Setting the Tone: The Importance of an Ownership Mindset in an Outsourced Revenue Cycle Team

Aug 8, 2024

The financial environment is finally stabilizing for hospitals and health systems. However, the challenge of self-pay collections is more significant than ever. According to the Congressional Budget Office, 26 million Americans—or 7.7% of the population—are uninsured, making it difficult for them to afford the care they need and pay for it. This underscores the urgent need for effective revenue cycle management.

Even those with insurance find it more challenging to afford the care they need. Research by KFF indicates that nearly half of adults in the U.S. find it difficult to pay their medical bills, and “one in four say they or a family member in their household had problems paying for health care in the past 12 months.”

The situation has become even more dire regarding medical debt. A recent survey by Debt.com found that the number of adults in the U.S. who carry medical debt has risen 46% over the past five years and has reached 66%. Half of that medical debt has gone into collections.

Nearly $88 billion in medical debt in the U.S. is now in collections.

Amidst these challenges, the role of outsourcers in managing the revenue cycle has become more crucial than ever. Many organizations have turned to these entities, which often deliver superior results at a faster pace, allowing healthcare organizations to allocate more resources to direct patient care.

However, not all outsourcers deliver a positive return on investment. The key to building a successful relationship with optimal results is to find an outsourcer whose leaders embrace and encourage an ownership mindset amongst their team.

What is an Ownership Mindset

An ownership mindset is where the outsourced partner adopts the same priorities and commitment to success as their clients. This accountability is displayed through myriad actions. At the top is taking responsibility for outcomes. When those outcomes are less than favorable, they own up to it and then work to take corrective actions with a commitment to process improvement. This leads to a second action: ongoing communication.

Outsourcers whose staff prioritizes an ownership mindset act as vital parts of the client’s team. The best vendors value continuous communication and provide numerous pathways to stay in touch. They also have established communication protocols and escalation resources to ensure they’re always available.

Vendors who encourage an ownership mindset are also committed to productivity, which includes the use of innovative technologies. For example, new AI-related tools like robotic process automation (RPA) can improve efficiencies and reduce manual, error-prone processes. This helps increase productivity and results, delivering greater value for the vendor and the client.

Another aspect of an ownership mindset is treating the client’s customers as their own. Vendors with an ownership mindset understand that each patient encounter reflects the provider’s brand and has the potential to sway patient satisfaction. For example, research shows that a poor financial experience can offset a positive clinical experience. Studies also show patients are willing to switch providers for a better financial experience. Vendors with an ownership mindset understand this dynamic and work to ensure every patient encounter is positive.

In addition, vendor teams who adopt an ownership mindset prioritize alignment with the client organization’s goals and values. They understand the financial implications of their decisions and performance on clients’ ability to achieve their strategic initiatives. This includes not just financial goals but values like patient-centeredness. While the term “patient-centered care” is just a marketing phrase at some organizations, vendors who embrace an ownership mindset hold patient-centeredness as a core value, and everything they do evolves around that value.

How to Identify Vendor Leadership who Embrace an Ownership Mindset

First impressions are important but often misleading. The best way to identify if a vendor leader encourages an ownership mindset is to look at their average client tenure and performance track record. How many long-standing relationships do they have? Are they willing to provide contact information so you can speak to those vendors? This commitment to long-term relationships is a testament to their trustworthiness and the value they place on client satisfaction.

Another critical step is to ask the right questions, including asking about their communications methodology. How often do they meet with vendors? If it’s only when there’s a problem, that could be a red flag. Ask about their decision-making and change-management processes. Ask about their employee training program and listen for phrases like “patient experience” and “patient satisfaction.” Do they have an incentive program for quality performance?

Finally, look for signs of integrity and a spirit of collaboration. Look for leadership awards, business accolades, and a commitment to community service. Do they highlight their team’s and clients’ success on social media? Is their leadership available at conferences? Have they published or presented on relevant topics? How do they speak about innovation and the potential of new technology?

All of these questions are valuable for identifying leaders with an ownership mindset.

Thinking Beyond the Business Agreement

Vendor partners are vital to an organization’s success, especially those focused on the revenue cycle. Choosing a partner who fosters an ownership mindset can lay the foundation for long-term relationships that deliver mutual success.

