VP Revenue Cycle
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. The VP Revenue Cycle is primarily responsible for developing, overseeing, monitoring and managing the Company's eligibility, authorization, billing and cash collection processes. This person is responsible for the day-to-day operations in the Revenue Cycle Department, including developing strategies to improve procedural efficiencies in the Department, establishing a stable organization structure, and evaluating personnel to ensure optimal performance. This person is expected to establish a culture of collaboration, continuous improvement, and commitment to serving stakeholders with high quality and efficiency. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. In office is preferred, at any of our Home Office locations - Louisville, Lafayette, Baton Rouge, and Maryland. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities
- Strategic leadership
- Develop and execute an enterprise-wide revenue cycle strategy that aligns with overall business objectives and ensures long-term financial health
- Identify and implement best-in-class revenue cycle management processes and technologies, including automation and data analytics, to increase efficiency and collections
- Maintain existing and, as needed, develop new key performance indicators (KPIs) such as cash collections rates and days in accounts receivable (A / R), and create dashboards to drive performance transparency and accountability across all levels
- Financial performance and optimization
- Oversee the entire home health, hospice, personal care, and part B revenue cycle, including eligibility, authorization, charge capture, billing, collections, and AR management
- Direct the development of AR processes to analyze root causes, reduce claim denials, and maximize cash collections
- Support enterprise strategy by assessing reimbursement impact to forecast net revenue and inform strategic initiatives like service line expansions or shifts in care
- Regulatory compliance
- Ensure full compliance with all federal, state, and payer-specific regulations, including Medicare, Medicaid, and HIPAA
- Stay up-to-date on regulatory changes affecting home health billing and reimbursement to proactively adapt company strategy
- Establish and monitor internal controls to safeguard revenue integrity and support accurate financial reporting
- Team leadership and development
- Build, lead, and mentor a high-performing revenue cycle team, promoting a culture of continuous improvement
- Manage team performance by providing regular feedback, conducting performance reviews, and supporting professional development
- Oversee hiring, training, and workflow planning within the revenue cycle department to ensure proper staffing and quality standards
- Cross-functional collaboration
- Partner with clinical operations, quality, managed care, and finance teams to identify issues and optimize the overall revenue cycle
- Collaborate with the Chief Information Officer and IT teams to identify and implement long-term technology solutions
- Serve as part of the approval process for new payor agreements, ensuring ability to collect under the terms of the agreement(s)
- Support the Corporate Development strategy of the enterprise by working with internal and external teams to support integration of new acquisitions and any divestitures requiring continued revenue cycle support
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications
Bachelor's Degree in business or related fieldFive years management experience and five years health care billing experience, or similar consulting experienceExtensive experience with revenue cycle management (RCM) and electronic health record (EHR) systems used in home health is essentialKnowledge of rules and regulations governing third party payorsKnowledge of Generally Accepted Accounting Principles (GAAP)Preferred Qualifications
Masters DegreeStrategic thinking : Ability to translate high-level business goals into actionable RCM initiativesFinancial acumen : Solid understanding of financial models, budgeting, and performance metricsAnalytics : Proficiency in data analysis to identify trends and drive operational improvementsLeadership : Proven ability to build and lead large teams through periods of growth and transformationCommunication and influence : Exceptional executive presence and the ability to work effectively with diverse stakeholdersAdaptability : Capacity to adapt to the ever-changing regulatory and payer landscape in healthcareAll employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.