VP Revenue Cycle
Found in: Resume Library US A2 - 7 days ago
The Vice President of Patient Access and Clearance Services is a key member of the Revenue Cycle senior and servant leadership team. The position is accountable for setting, measuring, monitoring and achieving leading practice system operating standards for front end preservice revenue cycle functions including consistent metrics and performance expectations and outcomes that assures exceptional customer experience and supports financial health for the organization. The position provides overall strategic and operational direction, collaboration, transparency and oversight of patient, provider and workforce centric services including, modernized preservice, scheduling-registration requirements, financial clearance (counseling & securing), utilization review, training and referrals for clearance support for high value services. The role understands and remains current with governmental and payer requirements and ensures financial controls, system optimization, workflow efficiency, policies and service are compliant and timely for insured and uninsured patients. Additionally, the role sets system wide standardization regarding timely and accurate access, communication and experience ensuring the patient’s journey and services are simplified, convenient, trusted, timely and convenient. This role ensures regulatory and internal standards are met and maintained current in administering training requirements ensuring competencies are maintained and measured. The role leads front end governance and leaders to optimize the patient’s financial and digital journey and execute change management and process improvement through work groups responsible for establishing, updating and sustaining enterprise wide access, clearance and training strategies for Fairview and appropriate constituents.
This role will serve as second in command of the Chief Revenue Officer and partner for the Presidents of facilities and service lines and other executive leaders of Operations VP’s, SL executives, chiefs and chairs, legal, compliance and finance as she/he institutionalizes the front end services for the system.
Vice President serves as a subject matter expert / technical competence and accountable leader for enterprise standardization and optimization of domain leading in world class performance in collaboration with team and partnerships. The role will lead in governance forums as well as act in designated liaison roles with partners and stakeholders to ensure comprehensive awareness, alignment, decision making, policy, metric transparency and performance that results in compliant and trusted outcomes for patients, providers, workforce and system.
Overall responsibilities include development and oversight of operational metrics, people, plans and programs including financial, systems/processes and internal controls for assigned Revenue Cycle functions. In addition, this position ensures that the assigned Revenue Cycle functions actively engage in continuous process improvement to enhance performance and create efficiencies.
This position also ensures continuous process improvement that supports exceptional patient/ family experience related to quality access, communication in the patient’s financial journey with focus on quality, consistency, simplified, convenient and personalized service that compliments the patient’s care. This role understands, advocates (consumerism) and promotes transparency and informed decision making in compliance with industry standards and on behalf of the patient /patient’s financial rights. This position is ultimately responsible for compliance and quality standards for assigned Revenue Cycle functions and system wide operations.
This role is considered a Hybrid role but does need to reside in MN and travel to sites as needed.
Fairview Health Services offers a competitive benefits package including medical/dental, 403b with employer match. For details, please visit our benefits page by clicking
Responsibilities/Job Description:
Provides strategic and operation oversight of the Patient Access function to align direction with;
Customer expectations
System and Regulatory Changes
Utilization Review and denials management
Financial Securing, Counseling and Benefit Verification
Understand current/future trends within healthcare finance and adjust operations as needed
System wide forum for decision making, risk mitigation and performance outcomes
Manage outside vendor relationships
Ensure policies and procedures adhere to the AG agreement
Ensure policies and procedures adhere to the 501(r) regulations
Ensure compliance with regulatory requirements and payer standards
Coordinate and/or standardize processes across the Fairview system
Prepares yearly departmental financial plans, monitors productivity and financial performance and maintains departmental operations within budget.
Demonstrates a leadership style that results in continuous improvement of processes, improved relationships with customers and with system goals.
Align direction with customer expectations
Manage the budget and ensure that resources meet the needs of the organization
Coordinates internal and external audits. This includes the analysis of the audit results
Develops and maintains a robust denials management program which includes the monitoring and trending of denials, root cause identification and feedback to departments.
Responsible for human resources management and positive employee relations.
Ensures selection of qualified employees for employment and implements staff development plans.
Ensures compliance with human resources policies and related laws.
Values the uniqueness within and respects the differences between individuals
Actively recruits and hires people to create a diverse and complementary team.
Models appreciation and acceptance of differences.
Provides a welcoming and supportive environment.
Creates and maintains a communication system to assure all employees have relevant, timely, and appropriate information.
Establishes and reviews expectations that guide, motivate and hold people accountable for their work.
Provides feedback and coaching on an ongoing basis.
Discovers the aspirations and talents of employees and assists them in realizing their goals.
Improves overall employee engagement results.
Qualifications:
Required
Education
BA/BS in Healthcare, Management or Financial related field
Experience
10 years experience at an appropriate leadership level in acute healthcare revenue cycle front end operations
Preferred
Education
MBA or MHA
Experience
15 years experience at an appropriate leadership level in acute healthcare revenue cycle front end operations
Concentration in patient access preservice functions in a complex and highly matrixed environment
Proven innovation skills leveraging technology solutions to optimize workflow and cost to deliver services
Project management of large scope project including system conversion
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