Senior expertise. Practical results. Individualized approach.
Elliston Cascade Consulting is a specialized advisory firm focused on AI and automation in healthcare revenue cycle. We work directly with revenue cycle and IT teams, bringing real implementation experience, not theoretical frameworks.
AI Strategy Certification, Cornell University.
Jennifer Fowler brings over 25 years of healthcare technology consulting experience to every engagement. She has a proven track record in implementing EHR systems, redesigning revenue cycle workflows, and driving strategic initiatives across both inpatient and ambulatory settings.
Her commitment to practical, results-oriented AI led her to obtain her AI Strategy Certification from Cornell University. She has led initiatives applying machine learning, robotic process automation (RPA), and predictive modeling to streamline revenue cycle operations, enhance reporting accuracy, and improve financial outcomes.
As founder of Elliston Cascade Consulting, Jen works directly with revenue cycle leaders and finance executives to identify high-impact automation opportunities, and implement them without the overhead of large consulting engagements.
- +Deep understanding of RCM manual processes, denial root causes, and Epic build realities
- +Fluency in both operational revenue cycle and the AI/data platforms that power it
- +A deliberate focus on fast, measurable ROI, not 12-month roadmaps
AI Business Certification, Harvard Business School.
Jillian Longpre-Smith brings 17+ years of healthcare technology and revenue cycle expertise to every engagement. She has a proven track record of identifying where processes break down, implementing automation, and streamlining workflows across healthcare providers, payers, and billing services.
Her experience spans both sides of the healthcare ecosystem, giving her a grounded understanding of how revenue cycle teams actually operate, and where the biggest opportunities for improvement exist.
As Principal Consultant and Partner at Elliston Cascade Consulting, Jillian works directly with revenue cycle leaders and finance executives to cut through vendor noise and implement practical solutions that deliver results without unnecessary complexity.
- +Cross-sector experience working with healthcare providers, payers, and billing services across the full revenue cycle
- +A clear-eyed view of what vendors promise versus what technology actually delivers in practice
- +Ability to quickly understand complex operational workflows and identify where automation can reduce burden and accelerate results
Healthcare providers don't need more AI dashboards. They need operational change.
That means starting with workflows that are predictable, high-volume, and currently manual. It means measuring success in dollars recovered, hours saved, and denial rates reduced, not slides delivered. And it means building solutions your team can own and scale without us.
Every engagement is designed to leave your organization stronger than we found it.
Start a conversation