Vice President Revenue Cycle
Full Time
Flagstaff, AZ 86001
Posted
Job description
Overview:
Community EMR, Strategic Pricing, licensure, population health, etc.
Strategic Managment and Process Improvement
Compliance/Safety
Team Management
Experience
Revenue Cycle leadership and management experience- Required
Minimum 7-10 years' experience in revenue cycle operations with particular emphasis on provider billing and coding, claims processes, insurance and self-pay follow-up in a multi-specialty environment - Required
Minimum 3 years' experience working with public and private healthcare payers and reimbursement -
Required
Previous experience in business process redesign and change management - Preferred
The Vice President Revenue Cycle is responsible for the establishment of the strategic vision, organization and overall management, as well as administering policies for NAH Central Business Office and all Revenue Cycle operations. S/he ensures all financial resources are maximized and optimized, and financial viability is maintained, while continually challenging and transforming Revenue Cycle operations and maintaining a customer-focused operational model. The position is responsible for enhancing and maintaining a properly functioning system centralized patient financial services process. The role promotes a culture of innovation, accountability, and constant improvement throughout Revenue Cycle, while maintaining a dedication to the mission, vision, and values of NAH.
Responsibilities:
Operations Management
- Maintains and enhances the patient experience with respect to the financial services process.
- Develops strategies across functional and support departments to exceed cash projections, reduce AR, and minimize denials.
- Oversees all vendor partnerships, including management of performance expectations.
- Supports the Revenue Cycle departments and the Chief Financial Officer as it relates to organizational strategies and initiatives, including PathfinderHealth/ACO,
Community EMR, Strategic Pricing, licensure, population health, etc.
- Achieves departmental goals/objectives; namely cash-to-goal, accounts receivable aging, credit balances and AR days.
- Responsible for oversight of payor credentialing functions, including clinic practices.
- Maintains applicable NAH payer contracts and credentialing criteria; and maintains knowledge related to hospital, clinic, ASC, and specialty provider licensure; and the corresponding impact to reimbursement and patient out-of-pocket responsibility.
- Builds and cultivate strong physician relationships.
- Ensures training exists to run the revenue cycle enterprise.
Strategic Managment and Process Improvement
- Serves as an expert for Rev Cycle operations.
- Collaborates in developing plans to continually advance the organization in the Revenue Cycle services and achievement..
- Collaborates with the finance team on forecasting and budgeting activities and to ensure all internal controls, processes, and applicable laws are followed.
- Evaluates emerging technology and processes to maintain an efficient and low-cost operating model.
- Positions the Revenue Cycle for future success (integration of risk-based contracting, population health initiatives, the Community EMR, and ongoing patient satisfaction focus).
- Initiates, develops, and establishes short-term and long-term goals.
- Seeks and leverages opportunities to increase automation of work processes and optimize use of billing system functionality as well as available interfaces and collateral information systems through collaboration with Physician IT, billing vendor representatives and other software vendors.
- Utilizes data from the billing system to identify trends in user performance that warrant attention among practice and revenue cycle staff for both accomplishment and improvement opportunities.
- Supports and/or coordinates plans with Directors, Administrators and Practice Managers to respond as needed to favorable and negative trends, responsible for oversight of the BOS partnership.
- Collaborates with practice operations, finance and outsourced and corporate service functional areas to implement and evaluate operational programs, processes and initiatives pertaining to the capture and reimbursement of patient revenue.
Compliance/Safety
- Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.
- Completes all company mandatory modules and required job-specific training in the specified time frame.
- Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.
- If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.
Team Management
- Participates in administrative staff meetings and is prepared to provide payer information updates, accounts receivable performance data, and patient financial service trends.
- Ensures optimum, cost-effective staffing levels adhering to staffing guidelines and budgeted FTEs within areas of responsibility.
- Develops and maintains adequate and appropriated trained staff to support coding, charge entry, billing, and collections activities; responds to patients and other customers in a manner that conveys willingness to support patients in resolving account or insurance issues.
Education
Bachelor's Degree- Required
Bachelor's Degree- Required
Experience
Revenue Cycle leadership and management experience- Required
Minimum 7-10 years' experience in revenue cycle operations with particular emphasis on provider billing and coding, claims processes, insurance and self-pay follow-up in a multi-specialty environment - Required
Minimum 3 years' experience working with public and private healthcare payers and reimbursement -
Required
Previous experience in business process redesign and change management - Preferred
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