Vice President, Revenue Cycle Services
3 weeks ago
Description:
**Job Purpose**
The Vice President, Revenue Cycle Services will have a major impact on the ongoing partnership with key clients of the organization by demonstrating finesse with client relationships, thorough knowledge of client needs and RCM operational expertise.
**Duties and Responsibilities**
- Oversee end to end revenue cycle service management for designated client(s
- Maintains acceptable levels of days in A/R, bad debt, and other key indicators
- Analyzes financial results, develops and implements action plans as needed
- Partners with appropriate resources on chargemaster strategic pricing, evaluates charge structure, contractual terms and conditions
- Act as a technical expert in regards to financial class responsibility for client and team members
- Develop and drive strategic initiations to optimize operating results and improved performance
- Develop strategic annual plans to achieve client KPIs
- Seek and develop opportunities for new services, revenue generation, and/or process optimization
- Conduct regular visits to client facilities for touch point meetings including account reviews (with associated data and policy analysis) as appropriate
- Report on trends in payments and/or denials; procedural issues
- Make recommendations to the client for correction of trends
- Work closely with all levels of client and Med-Metrix leadership on issues and initiates related to revenue cycle management operations
- Manages vendor and other 3rd party resources as appropriate and ensuring performance adheres to client expectations and KPIs
- Accountability for profit and loss of client RCM activities including workforce management and revenue forecasts
- Ensure all compliance and safety standards at client sites are maintained and adhered to by Med-Metrix employees
- Ensure timely and direct resolution of client issues and involve other team members as appropriate
- Ensure operational team members adapt and respect client culture nuances to result in an exceptional customer experience
- Other duties as assigned by the management team
- Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
- 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
**Requirements**:
**Qualifications**
- Undergraduate degree; post graduate degree preferred; degrees in Accounting or Finance preferred
- 10+ years of progressively responsible financial leadership roles
- Experience in healthcare consulting, sales or RCM operation management
- Detail oriented and well organized
- Ability to perform under pressure in a calm manner & maintain a positive attitude
- Excellent, customer service, verbal, written, listening and interpersonal skills
- Proficient computer skills including Microsoft Office Suite. Must have intermediate Excel skillset
- Self-motivated and resourceful with the ability to multitask and successfully operate in a fast paced, team environment
- Ability to work well individually and in a team environment
- Must adapt well to change and successfully set and adjust priorities as needed
- Strong analytical skills
**Working Conditions**
- 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 mínimal.
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