Why Your Highest- ROI Denial Fix Might Be Standing in the OR

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In this episode of RCM Reframed, host Shawn Gretz, President, Sales and Marketing at Getixhealth chats with Sergio Quiej, Patient Financial Services Support Manager at Adventist Health and Vice President of the HFMA Lone Star chapter, about reframing denial management as a clinical partnership discipline rather than a back-office analytics function. They also discuss how knowledge transfer, HFMA involvement, and a community-as-customer mindset scale gains across teams.

Key Topics Covered
  • Root-cause OR observation for authorization denials
  • Real-time variance capture from circulating nurse to RCM
  • Building the business case for clinical FTEs using preserved write-offs

Meet The Speakers

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Sergio Quiej

PFS Manager at AdventHealth

Sergio Quiej serves as Multi-state Division PFS Support, providing analytical and root cause support for 26 Hospitals. He is a curious visionary leader with over 18 years of combined experience in Hospital and Orthopedic Revenue Cycle, helping Accounts Receivables with unique methodology/approach through analytics, dashboard development and metrics driven processes towards a unify goal “Create Better Communities” by reducing write-offs, denials, days in AR, and cash acceleration. He holds a Change Management Certification, Prosci, an international certification on leading change applying ADKAR Methodology, and a System Thinking Certification from Cornell University. He currently serves in Health Financial Management Association (HFMA) on the Board of Directors, and as Vice President for the Dallas/Fort Worth Chapter.His most recent speaker engagement at HFMA Texas State Conference Moderating the Revenue Cycle Panel and Lone Star Summer Conference where he shared the formula to harness your inner supper power to Level-up your Team. His motto is “Changing Revenue Cycle Beyond Metrics” by empowering individuals to adopt Survival Bias Theory, approaching challenges through a different lens.Sergion loves being part of empowering our next generation of leaders, and he welcomes intentional conversations, collaboration, program development to further your dreams interacting with Universities around DFW to help connect students and grow within HFMA

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Shawn Gretz

President of Sales and Marketing

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