Director of Operations
Maxor National Pharmacy Services, LLC
Staff Vice President, Revenue Cycle Management
Elevance Health
full-time
Posted on:
Origin: • 🇺🇸 United States • Florida, Ohio
Visit company websiteJob Level
Lead
About the role
- Direct and oversee all operations related to Revenue Cycle Management, including billing, collections, handling patient inquiries, managing payor audits, and overseeing patient copay accounts.
- Develop and implement strategies for Revenue Cycle Management to support and drive overarching organizational business goals.
- Manage structures and processes to achieve company objectives related to accounts receivable, write-offs, cash collection, cash posting, and net billing revenue.
- Ensure compliance with state and federal regulations, as well as adherence to Medicare and private insurance guidelines.
- Lead and oversee the department responsible for the system maintenance of existing revenue cycle applications.
- Provide oversight for system implementations, conversions, and upgrades related to revenue cycle applications.
Requirements
- Bachelor’s degree in Accounting, Finance, or Business Administration (BA/BS) is required.
- Minimum of 10 years of experience in healthcare revenue cycle management and/or patient financial services.
- Master of Business Administration (MBA) is preferred.
- Strong strategic planning and organizational skills.
- Excellent leadership and team management abilities.
- In-depth knowledge of healthcare regulations and compliance standards.
- Ability to ensure compliance with Medicare and private insurance guidelines.
- Vaccination requirement for certain patient/member-facing roles: COVID-19 and Influenza vaccination required unless acceptable explanation provided.
