Vp - Revenue Cycle

6 days ago

Monterey Park, United States Astrana Health Full time

Job Title: Vice President - Revenue Cycle

Department: Operations

**About the Role**:
The Vice President of Revenue Cycle provides strategic leadership in Revenue Cycle operations and drives results across the end-to-end revenue cycle from scheduling through resolution of patient liabilities. This individual will report to the President of Astrana Health Nevada. This leader will oversee the revenue management cycle to optimize billing processes, coding, reimbursement, and revenue cycle operations. You will lead teams in best practices, provide expertise, and develop systematic and scalable processes for fee-for-service billing and collections. In addition, you will develop tools, reporting, dashboards, and reports which allow for scale, compliance, efficiency, and efficacy across the revenue cycle. You will be responsible for evaluating and understanding regulatory changes related to revenue cycle, payer-specific rules, and ensure that communication to both the Executive Team and related departments at the Company about revenue cycle operations is up to date.

**What You'll Do**:

- Direct responsibility and oversight of medical practice billing, collections from patients and third-party payers, accounts receivable and cash management, fee-for-service and value-based payments, physician business office operations, and Health Information Management (HIM).
- Direct responsibility of oversight of coding departments, including risk adjustment HCC coding and HEDIS coding in addition CPT, HCPCS, ICD10 coding primary care and specialty care. Must understand and oversee how to include quality through coding. Establishes effective communication between coders and providers to address any deficiencies.
- Develops and implements revenue cycle strategies and best practices to optimize financial performance and minimize revenue leakage.
- Analyze revenue cycle data to identify trends and opportunities for process improvement and revenue growth.
- The Vice President of Revenue Cycle works with key stakeholders across all medical groups as well as internal and external resources to optimize revenue cycle operations and ensure financial and organizational goals are met.
- Build the coding and billing departments, taking on internal and external clients across multiple states.

**Qualifications**:

- Bachelor’s Degree Health Care Administration, Business Administration, or related field required
- Certified coder or certified biller preferred.
- Minimum of ten (10) years of revenue cycle management experience within a physician group integrated multi-site, multi-state health system.
- Minimum of seven (7) years of experience within a system-level leadership capacity, including demonstrated success in leading revenue cycle operations within physician business offices, as well as outsourced and offshore resources.
- Experience with primary care and many types of specialty billing.
- Proven track record of successfully implementing revenue cycle improvement and achieving financial targets.
- Ability to build and maintain effective relationships with internal and external stakeholders.
- Excellent communication and interpersonal skills.
- In-depth knowledge and experience working with eClinicalWorks, Elation and AdvancedMD a plus.
- Ability to travel as required.

**Who We Are**:
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for over 1.9 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise in order to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

**Our Values**:

- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team

**Environmental Job Requirements and Working Conditions**:

- Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. Our offices are located at Monterey Park, CA or Las Vegas, NV.
- The total compensation target pay range for this role is between $200,000 - $250,000. This salary range represents our national target range for this role.

**Additional Information**:

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