VP of Revenue Cycle Services Director

1 week ago

Baton Rouge, Louisiana, United States Premier Health Full time
Job Title: VP of Revenue Cycle Services

The Vice President of Revenue Cycle Management will play a pivotal role in helping new and established practices achieve improved performance by embracing developed policies and standard procedures. This individual will oversee the Central Business Offices and Third-Party Contracting, ensuring each practice follows best practices in revenue cycle management.

Key Responsibilities:
  • Develop a collaborative relationship between the Practice and Central Business Office(s) to foster trust and a collaborative approach.
  • Establish a relationship with physicians and staff to promote the adoption of policies and standard procedures.
  • Negotiate contracts with Third-Party Payers to secure the best possible contract and reimbursement.
  • Participate in the development and delivery of policies and standard procedures that promote excellence, superior patient care experience, and improved performance.
  • Implement quality improvement strategies to continually refine processes and improve performance.
  • Lead the Practices to achieve higher levels of performance in patient care and financial results.
  • Foster a positive working environment for staff, attracting and retaining motivated employees, and recognizing their contributions.
  • Develop strong relationship management skills to handle challenging interpersonal situations effectively.
  • Identify and proactively address potential issues that may impede success.
Planning and Execution:
  • Develop a dynamic and cost-effective Central Business Office(s) that can be leveraged by all partner practices to conduct payment posting, A/R Management, Cash Management, and Patient Customer Service.
  • Establish policies and standard procedures that improve performance at the practice.
  • Negotiate contracts with Third-Party Payers to secure the best possible contract and reimbursement.
  • Lead/participate in monthly RCM meetings to provide continuous feedback on gaps, sub-optimal performance, and inefficient workflow/processes.
  • Conduct reimbursement analysis to ensure contractual reimbursements are met.
  • Monitor and implement third-party contractual changes with practices.
Collaboration and Teamwork:
  • Collaborate with practices, Central Business Office(s), and Practice Management Team to ensure best practices are implemented.
  • Act as a liaison between the Practice and the billing system to educate on how policies and standard procedures will fill identified gaps in processes.
  • Act as a liaison between the Practice and Third-Party Payers to resolve contractual issues, negotiate new contracts, and re-negotiate existing contracts.
  • Assist, support, and manage efforts to ensure the Central Business Office(s) operates in full and complete compliance with all regulatory bodies.
Communication:
  • Demonstrate effective interpersonal problem-solving and written/verbal communication skills.
  • Maintain continuous communication with Practice, Central Business Office, and Home Office to ensure RCM goals are met or Third-Party Insurance Payer issues are addressed in a timely manner.
Functional Areas:
  • Perform Practice and Central Business Office(s) assessments to eliminate or minimize slippage of performance (i.e., not following policies and standard procedures).
  • Manage in a complex environment involving several parties with each one's accompanying policy and regulatory requirements.
Additional Areas of Responsibility:
  • Manage Central Business Office (CBO) activities, maintain a strong working relationship with the practice to ensure high-quality service is delivered to practices and patients.

Requirements:

  • Bachelor's degree or Master's in healthcare administration is preferred.
  • Minimum of four to seven (4-7) years of leadership experience in managing Central Business Offices and Insurance Contracting.
  • Understand the principles of policies and standard procedures.
  • Embrace collaboration as essential to success.
  • Engage in open, respectful, and ongoing communication.
  • Solicit and use creativity to drive enhancements.
  • Use common sense in developing solutions.
  • Act with ethical integrity.
  • Focus on outcomes, execute tasks, and measure results.

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