Karie Bostwick

VP of People and Compliance

As VP of People and Compliance at Revenue Enterprises, Karie Bostwick oversees People functions including recruiting, training, onboarding, engagement and satisfaction. Additionally, she is responsible for compliance training, oversight and monitoring.

Karie has a long history of working in the revenue cycle support industry. Her skills span leadership, operations start up, policies and procedures development, operations workflow, budgeting and client management.

She is passionate about the experience of our people, patients and the Healthcare clients we serve and believes that a team of diverse, talented and motivated individuals working together toward a common goal can make a difference.

Robert Sterett

VP of Information Technology

As a transformational leader Robert Sterrett has leveraged his 20 years of experience to build effective service lines and exceptional teams. In his role as VP of Information Technology at Revenue Enterprises, Robert excels at taking a unique, balanced, and strategic approach to technology leadership with people first for the best possible outcome. Using his experience from engineering, project management and service line management he takes a multi-faceted approach to ensure the right people are in the correct position coupled with the best technology to meet or exceed all expectations from security to compliance and business continuity.

Robert’s leadership style lends itself to building long term relationships and has consistently been a relied upon strength in many organizations. Over Robert’s time as an IT operational and project leader, he has spent significant time in both hands-on technology facing roles and client centric management roles to bring the best solutions that strive to meet the business and client needs.

Focusing heavily on his personal development skills and opportunities, Robert continues to foster coaching and mentorship relationships everywhere in his life, and the lives around him.

Douglas Dunbar

VP of Sales & Marketing

As VP of Sales and Marketing for Revenue Enterprises, Douglas Dunbar leads with a passion for building strategic partnerships, nurturing relationships, and upholding customer service excellence. In his role, Doug focuses on marketing and brand strategy, sales team leadership, and working closely with members of the management team to best serve company goals.

Doug has over 28 years of National sales and marketing call/contact center leadership, with 10 years of service specifically at Revenue Enterprises. Currently, Doug serves as part of Wyoming HFMA Chapter leadership and has held various roles in Colorado HFMA Chapter leadership for over 9 years.

In his spare time, Doug is very family oriented. Additionally, he loves traveling, cycling, golfing, fishing, hunting, and boating.

Kris Brumley, MBA

SVP/COO

As SVP/COO of Revenue Enterprises, Kris Brumley is a collaborative partner within the executive team and a leader for operational functions across the organization. Kris productively shares vision, drives innovation, and supports those around her in a way that elevates them and fosters continuous improvement and results. She has helped create a supportive environment for clients resulting in 98% client retention and a 65% NPS score for all clients and 75% for top clients by revenue.

Kris possesses an MBA in data analytics and has twenty-five years of experience in the healthcare industry, with 19 specifically in revenue cycle. She brings a wealth of customer service experience to her role and has worn many hats at Revenue Enterprises including Director of Business Development, EBO Division Director, and VP of Client Experience Management.

In her personal life, Kris is as busy outside of work as inside. She values spending time with her family, and enjoys fishing, hiking, traveling and interior decorating and design.

Timothy (Tim) Brainerd

CEO

As CEO of Revenue Enterprises for almost 20 years, Tim Brainerd leads by example. He promotes a shared vision and stewards a culture of Integrity, Passion, and Respect. He has assembled and empowered high-performing talent and teams to support customers, facilitate strategic planning and manage the capital of the company. Under his leadership, Revenue Enterprises has doubled in size three times over the past fifteen years while maintaining a culture of caring and gratefulness.

Tim has close to four decades of revenue cycle experience, including nineteen years with RSI
Enterprises. He has been a past president of Colorado Chapter of the HFMA and a presenting speaker on the topic of Leadership. He is a fifteen-year member of Vistage International, the world’s largest CEO coaching and peer advisory organization for small and midsize business leaders.

Raised in the Midwest, Tim values humble principles like being respectful, caring, passionate, self-reliant, and most importantly grateful. His most important lesson and the lesson he hopes to pass on in all relationships is living the Golden Rule–do unto others as you would have them do unto you. He is intentional in his choices and believes in making decisions, taking action, being accountable, and loving your neighbors.

Whenever possible, Tim spends his time with his wife of nearly forty years, his adult children, and his grandchildren. His hobbies include fishing, golfing, traveling as well as game nights and sharing great food with his family.