Executive Team

J.A. “Tony” Reyna | President

Tony has more than 25 years of experience improving quality and efficiency of the people, process and technology that support the delivery of revenue cycle services. Since Tony founded Texican in 1991, he has prided himself on the ability to hire and lead people, in his own likeness, who are “the key ingredient for successful client engagements”. Over the years, Texican has evolved from a small firm delivering cash acceleration and interim management services to a full service consulting group, leading fully integrated health systems through the minefields of competition and reform.

In addition to leading Texican’s Consulting Practice, Tony is guiding the firm through the development of proprietary RCM software applications, that once implemented will provide a positive, disruptive change to the revenue cycle process, and eliminate many of the antiquated procedures that constrain healthcare practices in today’s marketplace. Tony received a Bachelor of Arts degree in Management from Texas A&M.

In his leisure, Tony enjoys fishing and traveling.

Patrick Fullenwider | Senior Vice-President Client Operations

Patrick is the operational executive leader for Texican. He has over 25 years of experience in healthcare revenue cycle operations. During that time, he has gained significant experience directing independent hospitals, large CBOs and practicing management operations. He has led numerous CBO and patient access IT installations on platforms such as EPIC, Siemens, GE, and McKesson. Patrick has directed Revenue Cycle operations with annual net revenues of over $2B. Under his leadership, these operations have improved cash flow and net revenues by automating account work-flow, delivering focused training programs, and leveraging technology resources. Patrick’s consulting and health system background allows him to effectively communicate with both line staff and c-suite executives. He received a Bachelor of Science Degree in Management from Jacksonville University.

When he is not delivering operational excellence for our clients, you can find Patrick spending time with his grandchildren at their place in Texas or on the lake where he enjoys wake surfing and fishing.

Operations Team

Pierce Coleman | Consultant – Analytics

Pierce is a consultant with Texican, Inc. dedicated to impacting on the operational effectiveness of healthcare organizations and enabling them to better serve their patients and effect positive changes to patient financial experience. Pierce is proficient in utilizing RCM and Clinical data analytics in combination with LEAN methodologies to reduce AR days, increase collection ratio, reduce denials and enhance overall productivity. Pierce has collaborated closely with nursing staff and management to address and improve nursing clinical documentation. Most recently, Pierce was Project Manager for implementing a Patient Billing Office Interactive Voice Response and deploying a new Patient Friendly Billing Office space and construction. Pierce possesses an MPA: HA from Portland State University, and a BS from Oregon State University.

Christina Sigmon | Consultant

Christina has more than 15 years of experience in healthcare revenue cycle operations. Her primary responsibilities include project management, mentoring revenue cycle staff, and developing initiatives to improve workflow and POS collections. Prior to joining Texican, Christina served in patient access leadership roles for a community hospital system in NC. During that time, those operations increased POS cash collections by more 200%, reduced overall patient registration errors by 50%, implemented automated solutions for upfront pricing and pre-service authorizations and created training modules for registrars. Her technology experience includes McKesson, Siemens, GE Centricity, and Meditech. Christina has a Bachelor of Science in Biology from Lenoir-Rhyne College and a Master of Public Health from Emory University.

Matthew Campbell | Associate Consultant – Analytics

Matt is a senior consultant with Texican, Inc. dedicated to impacting on the operational effectiveness of healthcare organizations and enabling them to better serve their patients and effecting positive changes to the patient financial experience. Matt is proficient in utilizing RCM analytics in combination with process improvement methodologies to reduce AR days, increase collection ratio, reduce denials, and enhance overall productivity. Matt was previously with Cerner Corporation and has deep knowledge and experience with patient access processes across scheduling systems that integrate with automated appointment capabilities. He has led cross-functional teams to ensure system architecture is consistent with industry standards and is adapted to CCL (SQL) analysis to present qualitative system build. Matt has a Bachelor of Science, Business Administration from the University of Missouri – Trulaske College of Business.

IT Team

Gary Sexton | IT Manager

Gary Sexton is a Senior Analyst in Texican’s Healthcare Consulting practice. Gary develops and delivers business analytics and provides intelligence that is specific to client engagements and key to identifying issues and opportunities impacting the revenue cycle. Gary brings nearly 40 years of experience in the healthcare industry to his role. His background includes the development of numerous technology products designed to focus and direct collections, pre-registration, and various quality assurance and auditing activities. During his time with Texican, he has worked with data from over 40 different hospitals throughout the United States. Gary received a Bachelor of Science from Arizona State University. In his leisure time, Gary enjoys reading and family time with his wife and kids.

Brad Thomas | Senior Software Engineer

Brad is a senior software developer with Texican, Inc. He has more than 40 years of experience in software development across industries such as aerospace, warehouse management, benefits management, e-commerce and fin-ops. Brad creates and executes innovative software solutions to enhance business productivity. Brad is proficient in full-stack and database development leveraging Microsoft SQL Server, C# and javascript. Brad holds a Bachelor of Science in Computer Science.

Nate Lincoln | Senior Data Analyst

Nate is a senior data analyst with Texican, Inc. He has more than seven years of experience working in Microsoft SQL Server and six years of experience working in the health care industry. Nate is proficient in database development, data modeling, and advanced analytics. Nate was previously a lead at Liberty HealthShare under the title of Business Intelligence Developer where he maintained a large database and oversaw all reporting and analytics. He has a Master of Financial Economics degree from Ohio University.

Chris Davis | Senior Data Analyst

Chris is a senior data analyst with Texican, Inc. He started his IT career in healthcare over 13 years ago and has been working in analytics for over 6 of those years. Chris has worked in business intelligence while proficient in Microsoft SQL, Reporting Services, and Power BI. At previous organizations, Chris was able to take manual tasks previously performed by staff and automate them with the Microsoft Power Platform to free staffing hours for more pertinent business needs. Chris has worked in a wealth of electronic health record databases to include Epic (with data model certifications held), Allscripts, GE Centricity, and Meditech. Chris holds a Bachelor of Science degree with specialization in Business Systems Analysis.