Vice President, Revenue Cycle Management
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Vice President, Revenue Cycle Management at U.S. Urology Partners overseeing revenue cycle operations and compliance. Enhancing financial viability while managing billing, collections, and regulatory compliance.
Responsibilities:
- Oversee and support the daily operations of all revenue cycle functions, including but not limited to billing, follow-up and collections, cash posting, denial management, and credit balance reviews.
- Establish and maintain departmental policies and procedures.
- Communicate relevant information to other departments.
- Establish controls and review mechanisms to ensure procedures are being followed correctly.
- Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters.
- Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS.
- Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
- Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implementing solutions.
- Oversees the integration of acquired practices’ revenue cycle system into organization’s legacy RCM application.
- Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks and verifies collection processes are being followed.
- Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors.
- In conjunction with operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices.
Requirements:
- Thorough knowledge of revenue cycle processes and standards related to billing, collections, and cash posting in a physician / medical group environment.
- General knowledge of patient registration, finance, and data processing.
- Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid and managed care processes.
- A minimum of 10 years of experience of billing and collection activities in a health care / physician organization setting, of which at least 5 of which has been in a senior managerial capacity.
- Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public.
- Ability to read, analyze and interpret financial reports, contracts, and other legal documents.
- Outstanding ability to work independently to achieve results.
- Ability to set and maintain priorities when dealing with multiple demands and interruptions.
- Strong analytical and problem-solving skills.
- Background in system integrations in conversions in an acquisitive, constantly changing environment.
- Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth.
- Excellent customer service and communication skills.
- Intermediate computer skills including email, word processing and spreadsheets.
- Experience in working with numerous billing and collection systems, and ability to identify strengths and weaknesses of systems and related processes.
Benefits:
- Comprehensive medical, dental and vision plans
- HSA / FSA
- 401(k) matching
- Employee Assistance Program (EAP)
Similar Jobs
VP, Utilization Management
VP of Utilization Management overseeing revenue cycle functions and leading strategic direction for Ensemble's healthcare clients. Ensuring operational efficiency with a focus on quality and compliance.
VP of Credit Risk – Analytics
VP of Credit Risk & Analytics optimizing credit portfolio and defining strategies for growth and profitability at Greenbox Capital. Leading credit policy, pricing, and analytics team to drive impactful decisions.
Vice President, Allied Medical
Vice President, Allied Medical role focusing on healthcare liability and relationship management with brokers for Hamilton. Collaborating and contributing to the strategy for growing and diversifying the Healthcare portfolio.
VP Data, ML Platforms
VP of Data & ML Platforms leading data architecture, governance, and AI/ML strategy at Datavant. Overseeing the full data stack in a regulated healthcare environment.
VP, Value Advisory & Insights – Employer Retirement Solutions
Senior leader responsible for advancing Alight’s wealth strategy through thought leadership and market engagement. Positioning Alight as a trusted advisor in retirement solutions.
VP, Service Delivery
Vice President, Service Delivery responsible for client retention and satisfaction in a benefits administration company. Leading team development and operational excellence for client portfolios.
SVP, Corporate Banking – Specialty Deposits
Head Corporate Banking deposit strategies focusing on retail and municipal segments. Collaborate across teams and foster high-performance banking team.
Vice President, Psychometrics & Measurement
Vice President of Psychometrics & Measurement responsible for ensuring assessment integrity at Cambium Learning Group. Leading psychometric strategy and managing team operations for educational technology solutions.
Vice President, US Market Access
Vice President, US Market Access leads market access strategy to ensure timely patient access for rare oncology therapies. Collaborates with commercial teams to shape U.S. strategy across multiple functions.
VP, Account Services
Vice President of Account Services handling client relationships and cross-functional teams at Synchrony Group, a medical communications company. Leading marketing strategies and client satisfaction initiatives.
VP, Corporate Banking – Deposits, Not-for-Profits
VP, Corporate Banking focusing on deposit growth and client relationships at Kearny Bank. Managing portfolios for small to mid-size businesses and nonprofit organizations in the Northeast and MidAtlantic region.
Senior Vice President, Care Delivery
Senior Vice President overseeing care delivery operations for Wheel, enhancing virtual healthcare services. Collaborating with leadership across teams to optimize healthcare delivery and client satisfaction in a remote capacity.
VP, Media
VP of Media managing a global content operation and media partnerships at Chess.com. Leading a talented team and ensuring quality across all media platforms.
Vice President of Client Strategy
VP of Client Strategy at AZX guiding AI transformation in utilities, real estate, and critical industries. Partnering with clients to shape strategy and drive significant impact.
Senior Vice President, Client Relationship Management
SVP of Client Relationship Management at Alight overseeing strategic enterprise client relationships. Leading teams for client retention, revenue growth, and satisfaction within a large portfolio.
AVP, Change Manager
AVP, Change Manager facilitating end-to-end business and functional leaders for technology and process improvement initiatives in insurance underwriting. Collaborating with IT and business teams to ensure project success and satisfaction.
VP of Quality – Footwear & Accessories
Vice President overseeing global quality strategy across footwear and accessories at Quince. Leading efforts to ensure product excellence from suppliers to customers.
SVP, Strategy
Senior Vice President leading integrated strategy for a social-first agency focused on brand and communications. Overseeing cross-functional excellence and elevating client partnerships in a fully remote environment.
Vice President, PCO MSO – Value Based Services
Vice President responsible for growth and operations at Humana within the CenterWell Primary Care Organization. Leading multiple areas across contracting, credentialing, and value-based services for healthcare delivery.
VP, Self-Serve
Vice President of Self-Serve leading growth from API to multi-product voice AI platform. Driving self-serve revenue and user experience at Deepgram.