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The Associate Vice President of Revenue Cycle Management is responsible for developing and executing the strategic vision for the Revenue Cycle Management (RCM) functions. Challenging assumptions and standards of business to improve overall operational effectiveness and service to the company’s customers. Providing leadership and oversight of key operational and financial decisions pertaining to all underlying functions. Functional areas that report to this position include billing, third-party AR management and payment applications. The incumbent serves as the leader of Revenue Cycle Management (RCM) to internal and external organizations, including government agencies, payer organizations, vendors, and business partners.
Job Responsibility:
Develop ongoing thought leadership and the strategic vision for Revenue Cycle Management that will be shared with Revenue Cycle and overall corporate leadership
Oversee all RCM functions including Billing, Payment Application, third-party and patient AR Management, Denials Prevention/Appeals, Credits/Refunds
Develop, implement, and manage efficient and effective operational policies, processes and performance monitoring across all RCM related functions
Lead the establishment and implementation of KPIs for RCM operations
Responsible for measurement and reporting ongoing financial and operational performance
Ensure the implementation of action plans where performance does not meet expectations
Review KPI expectations annually and adjust appropriately
Recognize areas of excellence
Identify potential process improvements throughout RCM and lead the design and implementation as required
Ensure RCM employees comply with established policies, processes, compliance and quality assurance programs
Coordinate and oversee all billing, third party A/R and payment application process transition points between RCM and other functional areas within the organization
Coordinate with peers across the revenue cycle organization, and with related stakeholders, on the management of third-party denials by working with locations and field operations leadership to identify trends and implement denials prevention/recovery programs
Routinely participate in payer trend analyses to ensure optimal processing and reimbursement, identify issues, and communicate findings to company stakeholders, define solutions and initiate resolution
Build strong relationships and facilitate productive communication between key revenue cycle stakeholders, including field operations and core support departments (e.g., human resources, finance, compliance, information technology, PMO)
Create a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encourage creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance
Encourage and supports employee decision-making within their scope of responsibilities
Participates in and, where appropriate, leads cross-functional revenue cycle projects
Completes any duties and special assignments as requested
Requirements:
A Bachelor’s degree from a recognized college or university or at least seven (7) years of management experience in Revenue Cycle Management-related functions (Authorization, Eligibility, Billing, Payment Application, third-party AR Management, Denials Prevention/Appeals, and Credits/Refunds) within a progressive healthcare environment
Excellent written, verbal communication and interpersonal skills
Time management and organizational skills
Self-directed with the ability to work with various stakeholders and teams
Ability to make quality, independent decisions as well as the ability to collaborate effectively to make decisions with other leaders
Superior analytical and problem-solving skills
Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions
Proficiency with Microsoft Office (Word, PowerPoint, & Excel)
Ability to adhere to confidentiality standards and professional boundaries at all times
Must be able to travel
the company does not provide vehicles or transportation
Occasional lifting, carrying, pushing and pulling of up to 40 pounds
Must be able to climb stairs
Must have visual and hearing acuity
Must have a strong sense of smell and touch
A valid driver's license and an acceptable Motor Vehicle Record (MVR) may be required
Must be 18 years or older
Must be able to speak, write, read, and understand English
Nice to have:
Revenue cycle operations, consulting and/or project management experience for at least ten (10) years
Leader or member of a revenue cycle transformation effort where key functions were reviewed for standardization and centralization
Revenue cycle leadership in a multi-location environment
Previous experience using or implementing an EMR and patient accounting system
A Master’s Degree from a recognized college or university in Health Care Administration or Business Administration preferred
What we offer:
Comprehensive health, dental, vision, 401(k) match