Vice President of Revenue Cycle Management

Vice President Of Revenue Cycle Management

CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. Our platform helps our physician partners thrive in today's fee-for-service environment and prepare for success in value-based care. In February 2024, we partnered with WindRose Health Investors as well as top physician services and payor executives to grow our team and invest in our next phase of growth.

CardioOne offers a magnificent work environment, good working conditions, and competitive pay. We offer medical, dental, vision, and a 401k plan with a match to benefit eligible employees. We offer PTO (Personal Time Off) and sick time to full-time employees. We take pride in creating a culture of employee engagement that translates into an exemplary patient experience. Join us in our mission to positively impact US cardiology.

The Vice President of Revenue Cycle Management leads all functions that contribute to the capture, management, and collection of patient service revenue for CardioOne practice partner clinics. You will provide oversight and direction of all revenue cycle services and ensures that all processes are appropriately managed in accordance with CardioOne standards and federal and state regulatory requirements. Additionally, you will act as a resource and develop optimum professional relationships with operating leaders to instruct, share ideas and implement actions for the effective management of patient revenues and billing. As the Vice President of RCM, you will provide ongoing support to professional staff to meet the expectations established for high-quality customer service, payer relations, billing and regulatory compliance and other established guidelines.

In this key role, you'll showcase your RCM expertise, strategic planning acumen, penchant for accuracy, and problem-solving skills. You will work remotely and report directly to the Chief Financial Officer.

What you'll do :

• Establish, document, and implement appropriate financial clearance / prior authorization, coding, billing, collections and cash posting policies, controls and procedures; maintain up-to-date expertise and knowledge of healthcare billing laws, rules, regulations, and developments necessary for the organization to make informed business decisions.
• Establish oversight and review of revenue cycle systems to identify process and quality improvements using new functionality and new technology to transform the way revenue cycle departments operate; lead efforts to streamline and simplify the financial clearance, billing, contractual allowance, follow-up, cash posting, financial counseling and refund processes.
• Partner with clinical operations and other key stakeholders to drive shared revenue cycle improvement initiatives that continually reduce days in accounts receivable, increase cash collections, reduce bad debt write-offs, and minimize denials and write-offs due to revenue cycle process issues.
• Monitor revenue cycle operations for compliance with established policies, regulations, procedures, and standards
• Develop and implement recommendations that will increase the efficiency and productivity of revenue cycle processes and enhance the patient financial experience.
• Oversee activity relating to delinquent accounts, collection agencies, special adjustments, and / or write-offs and identify opportunities to partner with and improve processes related to bad debt and adjustments.
• Direct the preparation and maintenance of reports on revenue cycle activities; maintain statistics from the units' work activities and provide regular productivity reporting and feedback to management and staff.
• Manage internal revenue cycle personnel and CardioOne's outsourced third party RCM vendors, ensuring appropriate staffing levels based on business needs; ensure staff and third party vendors are meeting quality of work and productivity goals; ensure accurate and timely reporting of key performance indicators.
• Establish long term and short-term operational plans for revenue cycle operations that address financial performance, customer service, information technology, human capital and regulatory requirements; collaborate with other departments to optimize revenue cycle operations.
• Plan, develop, and implement new systematic approaches to optimize accurate practice partner revenue and cash flow.

What you'll need :

Who you are :

Work Location : Remote : Colorado (Denver preferred), Delaware, Florida, New Hampshire, New Jersey, Pennsylvania, Texas.

Full time base salary of $170,000 to $190,000 plus medical, dental, and vision benefits. This role will include an incentive bonus of 20%.