VP, Revenue Cycle Management

Requirements

• Directs strategic planning, strategic goals, and objectives in the revenue cycle department.
• Establishes internal controls to ensure compliance with Medicare, Medicaid, and all other federal and state regulations.
• Maximizes the use of available technologies to improve revenue cycle workflow and maximize collections.
• Provides financial data to company executives on a continuing basis, including analysis and operational planning.
• Monitors and coordinates month end closing procedures with the Controller within the required time frame.
• Maintains strictest confidentiality.
• Complies with all State, Federal, professional regulations as well as company and departmental rules, polices, and procedural manuals.
• Establishes processes to ensure the integrity and quality of data throughout the revenue cycle.
• Provides direct oversight of revenue cycle including payer enrollment, charge capture, financial clearance house, coding, billing, cash reconciliation and collections of accounts receivable from payers and patients.
• Collaborates with Information Management by improving the system support to enhance the revenue cycle.
• Performs ongoing trend analysis and champions revenue cycle improvements.
• Provides financial analysis for, and actively participates in, the review and negotiation of third party payer contracts.
• Prepares monthly analysis and A/R reports; makes decisions regarding the collectability of A/R and oversees collections and bad debt write-offs; makes recommendations to facilitate the keeping of Days in A/R at acceptable levels.
• Maintains up-to-date expertise and knowledge of the healthcare industry including billing laws, rules, regulations, and developments necessary for the organization to make informed business decisions.
• Provides for coding education for physician practices.
• Establishes operating budgets for areas of oversight; ensures that operations occur within approved budgetary constraints.
• Oversees the provider credentialing and payer enrollment team and processes, manages to timeliness metrics.
• Performs other job duties as assigned.

Benefits

• Health insurance
• Retirement plan
• Paid time off
• Other benefits