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Associate Vice President-Revenue Cycle

1 month ago

Corvallis, United States Samaritan Health Services Full time
  • As the Associate Vice President-Revenue Cycle (Patient Accounts) at Samaritan Health Services, you will play a crucial role in supporting the daily clinical operations and revenue cycle services. Samaritan Health Services is special not only for its excellent healthcare services, but also for its commitment to serving our communities, and creating a healing environment that extends beyond the hospital walls.

    Preferred candidates will have extensive experience with claims processing, denials, contract comprehension, self-pay, financial clearance, and customer service.

    This is a Hybrid position, requiring onsite work as needed in Corvallis, Oregon.

    In addition, the position includes a comprehensive benefits package:
  • Competitive Salary
  • Health, Dental, and Vision Insurance
  • Retirement Savings Plans
  • Opportunities for Career Advancement
  • Employee Assistance Program
  • Paid Time-Off
  • Please feel free to contact us if you have any questions about this exciting opportunity
  • JOB SUMMARY/PURPOSE
    • Leads system revenue integrity and contracting teams to support daily clinical operations and revenue cycle services. Enhances effectiveness of net patient revenue realization and minimizes revenue leakage across the system (hospital and physician). This involves capture of patient revenue throughout the system. Ensures the CDM is maintained and in compliance with payer rules. Provides system education of CMS and other payer updates. Manages annual system strategic pricing project. Responsible for the payor contracting team (contract analysis, variances, and Epic build) and coordination of payer negotiations. Supports internal auditing for compliance.
  • DEPARTMENT DESCRIPTION
    • The Regional Business Office is responsible for the accurate and timely follow- up on claims for services provided at all lines of business in all service locations.
  • EXPERIENCE/EDUCATION/QUALIFICATIONS
    • Bachelor's degree in Business, Health Administration or a related field; or equivalent related experience required.
    • Six (6) years of applicable revenue cycle management experience required.
    • Experience with charge master management for a medium or large size health system required.
    • Experience in the following required:
      • Collaborating with healthcare collection/billing practices, coding, finance, patient access, and clinical operations.
      • Patient accounting and billing systems (EPIC preferred).
      • Process improvement (Lean experience preferred).
    • Experience in payer contracting terminology/methodology required. Contract negotiation experience preferred.
    • Experience in Microsoft Office (Outlook, Teams, Word, PowerPoint and Excel) required.
  • KNOWLEDGE/SKILLS/ABILITIES
    • Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
    • Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
    • Critical thinking - Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
    • Communication and team building - Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.
    • Comprehensive knowledge of clinical documentation and coding, including CPT and HCPCS. Thorough understanding of the relationship between codes and revenue in the reimbursement process, specifically how revenue is generated from CPT codes and the HCPCS. Firm understanding of the Medicare IPPS, OPPS and ASC payment systems. Strong understanding of compliance requirements. Audit program knowledge (RAC, OIG, etc.).
    • Ability to analyze and report data/information to operations/finance/executive leadership.
  • PHYSICAL DEMANDS
    • Rarely
      (1 - 10% of the time)

      Occasionally
      (11 - 33% of the time)

      Frequently
      (34 - 66% of the time)

      Continually
      (67 - 100% of the time)

      LIFT (Floor to Waist: 0"-36") 0-20 Lbs

      LIFT (Knee to chest: 24"-54") 0 - 20 Lbs

      LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

      CARRY 1-handed, 0 - 20 pounds

      CARRY 2-handed, 0 - 20 pounds

      KNEEL (on knees)

      BEND FORWARD at waist

      CLIMB - STAIRS

      STAND

      WALK - LEVEL SURFACE

      ROTATE TRUNK Standing

      REACH - Upward

      PUSH (0-20 pounds force)

      PULL (0-20 pounds force)

      SIT

      ROTATE TRUNK Sitting

      REACH - Forward

      MANUAL DEXTERITY Hands/wrists

      FINGER DEXTERITY

      PINCH Fingers

      GRASP Hand/Fist

      None specified