VP of Revenue Cycle

The Vice President Revenue Cycle Management (VP RCM) is responsible for ensuring the effective and cost-efficient management of billing, denial management, collections, utilization management and related support activities across the network. VP provides strategic leadership in the development and maintenance of cost-effective policies, procedures, metrics, people, and programs to improve intake quality, billing and compliance processes and collect past due receivables and reduce AR days. The VP of RCM will be directly accountable for the management and financial performance of the department.

Priorities will include streamlining process and centralizing RCM across the network. The VP of RCM will create department goals, objectives, and a tactical plan consistent with the organizational strategic plan and vision and executing against near-term plans for current billing initiatives. This will also include fine-tuning the operating activities to optimize revenue collections as well as developing key service and support metrics.

The VP must work effectively as a team member utilizing effective problem-solving skills and intradepartmental relationships. Possess the ability to motivate others to achieve the vision, while balancing the big picture with perspective to the details of the operation.

Key responsibilities include :

• Development and maintenance of policies, procedures, processes, systems metrics, people, and programs required to improve the quality and performance of end-to-end RCM processes.
• Monitor claims payment to ensure reimbursements match contracted rates. Identify reimbursement opportunities and resolve payer challenges.
• Develop and achieve the Company budget for the Revenue Cycle Management department.
• Develop, implement, maintain and produce monthly accounts receivable reports to record financial performance, measure unit productivity and manage workflows in accordance with established goals.
• Ensure the department meets month end close requirements as defined by the CFO.
• Communicate financial performance to management via required monthly reporting.
• Perform necessary review, testing, training and oversight of our EMR and billing systems to ensure the integrity of the data resulting from billing and collections processes.
• Support Company growth through participation in Business Development projects, providing departmental leadership and procuring necessary resources to ensure RCM related due diligence activities are performed as required.
• Ability to integrate acquisitions into revenue cycle operations efficiently.
• Develop transition plans and oversee the effective and timely integration of billing and collections activities related to new facilities that are added by the company.
• Assist internal and external audit function as required.
• Assures Company billing compliance initiatives are deployed and maintained per Company policy.
• Implement a communication program for operations and facility management associates that the business office supports.
• Implement appropriate staff education programs and develop training programs to ensure compliance with applicable laws, regulations, payor and requirements applicable to our business.
• Hands-on participation in process / workflow design and automation improvements to support growth.

The Candidate

Experience and Professional Qualifications

Ideally, the successful candidate will have proven experience with a Private Equity backed complex healthcare services organization with multiple locations in multiple states within a levered environment, where s / he has dealt with lenders. Understands PE ownership reporting & Analysis expectations. Prior experience with a successful exit is strongly preferred by not a requirement. The VP of RCM must be a hands-on, detailed oriented individual with strong interpersonal skills that can drive execution and accountability across the RCM landscape of the organization.

Robust experience in healthcare services is mandatory. Understanding the nuances of revenue cycle and consolidating financials across multiple facilities will be critical to the individual’s success; Conduct regular center-level P&L review sessions with the operations team.

Additional experience and professional qualifications include :

Education

Compensation