Vice President, Revenue Cycle Management
U.S. Urology Partners
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- Oversee and support the daily operations of all revenue cycle functions, including but not limited to billing, follow-up and collections, cash posting, denial management, and credit balance reviews.
- Establish and maintain departmental policies and procedures.
- Communicate relevant information to other departments.
- Establish controls and review mechanisms to ensure procedures are being followed correctly.
- Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters.
- Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS.
- Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
- Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implementing solutions.
- Oversees the integration of acquired practices’ revenue cycle system into organization’s legacy RCM application.
- Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks and verifies collection processes are being followed.
- Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors.
- In conjunction with operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices.
Requirements
- Thorough knowledge of revenue cycle processes and standards related to billing, collections, and cash posting in a physician / medical group environment.
- General knowledge of patient registration, finance, and data processing.
- Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid and managed care processes.
- A minimum of 10 years of experience of billing and collection activities in a health care / physician organization setting, of which at least 5 of which has been in a senior managerial capacity.
- Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public.
- Ability to read, analyze and interpret financial reports, contracts, and other legal documents.
- Outstanding ability to work independently to achieve results.
- Ability to set and maintain priorities when dealing with multiple demands and interruptions.
- Strong analytical and problem-solving skills.
- Background in system integrations in conversions in an acquisitive, constantly changing environment.
- Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth.
- Excellent customer service and communication skills.
- Intermediate computer skills including email, word processing and spreadsheets.
- Experience in working with numerous billing and collection systems, and ability to identify strengths and weaknesses of systems and related processes.
Benefits
- Comprehensive medical, dental and vision plans
- HSA / FSA
- 401(k) matching
- Employee Assistance Program (EAP)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
revenue cycle managementbillingcollectionscash postingdenial managementkey performance indicatorscharge capturecodingreimbursementinsurance verification
Soft Skills
communicationanalytical skillsproblem-solvingindependent workprioritizationcoachingmentoringcustomer serviceinterpersonal skillsleadership