In every industry, there are people who see numbers as more than figures on a spreadsheet. They see them as stories, about people, systems, and the unseen patterns that shape outcomes. In healthcare, where each decision ripples across lives and livelihoods, that perspective is rare. Elizabeth Tricoche, the CEO of Critical Revenue & Business Solutions, built her career around it. With a foundation rooted in business and finance, she learned early on that compliance and empathy could coexist, and that strategy, when grounded in data, could bring about real transformation.
Elizabeth’s academic journey began at Colorado State University, where she earned her bachelor’s degree in business with a minor in accounting. She later completed her MBA with a specialization in data analytics from Louisiana State University. Along the way, she earned several certifications, including Applied Strategic Management, Applied Strategic Organizational Leadership, and Financial Analysis, Reporting, and Auditing from Colorado State University, as well as a Certified Specialist in Managed Care from the Healthcare Financial Management Association (HFMA).
She began her career in public accounting, helping clients strengthen their financial futures through Defined Benefit and Profit-Sharing programs. This early experience taught her how structure and foresight could create stability. From there, she transitioned into the revenue cycle space, helping scale Infinity Behavioral from one state and a few dozen clients to 29 states and roughly 500 independent NPIs, along with multiple private equity exits and international staffing operations.
Today, Elizabeth blends her accounting and revenue cycle expertise to support behavioral healthcare organizations across the country. Those years, she says, taught her how to streamline multidimensional systems while aligning to the needs of clinicians, administrators, and families alike. Whether navigating complex payor contracts or improving reimbursement systems, she has learned that transformation in healthcare starts with people, supported by data and guided by purpose.
A Mission Born from Insight
Critical Revenue & Business Solutions, known as The CRB Solution, began with a clear realization. Many behavioral healthcare providers operate without access to high-level financial leadership or strong revenue strategies, even though their financial health affects everything from staff paychecks to patient care. Elizabeth saw the gap firsthand and believed there was a way to deliver executive-level financial and revenue-cycle leadership without the cost of a full-time hire.
She founded The CRB Solution with the mission to combine financial discipline with deep behavioral healthcare expertise. As CEO, Elizabeth leads the firm’s strategy, vision, and culture, building an organization grounded in integrity, client focus, and measurable results. “We don’t just consult,” she explains. “We embed ourselves in our clients’ success and use finance as a catalyst to advance their clinical mission.” Under her leadership, CRB redefines what it means to manage healthcare revenue, treating it not as a control mechanism but as a pathway to sustainability and growth. Elizabeth’s approach rests on a simple truth: healthcare can be both ethical and profitable when guided by purpose and precision.
Building Financial Strength at Every Level
In healthcare, financial stability often determines how far an organization can extend its care. Elizabeth created The CRB Solution to help providers strengthen that foundation through services tailored to their size and stage of growth. “We meet providers where they are,” she explains, “and give them the tools and insight to move forward with confidence.”
The firm’s Fractional CFO and Strategic Financial Oversight service offers executive-level guidance to organizations that do not yet need a full-time CFO. The team supports payor strategies, forecasting, and capital allocation. For larger systems, CRB works alongside internal finance teams to improve accuracy and decision-making across multiple entities.
Through Revenue Cycle Oversight, the firm streamlines operations from intake to collections, ensuring smoother cash flow and fewer denials. Its Bookkeeping and End-of-Month Analytics uncover trends in profitability, while Consulting and Process Reengineering help providers strengthen internal systems.
The CRB Solution also focuses on Staff Training and Capacity Building, giving teams the skills to sustain growth. Together, these services create measurable outcomes that help providers operate efficiently, stay compliant, and remain focused on what matters most, which is delivering quality care.
Turning Data into Direction
For Elizabeth, data is not a side tool; it is the backbone of every financial decision. At CRB Solution, she has built a culture that values precision over assumption. “We measure, analyze, and refine until we are certain” she says.
The process begins with data integrity. From the first day of engagement, CRB aligns with key systems such as electronic health records, billing platforms, and payor remittance data. Each figure is validated and cross-checked, ensuring that what appears in reports connects all the way from patient intake to the final account reconciliation.
CRB then develops analytical models that reveal the story behind the numbers. These include payor mix and contract profitability analyses, denial trend tracking, and staff productivity indexes that bring clarity to complex operations.
To maintain accuracy and compliance, the firm embeds audit trails, reconciliation routines, and strict controls that align with HIPAA and payer requirements. Regular governance meetings with client leadership keep every assumption transparent and every strategy accountable.
By integrating analytics into every stage from planning to review, Elizabeth ensures that each financial decision is rooted in evidence, compliant with regulations, and responsive to the changing demands of healthcare.
Building Teams that Keep Revenue Flowing
Elizabeth believes that even the most refined process depends on the people behind it. At CRB, she focuses on helping healthcare organizations build teams that not only manage revenue cycles efficiently but also understand the purpose behind every metric. “A process is only as strong as the people who execute it,” she says.
CRB begins with staff assessment and role definition, mapping each team’s structure to identify gaps and clarify accountability across intake, billing, collections, and appeals. The firm then supports recruiting and onboarding, helping HR teams identify necessary roles and professional acumen to support the highest impact.
Training plays a central role. Through tailored mentorship and system-specific instruction, CRB equips staff to navigate payer policies, resolve denials, and track key performance indicators such as days in accounts receivable and clean claim rates. Regular reviews and coaching sessions ensure teams stay aligned and proactive.
