Casey Isaac

Worked directly with the IT team to build systems and solutions that automated the company’s processes and enabled its employees to focus more on revenue-producing processes. This allowed the technology to drive operations to be more successful.

These actions were instrumental in growing HealthFund Solutions’ EBITDA from $0 to $5 million within only three years of the company’s establishment. The original investment was paid back by year two and all lines of credit by year three.

Received feedback from capital investors that MEDS would not be marketable without certain documents in place to show to future buyers. Reviewed the documentation requests from bankers and auditors, collected documents, and partnered with a third-party policy writer to record the company’s processes. Additionally, produced historical numbers to build a forecasting model and valued the pipeline business through P&L reports. The entire process lasted eight months, and capital investors were pleasantly surprised with how much was accomplished within that short amount of time.

The company originally wanted to sell for $27 million. However, after working with the bankers to develop the recommended documentation, MEDS sold for $37 million.

Became a trading partner with the State of Florida so the company could submit 270/271 Electronic Data Interchange (EDI) transactions through a batch solution using a SFTP connection. This allowed MEDS to batch submit all eligibility inquiries for self-pay patients. This solution decreased outsourcing costs by reducing the number of employees manually looking up patients and allowed the company to identify patients with coverage that the hospitals were not aware of at the time they registered.

The new automatic process ultimately reduced outsourcing costs by $900,000 per year and helped solidify MEDS as a true industry leader.

Established a relationship with the Department of Children and Families (DCF) to approve the subsidization of its employees’ salaries. Furthermore, created a new process for forwarding applications that included a custom URL and code to MEDS paid workers.

The timing required to approval family Medicaid applications decreased by 50% with up to 18 workers dedicating four hours to Medicaid applications per day.

The hospital used a system that was connected to the state system – Medifax. Decided to use this system to digitally process the inquiries and eliminate the antiquated manual process. Utilized Excel macros to feed accounts directly into Medifax, therefore automating the process and enabling the hospital’s ability to manage it internally without the assistance of an outside vendor. With the new process, achieved the ability to scrub all the data in merely one day and multiple times per week.

St. Vincent’s Hospital was able to eliminate a third-party vendor that charged the hospital $25,000 per month and narrow down the accounts that needed to be called to the state, resulting in a more manageable volume.

First, built the infrastructure required to support 80 employees and the network to exchange data in real time. Then, developed software solutions based on industry-first concepts to drive the business years ahead of the competition. MEDS swiftly became the leading preferred company for eligibility business and the only solution at the time that had an eligibility discovery software solution, increasing its ability to win RFPs over its competitors.

These technology solutions established MEDS as a recognized industry leader and effectively positioned the company for sale. Within three years of taking the IT Director role, the company sold for $37 million.