Samantha Trebesh

Oversaw five teams critical to the financial and risk integrity of the enterprise throughout my tenure including Credits and Overpayments (Regulatory Risk) team, Non Contracted and Medicare Collections ($5B total annual revenue) teams, Patient Billing contact center (Customer Service), and Specialized Collections ($110M incremental yield) team.

• Identified $180 million in yield leakage; developed strategies to mitigate risks with regulatory teams and senior leaders.
• Led implementation of new CaaS software and AI solutions to automate workflows and minimize manual processes.
• Built and mentored high-performing teams of 150 individuals through structured oversight systems.
• Managed relationships with insurance providers to address systemic payment discrepancies and claim rejections.
• Established departmental policies ensuring standardized compliance and operational efficiency.

Led two revenue operations teams of 140 teammates, Credits (overpayment) team and Medicare collections, managing $4B in annual Medicare revenue.

• Oversaw credits department, ensuring compliance with regulatory commitments.
• Initiated change in internal refunding policy, preserving $35 million in cash with legal and finance support.
• Managed strategic payor partnerships, reducing credits inventory by approximately 15,000 claims annually.
• Collaborated with compliance to prioritize over 70,000 system credit balances, driving process innovation and KPI improvements.
• Developed relationships with payer contracting teams to enhance settlement strategies and contract language.
• Founded new hiring strategy for top talent by customizing job postings and candidate experiences.
• Optimized processes for clean claim submissions, increasing Medicare yield capture rate to 99.77%.

Led the Medicare collections team responsible for $5 billion in annual revenue generation.

• Enhanced cash collections by managing key revenue cycle performance metrics.
• Established record low DSO of 34 days, optimizing cash flow.
• Lowered Medicare's total bad debt rate to 0.32% of revenue.
  Fostered positive workplace culture, attaining 89% retention rate among staff.
• Played pivotal role in strategizing Medicare Advantage transition impacting revenue dynamics.

Supervised 35 teammates overseeing $5 billion in annual Medicare revenue while transitioning billing systems.

• Identified and escalated opportunities, reducing workload by 5,500 claims monthly.
• Audited 3,000 claims, preventing $8 million in refunds by ensuring compliance with Medicare guidelines.
• Organized partnerships to reassess MSP billing processes, increasing revenue by $200,000 monthly.
• Evaluated registration-related collections, decreasing outstanding AR by $2 million annually.
• Mentored four teammates, enhancing performance and reducing turnover rate by 16%.
• Effectively supervised up to 24 teammates, managing performance and job satisfaction.