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) required
Minimum of 10 years of experience in healthcare revenue cycle management and/or patient financial services
Master of Business Administration (MBA) preferred
Strong strategic planning and organizational skills
Excellent leadership and team management abilities
In-depth knowledge of healthcare regulations and compliance standards, including Medicare and private insurance guidelines
Experience managing billing, collections, payor audits, and patient copay accounts
Experience overseeing revenue cycle applications and providing oversight for system implementations, conversions, and upgrades
Ability to work at an Elevance Health location at least once per week (Hybrid Workforce Strategy)
May require COVID-19 and Influenza vaccination for certain patient/member-facing roles (offers rescinded if not vaccinated unless acceptable explanation)