Vice President, Revenue Cycle Management

Job description

Job Purpose The Vice President, Revenue Cycle Management will support the physician division while overseeing the A/R team responsible for collecting outstanding insurance balances, appealing denied claims, and resolving A/R for our clients. The Vice President, Revenue Cycle Management will have a major impact on the ongoing partnership with clients by demonstrating finesse with client relationships, thorough knowledge of client needs and Revenue Cycle operational expertise.

Duties and Responsibilities

Provide assistance/resolution to external and internal client inquiries

Prepare reports or logs as required

Act as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team members

Maintain a current working knowledge of all healthcare related issues and regulations

Report any detected trends in payments or denials, as well as procedural problems, to the client and make recommendations regarding the correction of these trends and/or problems

Learn and comply with organizational and departmental policies and procedures

Analyze and solve problems quickly and thoroughly

Establish realistic goals and priorities concurrent with organizational objectives

Provide support to the Business Development team during the sales process

Responsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashion

Other duties as assigned

Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Understand and comply with Information Security and HIPAA policies and procedures at all times

Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

BS in Accounting or Finance, MBA and/or CPA highly desirable

10+ years in progressively responsible financial leadership roles, preferably in acute care setting or comparable Revenue Cycle company

Analytical and problem solving skills, the ability to understand complex reimbursement structures and the ability to apply contractual and governmental regulations to billing processes

Knowledge of governmental, legal and regulatory provisions related to collection activity

Knowledge of insurance company practices regarding reimbursement

Proficiency in Microsoft Office Suite

Strong interpersonal skills, ability to communicate well at all levels of the organization

Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses

High level of integrity and dependability with a strong sense of urgency and results oriented

Excellent written and verbal communication skills required

Working Conditions

Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes

Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.

Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.

Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

Originally posted on Himalayas

Who can apply

Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.