Vice President, Revenue Cycle Management

Title: Vice President, Revenue Cycle Management
Department: Finance
Reports to: Chief Financial Officer
FLSA Status: Exempt

The Vice President of Revenue Cycle Management plays a key role in shaping CCI’s strategic, operational and financial direction regarding revenue cycle performance. This role also involves assessing the performance and effectiveness of CCI’s billing vendor(s). CCI’s executives and administrative team rely on the Vice President’s trustworthiness, as well as technical, managerial, communication and interpersonal skills, to provide the highest level of service.

Minimum Qualifications

• Bachelor’s degree in business, accounting or another related field.
• 10+ years of experience in a revenue cycle leadership role.
• 5+ years of experience within large, multidisciplinary outpatient care health system(s).

Preferred Qualifications

• Strong, in-depth knowledge of principles such as medical billing, coding, payor enrollment/credentialing and financial reporting.
• Proficiency in financial management skills, including forecasting, budgeting, benchmarking and financial analysis.
• Experience in anesthesia billing.

Core Duties & Responsibilities

The statements below describe the general nature of work performed by individuals assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Provide guidance and leadership to CCI’s management and operational teams through effective leadership and strong organizational methods.
2. Define revenue cycle performance goals and metrics.
3. Evaluate the performance and effectiveness of billing vendor(s) management and staff in relation to revenue cycle metrics, working collaboratively to improve performance and outcomes continuously.
4. Assess the need for additional billing vendors and research and evaluate potential new vendors.
5. Conduct strategic needs assessments to determine customer service and revenue management needs.
6. Implement, monitor & report on metrics for service standards and profitability.
7. Manage collaborative business relationships with sales, operations and billing vendor(s).
8. Interface with key payer management to ensure timely issue resolution and accurate reimbursement for services provided.
9. Report on payor trends and assist with action plans as needed.
10. Recommend audit standards for billing processes.
11. Assist in the resolution of credentialing, provider enrollment and patient concerns and questions.
12. Initiate and monitor corrective action plans when billing and reimbursement results are not meeting established operational targets or indicate potential future operational performance issues.
13. Conduct education and/or training to meet or enhance revenue opportunities and resolve billing and reimbursement issues.
14. Responsible for written communications and email follow-up on behalf of CCI.
15. Collaborate with billing vendors to negotiate optimal payor agreements.
16. Oversee day-to-day management of revenue cycle staff to ensure optimal performance.

Skills & Abilities

1. Professional verbal and written communication.
2. Ability to work collaboratively with others.
3. Proficient with Microsoft Office Suite.

Work Environment

Remote work. Standard home office.

Travel Requirement

Average travel of 2-4 times per year for company meetings and events.

Compensation

The base salary range for this role is $120,000 to $149,000 per year.

Benefits

You will also be entitled to receive benefits, including employee paid premiums for medical, dental, vision insurance & life insurance. Additional benefits include unlimited PTO, seven (7) paid holidays, retirement, retirement company contribution, retirement profit-sharing contribution, short- & long-term disability, life insurance options, healthcare savings & spending accounts, employee assistance program (EAP), caregiver support program, adoption assistance, financial wellbeing support program and accident & critical illness coverage.