Finally, the firm assists organizations in scaling and succession planning, developing promotion paths and cross-training programs that build long-term resilience. This people-centered approach ensures that financial operations remain strong and consistent, even when CRB’s leaders are not in the room.
Leading with Vision and Presence
As CEO, Elizabeth wears many hats, but each role connects to a single purpose: advancing the company’s mission while keeping clients’ needs front and center. “A CEO should never be so removed that they lose touch with the ground truth,” she says.
Her work begins with strategic leadership, where she sets the firm’s direction, identifies areas for growth, and ensures that CRB’s values, which are integrity, accountability, and measurable impact, guide every decision. She forges partnerships, invests in technology and talent, and constantly looks for new ways to align financial strength with client success.
At the same time, Elizabeth remains closely involved in client engagement and oversight. She stays alert to changes in payer requirements and state regulations, reviews deliverables, and personally supports clients through major transitions.
Within CRB, she focuses on team empowerment, mentoring leaders who can carry the firm’s standards forward. She also takes responsibility for quality assurance, ensuring that analytics and methodologies remain precise and effective.
Balancing long-term vision with daily execution requires both discipline and awareness. Elizabeth manages this by staying accessible, informed, and deeply engaged with the people her work impacts most, her clients and her team.
Navigating Change with Calm and Clarity
Leadership in behavioral healthcare is rarely predictable. Elizabeth has faced some of the sector’s most turbulent moments, from the rapid expansion under the Affordable Care Act to contractions, payor audit cycles, and the unexpected challenges brought by technology shifts like telehealth and ABA services. She also navigated the fallout from industry disruptions, such as the Change Healthcare system issues.
Through these challenges, Elizabeth emphasizes a steady, data-driven approach. “We need to calmly and rationally address each change,” she explains, “leveraging experience and the information at hand.” At CRB, this philosophy guides every decision, whether responding to regulatory shifts, operational setbacks, or client crises. By combining careful analysis with strategic judgment, she ensures the firm remains resilient, supporting clients in real time while keeping long-term objectives in focus. Her leadership demonstrates that even in constant flux, measured action and clear priorities can transform hurdles into opportunities.
Measuring Impact through People and Results
For Elizabeth, the most meaningful achievements are both personal and professional. She takes pride in the teams she has built, many of whom have worked alongside her across multiple organizations for decades. “Their dedication and growth inspire me every day,” she says.
Professionally, her work has strengthened hundreds of behavioral healthcare organizations, helping them streamline revenue cycles, improve financial stability, and expand access to care. Each organization supported by CRB in turn touches thousands of lives, from clinicians to patients and families.
These results are not abstract numbers for Elizabeth; they represent real change. They reflect the combination of careful strategy, rigorous data analysis, and human-centered leadership that she brings to every engagement. The milestones she celebrates are those where financial strength, operational efficiency, and compassionate care come together, demonstrating that business excellence and mission-driven impact can coexist.
Shaping a Sustainable Future for Behavioral Healthcare
Elizabeth envisions a behavioral healthcare system that is financially strong, resilient, and capable of delivering high-quality care at scale. She believes that when providers share expertise and collaborate, they can create lasting improvements across the industry.
Through CRB, Elizabeth provides the guidance and insights organizations need to strengthen operations and make informed decisions. Her goal is not only to support individual clients but also to contribute to a broader shift toward sustainability in behavioral health.
She emphasizes practical strategies, data-driven planning, and shared learning as tools to help providers navigate challenges and grow. By connecting knowledge, leadership, and measurable results, Elizabeth continues to advance a vision where behavioral healthcare thrives collectively, patients receive consistent care, and organizations can operate with confidence and purpose.
Finding Balance beyond Work
Elizabeth structures her life around what she values most. Her 15-year-old twin boys are a central focus, filling her days with energy, laughter, and the challenges of parenting teenagers. At home, a husband and three lively dogs add warmth and spontaneity, keeping routines interesting and joyful.
Friendship anchors her outside the office. Long-standing, supportive relationships provide perspective and honest conversation, offering Elizabeth both guidance and relief from the intensity of leadership. She often spends weekends simply enjoying time with her family, creating moments that recharge her focus and fuel her energy for work.
These personal connections are never secondary; they shape her leadership style and decision-making. Elizabeth approaches both home and office with intentionality, bringing curiosity, care, and clarity into every interaction. Her life beyond work reflects a grounded, thoughtful approach that mirrors the culture she fosters at The CRB Solution.
Leadership as a Service
Elizabeth defines leadership as a commitment to those around her. She builds teams with clear processes, actionable information, and the autonomy to excel. “True leadership,” she says, “is about serving those around you.” Every choice she makes, every challenge she faces, is guided by that philosophy.
In healthcare finance, the human element can be easy to overlook. Behind each metric is a clinician striving to care for patients, a business managing payroll, or a family relying on consistent treatment. Elizabeth emphasizes that financial systems must support clinical work while giving all stakeholders the information they need to act. The way that information is delivered can determine real outcomes, such as a child learning to speak, a parent regaining stability, or a patient achieving recovery.
For Elizabeth, leadership is about presence, listening, and empowerment. She shows up fully, attentive to both data and people, and ensures those around her have the guidance and freedom to succeed. For her, the meaningful impact of leadership comes not from ease, but from creating real, measurable change.
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