Vice President, Transformation Services – Patient Access
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Job Description
Med-Metrix VP leading enterprise Patient Access transformation for health systems. Improving revenue yield, denials prevention, operational efficiency, and patient financial experience.
Responsibilities:
- Lead enterprise-wide Patient Access transformation engagements for health system clients from assessment through sustained performance improvement
- Lead, mentor, and scale a high-performing, diverse team
- Develop and execute strategic transformation roadmaps
- Partner with internal and hospital leadership to identify and prioritize performance improvement opportunities
- Conduct operational assessments across scheduling, registration, financial clearance, authorization, eligibility, patient financial services, and digital access
- Design and implement best-practice operating models
- Drive front-end revenue integrity initiatives to reduce preventable denials, improve clean claim rates, and strengthen reimbursement performance
- Improve prior authorization, insurance verification, medical necessity compliance, financial counseling, point-of-service collections, and financial assistance workflows
- Use analytics and benchmarking to identify performance gaps, quantify financial opportunity, and prioritize initiatives
- Communicate business value through improvements in revenue yield, cash acceleration, cost-to-collect, labor productivity, and patient satisfaction
- Influence organizational change and implement new processes, performance expectations, and accountability structures
- Stay current on healthcare regulations, reimbursement trends, emerging technologies, and industry best practices
- Establish standardized transformation methodologies, playbooks, and best practices across client engagements
- Protect and disclose patients’ protected health information in accordance with HIPAA
- Comply with Information Security and HIPAA policies and procedures; limit PHI access to the minimum necessary
Requirements:
- Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred
- 10+ years’ experience in a leadership role within revenue cycle services, preferably in a healthcare hospital-based healthcare setting
- Strong understanding of revenue cycle management principles and practices
- Knowledge of state and federal governmental, legal, and regulatory provisions related to front-end, middle and backend revenue cycle operations
- Excellent leadership skills, including motivating, mentoring, and developing a high-performing team
- Proficiency in revenue cycle management systems, electronic health records (EHR), and client management tools
- Ability to manage multiple priorities and deadlines in a fast-paced, changing environment
- Proficiency in Microsoft Office Suite
- Strong interpersonal, communication, problem-solving, creative thinking, judgment, integrity, dependability, urgency, and results orientation
- Excellent written and verbal communication skills
- Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
- Ability to follow directions, collaborate with others, and handle stress
Benefits:
- Occasional travel may be required
- Employer-provided multifactor authentication and security access via smartphone or electronic device
- Equal employment opportunity and nondiscrimination protections
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