Overview
As a key business partner and executive for the company, the Regional Vice President of Revenue Cycle Management (“RVP) will drive impact and business outcomes for this growing and dynamic organization. Partnering with the executive leadership, the RVP is responsible for the overall operations of the Regional Revenue Cycle Management Team and will lead a group of highly engaged professionals to focus on process deliverables, ensuring stakeholder satisfaction and making an impact in this mission-critical function for the company. This role includes direct supervision of the Revenue Cycle Department staff, ensuring that proper submission of claims, collections of receivables, and account postings are completed in a timely manner. This position is responsible for supporting key growth objectives and positioning the company as the industry leader in its field.
Job Highlights
Direct and support the leadership team (and ultimately all employees) of all the billing related operations including insurance verification, claims submission, transaction processing, revenue recovery, denial management, and other accounts receivable management functions to generate optimal cash flow to support operations and strategic initiatives.
Supervise director level staff within Revenue Cycle Operations, including Registration, Charge Entry, Cash Management, and Accounts Receivable , as well as indirectly manage the 100-plus FTEs in the Texas RCM operations.
While serving as a thought partner, collaborate and coordinate with Finance, Human Resources, clinical operations, and other functional areas to ensure alignment of process and desired business outcomes.
Monitor reporting of appropriate department key performance indicators, (such as DSO and Net Collection Rate, and A/R >120 days, etc) and make sure all metrics are performing at or above required goals.
Continually analyze and manage the net receivables balances and processes to detect changes in payor behavior and/or identify operational process improvement opportunities.
Maintain up-to-date expertise and knowledge of coding (CPT and ICD-9/CD-10), healthcare billing laws, rules, regulations, and developments necessary for the company to make informed business decisions.
Maintain compliance in all aspects of the billing and collection practices.
Develop and maintain exceptional working relationships with physician and management team leadership. This includes regular communication of revenue cycle management performance trending and workflow opportunities that will assist with more efficient processing, billing and coding compliance as well as revenue maximization.
Utilize resources optimally to improve and sustain efficiency and the effectiveness of the organization including:
Developing and managing the relationship between the direct reports, audit team and their operational counterparts.
Identify and work with the IT function for any athenaIDX system updates or changes, demographic and clinical interface management, as well as to support daily operational needs (computers, phone systems, scanning, and document retention systems);
Managing human process flows throughout the billing and collection process (including partnership with RCM Training); and
Maintaining compliance with all applicable healthcare, and regulatory laws.
Appropriately and proactively engage the company’s Operations teams, including both site-level clinicians and support personnel who have an ability to impact efficiently positively or negatively, accurately, and compliantly bill and collect for an anesthesia encounter.
An undergraduate degree, preferably in Business Administration, Healthcare Administration, Finance, or Accounting is required. A master’s degree is desirable.
Ability to travel approximately 10%-20% of the time to business operating centers.
At least 10 years of progressive management experience in a $300 million-plus healthcare revenue cycle services entity, with significant knowledge, exposure, and responsibility in physician healthcare reimbursement.
At least three (3) years’ anesthesia practice management experience with a large anesthesia group preferably multi-unit
Demonstrated experience in overseeing a 100+ employee team of healthcare billers and collectors, or a similar processing organization, preferably in multiple locations.
Demonstrated experience and accomplishments in healthcare billing and collection, including Medicare, Medicaid, commercial insurance, and self-pay.
Intimate familiarity with healthcare billing system software is required, athenaIDX (formerly, Centricity Business) preferred.
Significant transformation and information technology experience in a high-volume processing environment; Lean Six Sigma knowledge and experience strongly preferred.
Experience in integration of other platforms into a common platform whether from acquisitions or new business.
Qualifications
Professional Experience
Excellent communicator; able to effectively communicate at all levels within the Company; able to promote and implement new operational ideas and form business partnerships internally and externally.
Metric and process focused leader who measures success in terms of financial returns, employee productivity, and patient satisfaction.
Mature, team-oriented, energetic business leader who places major emphasis on success, service and cross-functional teamwork.
An execution-oriented and energetic, hands-on leader who does not shy away from leading by example and getting involved.
Proven ability to manage in a rapid growth and ever-changing environment.
Highly intelligent, conceptual, and financially focused, with proven judgment and capable of analyzing business and management problems, arriving at sound solutions.
Team-oriented and highly motivated with a proven track record of being able to scale teams and develop leaders.
Unquestionable personal and business integrity with the personal stature to command respect both within and outside the organization.
Confident of his/her abilities and able to prepare documented plans and proposals to address the corporation’s information systems requirements.
Disclaimer: The above job description has been written to indicate the general nature and level of work performed by employees within this classification. It is not written to be inclusive of all duties, responsibilities and qualifications required of employees assigned to this job.
As this opportunity can be remote, interested candidates should reside in the states that USAP is incorporated to do business in. This includes Alabama, Arizona, Colorado, Georgia, Florida, Illinois, Indiana, Louisiana, Maine, Michigan, Missouri, Maryland, Nevada, North Carolina, New Jersey, Ohio, Oklahoma, Pennsylvania, South Carolina, Texas, Washington, and Wisconsin.
US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit-based factors.
(https://careers-usap.icims.com/jobs/13516/vp---revenue-cycle-management/job?mode=apply&apply=yes&in_iframe=1&hashed=-336089587)
Job ID2023-13516
FunctionRevenue Cycle Management
LocationUS-Remote
Employment StatusFull Time