Vice President of Revenue Cycle Management

2 months ago

Montgomery, Alabama, United States Baptist Health Full time

Baptist Health stands as the foremost healthcare provider in central Alabama, delivering extensive hospital-based and outpatient services to a significant portion of the local population. To discover more about Baptist Health, please visit our website.
Overview: The Vice President of Revenue Cycle Management & Business Operations plays a pivotal role within the Revenue Cycle Services leadership team, significantly contributing to the financial prosperity of our organization through strategic initiatives, operational management, and collaboration across corporate, facility, and clinic divisions. This position is responsible for overseeing all facets of revenue cycle operations, encompassing Patient Access, Central Scheduling, and point-of-service collections, billing, coding, and reimbursement processes. Furthermore, this leader will engage with various departments to ensure peak revenue cycle performance and streamlined healthcare operations. They will monitor and assess revenue cycle data to identify trends and areas ripe for enhancement.

Leadership Responsibilities: Provide direction and mentorship to the revenue cycle team, including establishing objectives, conducting performance assessments, and fostering professional growth. The Vice President will cultivate a culture of ongoing improvement and innovation within revenue cycle and business operations while ensuring adherence to all relevant laws and regulations governing revenue cycle and billing practices. This role will also involve developing and maintaining robust relationships with payers and other external stakeholders to optimize revenue cycle processes and address any arising issues.

Subject Matter Expertise: Serve as a knowledgeable resource on revenue cycle management, offering guidance and support to other departments and leaders as necessary. Stay informed on industry trends and best practices in revenue cycle management, making recommendations for enhancements. The Vice President will prepare and deliver regular reports on performance, improvements, processes, and key performance indicators (KPIs) across all areas of revenue cycle and business operations.

Financial Collaboration: Work closely with finance and reimbursement teams to develop and manage revenue cycle budgets and financial forecasts. Participate in organizational committees and initiatives related to revenue cycle and business operations. Represent the organization at external events and conferences pertinent to revenue cycle and healthcare operations. Uphold the mission, values, and standards of Baptist Health in all professional interactions and decisions.

Qualifications:

  • Bachelor's degree in healthcare or a related field; a Master's degree in business is preferred.
  • A minimum of seven years of recent experience in revenue cycle management is required.

Skills and Competencies:
  • Proficient understanding of chargemaster, payer contracting analysis, reimbursement variances, and coordination of payer negotiations.
  • Strong analytical skills to drive performance and identify process improvements.
  • Ability to analyze, quantify, and summarize data sets, develop financial models, and collaborate with Finance, Reimbursement, Payer Contracting, and Revenue Cycle Management departments.
  • Experience in developing proposals for payment resolution for claim denials and utilization review denials, focusing on long-term and short-term goals, objectives, and strategies for customer service operations.
  • Collaborate with Patient Financial Services and Managed Care to devise proactive solutions for denial management.
  • Coordinate efforts with PFS and Reimbursement to enhance Net Revenue projects through historical trend analysis and month-end validation.
  • Act as a liaison with IT, Decision Support, Finance, and other departments for Revenue Cycle metrics, systems, and performance.
  • Serve as a lead resource in coordinating Revenue Cycle processes across all facilities and physician practices.
  • Collaborate effectively with AVP of PFS, AVP of Utilization Review and Case Management, and System Directors of Health Information Management & Clinical Documentation Improvement, Patient Access, and Central Scheduling.

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