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Vice President of Revenue Cycle

Job Details Description ROLE:   The VP (Vice President) Revenue Cycle Management works independently with oversight from the SVP Revenue Cycle. This highly visible role requires a strong leader who has the ability to prioritize, plan, direct and motivate the department to drive strong financial results while adhering to the annual billing budget.  The VP is responsible for front-end processes (FEP) that result in the generation of a claim, invoice or a patient statement, as well as, payer response allocation and credit balances.  The VP will execute and implement strategic goals through the utilization of their leadership team.      TASKS AND RESPONSIBILITIES: Assure Company billing compliance initiatives are deployed and maintained per Company policy. Oversee all FEP that result in the generation of a 3rd Party claim/HCFA, a client invoice and/or patient statements. This includes, but it not limited to, CPT/ICD coding, eligibility, census marking, client invoice generation and distribution. Assure maximization of cash collections through diligent and timely monitoring of all unbilled transactions. Oversee payer response and credit balance resolution; ensure complete and accurate allocation of payments, contractual adjustments and denials, as well as, credit balance resolution. Ensure the timely and accurate completion of month-end close requirements as defined by client contracts and the Finance Department. Conduct staff meetings to ensure proper levels of communication are maintained. Communicate financial performance to direct reports and management, including explanations of variances, via required monthly and quarterly reporting. Actively collaborates with Operations, Sales and SVP of Reimbursement to address and resolve FEP and/or payor response allocation issues, as well as, strategies to improve EBIDTA. Analyze FEP trends from all payer (government and non-government) and client types to identify areas of concern and/or opportunities. Maintain and enhance billing & collections policies and procedures for each responsible function within the revenue cycle process and ensure staff adherence to policies. Develop and monitor operating procedures and, where necessary, implement changes in workflow to improve productivity. Promote organizational efficiency, needed change and continuous quality improvement. Identify and implement opportunities for automation and improved efficiency to maximize production per unit. Manage revenue cycle operations, including hiring, orientation, training, development, coaching, mentoring, performance reviews, corrective actions and ongoing monitoring of all staff work-related activities. Strive to develop and maintain a productive working relationship with all internal customers. Maintain customer satisfaction through timely accurate professional responses to clients and vendor inquiries. Oversee internal and external audit function as required. Perform other tasks as assigned to support the goals of the organization.       EDUCATION EXPERIENCE: B.S. Degree Finance, Accounting or Healthcare preferred. Minimum ten years healthcare management experiencerequired; prefer fifteen years or more. Prior experience with influencing cross departmental initiatives. Lean/Six Sigma, or other formal process improvement, certification - preferred.   KNOWLEDGE/SKILLS/ABILITIES: Accomplished in organizing and inspiring teams to achieve high levels of performance. Exceptional oral, written and interpersonal communication skills. Ability to interface with staff and customers at various levels of knowledge and skill sets. Demonstrates a high sense of urgency to resolve all communicated client issues. Results oriented. Ability to meet deadlines and work efficiently with multiple and conflicting priorities. Advanced Excel and database management skills; proficient with Word and PowerPoint.   PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.   While performing the duties of this job, the employee is frequently required to stand; to handle or feel; to talk and to hear. The employee is occasionally required to walk, sit, reach with hands and arms and stoop, kneel, crouch or crawl.  The employee must occasionally lift and or move up to 15 pounds.  Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.
Salary Range: NA
Minimum Qualification
11 - 15 years

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