Vice President, Revenue Cycle Management

Position Summary

The Vice President, Revenue Cycle Management will oversee and direct expedient billing, reducing outstanding account receivables, as well as managing team members to accurately and timely collect funds. The primary responsibility will be to build scalable processes and procedures which will lead to increased efficiency and success. In addition, this role will develop innovative methods for measuring and increasing staff productivity, quality, and effectiveness. The Vice President, Revenue Cycle Management will partner closely with the Chief Financial Officer as well as the Revenue Cycle Manager to create a data driven environment and implement new best practices.

Duties and Responsibilities

• Maintain days sales outstanding at <30 days with a plan to get at or below 27 days.
• Oversee billing for Medicaid, commercial, and all relevant payors.
• Review data for accuracy and ensure billing is properly vetted before submission to payors.
• Ensure that all outstanding billing is handled expeditiously.
• Research and resolve billing questions and issues in conjunction with Revenue Cycle and Operation teams.
• Research, assemble, and provide necessary documentation to support claims.
• Support operations and provide detailed reports of missing documentation.
• Help to track and optimize cash flow. Monitor cash to accrual and other quality of earnings metrics.
• Sign off on refunds, credit balances, and write-offs.
• Build scalable processes to increase efficiency and drive team success.
• Develop simple documented processes that can be followed by managers and entry-level team members.
• Establish guidelines and protocols for escalation(s).
• Create a high-performance culture that inspires followership through high integrity, trust, and collaboration.
• Coach and mentor managers on best practices and data-driven accountability practices.
• Support operations and provide detailed reports of missing documentation.
• Proactively communicate with payors to resolve outstanding claims, reducing denial rate to sub 20%.
• Determine key performance indicators (KPIs) for positions and work in close collaboration on the development of dashboards and reports related to those metrics.
• Oversee new payor setups.
• Compliance with Centria’s Code of Conduct, policies and procedures, and Federal and State laws.
• Responsibility to report violations of Company policies or the Code of Conduct.

This role is responsible for:

• Leading and maintaining team members by interviewing, selecting, orienting, and training team members;
• Ensuring the daily functions of the department are completed by communicating job expectations; planning, monitoring, and appraising job results;
• Managing, coaching, and developing a high performing team that meets agreed objectives, and which delivers best practice results, added value, and continuous improvements;
• Maintaining regular contact with team members regarding performance, expectation setting, and coaching on policies and procedures related to their responsibilities, including but not limited to attendance, professionalism, etc.;
• Assigning and managing team members’ caseload and work assignments;
• Evaluating performance of team members, initiating disciplinary measures up to and including termination, including performance improvement plans and disciplinary action forms;
• Approving Paid Time Off and Leave of Absence requests;
• Consistently promoting high standards through personal example and roll out through the team so that each member of the team understands the standards and behaviors expected of them.

Qualifications

Education

Bachelors degree in Finance, Accounting, Business or Healthcare Administration required

Master’s degree (MBA or MHA) highly preferred

Work Experience

• 10+ years of experience in healthcare revenue cycle operations
• 3+ or more years of experience in senior leadership positions within revenue cycle

Equipment and Technology Requirements

• Working knowledge of laptop/desktop PC
• Proficiency in Microsoft Suite (Word, Excel)
• Proficiency in G Suite (Gmail, Drive, Docs, Sheets, Google Meet)

Other Competency Requirements

• Ability to follow written instructions
• Ability to use computers and computer/software programs
• Ability to communicate expressively and receptively

Knowledge and Skills

• Provide strong, operationally focused direction in managing and building processes for scale and optimizing performance across the revenue cycle management organization.
• Strong leadership skills and ability to significantly elevate the operations across the entire function, working closely with the Chief Financial Officer, Revenue Cycle Managers, Vice President Corporate Controller, and Vice President of Financial Planning and Analysis.
• Demonstrated experience with developing relationships with payor sources, seeking to resolve any outstanding claims which have been elevated.

Compensation

$200-$225k 

Working Conditions

• Centria's office hours are Monday through Friday from 8:30 AM – 6:00 PM.
• Additional time or occasional shift in schedule may be required to complete the above work or meet company objectives.

Physical Demands

While performing the duties of this job, physical requirements such as bending, reaching, lifting, pushing, or pulling up to 30 pounds may be required. This role will require sitting most of the day as well as walking and standing periodically. This role may require close visual acuity on computer screens or monitors and the ability to analyze data and figures on a screen.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, Veteran status, or disability status. This job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities, or working conditions associated with the position. Centria reserves the right to amend this job description at any time, with or without written notice.