Vice President, Revenue Cycle Management

• Elevate Home Health Careers
• Elevate Home Health Corporate
• Vice President, Revenue Cycle Management

Vice President, Revenue Cycle Management

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Full-time

Bachelor's degree

$135, ,000.00 per year

Vice President, Revenue Cycle Management
Summary
The purpose of this position is to proved strategic leadership and oversight of the full revenue cycle for the Home Health Division, including billing, collections, cash management, and payer relations. This executive role ensures financial integrity, regulatory compliance, and revenue cycle efficiency. Develop and execute enterprise-wide revenue cycle business plan and strategies aligned with organizational goals. Establish and monitor KPIs to ensure performance targets are met or exceeded.

Responsibilities Include But Are Not Limited To
Develop and execute enterprise-wide revenue cycle business plan and strategies aligned with organizational goals.

Lead cash collection forecasting, cash flow optimization, and reimbursement modeling.

Manages vendor/partner relationships to ensure effective and efficient processes, service level agreements and defined outcomes are achieved.

Collaborate with executive leadership to drive payer contracting strategies and value-based payment initiatives.

Analyzes operating results and takes adequate steps to correct shortfalls in quality and collections performance.

Continually looks to decrease the time a claim will cycle to resolution through automation, innovation, and all available technology.

Working with the Operators and other stakeholders via clearly defined department and individual goals and objectives, communicates these through department meetings and individual performance planning.

Build and mentor high-performing teams through structured training, coaching, and succession planning.

Ensure adherence to Medicare, Medicaid, and commercial payer regulations. Maintain HIPAA compliance and internal controls across all revenue cycle operations.

Lead audit readiness and response strategies for internal and external reviews.

Partner with clinical, operational, and IT leaders to align revenue cycle processes with care delivery.

Investigate and resolves complex RCM problems and coordinates efforts to provide innovative strategies and solutions.

Stay abreast of payer requirements and changes in the industry and communicate those changes to team and leadership.

Assesses and responds to current and future internal and external healthcare trends to establish and ensure the necessary direction for revenue cycle activities.

Adheres to agency's policies and procedures.

Other duties as assigned.

Minimum Qualifications
Bachelor's degree required; Master's degree in Business, Finance, or Healthcare Administration preferred.

Minimum 10 years of progressive leadership in revenue cycle management, with at least 5 years in a VP or senior leadership role.

Extensive knowledge of government and payer billing regulations and payer requirements.

Understanding of third-party payer contracting language and reimbursement terms.

Experience with Home Care Home Base

Solid grasp of medical terminology, ICD9/10, CPT, and HCPC coding.

Possesses the versatility required to be a leader, manager, teacher, coach, and mentor while placing high value on people and process.

Experience in designing and executing workflows to operationalize best practice strategies for payments/collections

Demonstrated proficiency in Microsoft Office Suite (Power Point, Word, and Excel) at the intermediate to advance level.

Excellent time management and organizational skills.

Advanced oral and written communication skills to effectively problem-solve.

Must be able to read, write, speak, and understand the English language.

• Elevate Home Health is an equal opportunity Employer

Work schedule

• Monday to Friday

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance
• 401(k)
• Employee discount
• Paid time off

Elevate Home Health - Elevate Home Health Corporate

Aliso Viejo, CA, 92656

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