was coupled with a denial WQ re-design effort focused on WQ consolidation and black hole reduction. Finally, denial-specific Watch List metrics were developed to trend denial #/$ by owning area within Radar Dashboards.
- Led the Epic Candidate for Bill (CFB) go-live risk mitigation committee including the development of the CFB management team, achieving 3.4 days in CFB within 60 days of the Epic go-live.
- Co-developed methodology and functionality tied to Simple Visit Coding and MinDay (suspense days) reduction to increase automation and free up capacity in HIM
- Led the creation of a newly insourced self-pay unit at an Epic provider which included the development of scripting, account stratification, and low dollar write-off policies
- Implemented scheduling workflows to improve abandonment rates resulting in an abandonment rate of 2.3%. Developed metrics and dashboards to drive performance.
- Implemented custom metrics directly into Epic dashboards related to unworked denials, uncoded populations and vendor aging to drive transparency and accountability across the revenue cycle
Kevin collaborates with hospitals to develop methodologies and solutions that increase reporting transparency, improve workflows, and reduce denials. Kevin understands the revenue cycle workflow and can work with teams to develop methodologies and tools to increase efficiency and improve outcomes. Kevin prides himself on his ability to connect and partner with various levels of management to work towards a desired outcome throughout an engagement.
Kevin is Credentialed as a Certified Revenue Cycle Representative through the Healthcare Financial Management Association and is Certified in Epic Resolute Hospital Billing. He graduated from the University of Colorado at Boulder with a Bachelor of Business Administration.