Vice President of Revenue Cycle Management
This is a wonderful opportunity to be a part of a progressive, evolving, and growing organization. Through changes in a management services agreement and continued growth, the recruitment for a new Vice President of Revenue Cycle Management (VPRCM) is a critical function in providing the leadership and operational management to support the organization. Reporting to Advocare’s Chief Financial Officer, the VPRCM will develop, implement and lead initiatives to enhance the RCM services and platform. The VPRCM will lead the RCM team in the optimization of a new electronic EMR, PM and RCM platform. The VPRCM will provide strategic direction that promotes efficiencies, revenue profitability, cash flow, and achievement of business goals and objectives. The VPRCM will consult, coordinate with and assist the CFO, Treasurer and billing team to develop strategies, monitor payer compliance and support our new RCM Platform. The VPRCM will provide coordination, support and oversight to all aspects of the revenue cycle throughout the organization and enhance and maintain a properly functioning revenue cycle process. The position includes intake, service charge capture, billing, accounts receivable, follow-up and collections.
The Vice President of Revenue Cycle Management plays a core role in the development of customer-focused revenue cycle operations. The VPRCM will be an inspiring hands-on Revenue Cycle leader that will promote a team orientated work environment. This position will support leadership in evaluating and monitoring of care center budgets and operations. This key role will be a visible Revenue Cycle leader and will promote an early recognition and solution of any issues.
The ideal candidate will be an experienced revenue cycle leader with extensive knowledge of patient registration and the revenue cycle including: revenue coding, third party billing, technical billing, denial management, specialized governmental billing rules, commercial contract, reimbursement and pro-ration, and accounts receivable valuation.
Work in collaboration with the team to drive continuous improvements in the Medical Group's revenue cycle performance.
Monitor and manage the day-to-day revenue cycle operations.
Monitor and report daily/weekly/monthly performance metrics and intervene when necessary and interprets all billing, collections and financial reports.
Assure timely and accurate data reporting regarding revenue cycle activity.
Meets with practice to review financial performance.
Develops an annual operating budget for CBO.
Achieves annual and periodic goals for significant statistical indicators of revenue cycle performance and for the organization’s overall financial performance.
Responsible for determining how to measure results, modeling current/future business processes, gathering business requirements and identifying the organizational changes required.
Drives collaborative decision-making process by performing detailed cost/benefit analysis, presenting and evaluating solution options and driving consensus among key stakeholders.
Insure that Revenue Cycle processes are compliant with governmental and regulatory requirements (in conjunction with support and advisory consultation from Corporate Compliance), reimbursement and internal audit issues in a timely manner.
Interface with IT, Operations, Care Centers and Finance for Revenue Cycle processes and systems.
Research trends and best practice for developing strategies to optimize appropriate revenue generation.
Stay current in identifying trends affecting the revenue cycle.
Design the necessary training programs and assure consistent performance.
Establishes and meets departmental goals and objectives.
Develops departmental policies and procedures.
Successful candidates will be healthcare executives with a successful track record in leading a RCM operation for a multi-state integrated care system, integrated hospital delivery system or multi-state medical group of $300+ million revenues across multiple specialties.
Outstanding interpersonal and communication skills, mentorship and management of a high functioning team, and a strong track record of career performance are essential.
Proven work record that demonstrates, in depth knowledge of physician billing and reimbursement.
Skills in using mainframe and PC computers, IT system selection and experience.
Knowledge of medical terminology.
Knowledgeable in current healthcare trends/policies and managed care (NJ and PA preferred).
Extensive knowledge of HCPCS, ICD, CPT's, Revenue Codes, payment methodologies, managed care operations.
Ability to compile data, analyze, report data and make decisions that support department and company objectives.
Ability to work with various financial and clinical services collaboratively.
Demonstrated ability to develop strong and collaborative relationships with physicians.
Excellent communication, organization and interpersonal skills as well as aptitude for conflict resolution, problem-solving and staff development.
Know and understand physician practice financials, reports and tools.
Possess analytical and problem-solving skills.
Problem solving skills to approach new regulations/situations with an imaginative, innovative and analytical skill.
Knowledge Lean/Six Sigma highly preferred.
Eight to ten years Physician Revenue Cycle experience with three to five years directing Physician Revenue Cycle operations.
A Bachelor degree is required; a Master’s degree is preferred.
CPA, CPAM or FHFMA certifications are preferred.
Lake Center Executive Park
401 Route 73 North, Building 10, Suite 320