Vice President, Revenue Cycle Management

Vice President, Revenue Cycle Management page is loaded## Vice President, Revenue Cycle Management locations:
US Remote time type:
Full time posted on:
Posted 3 Days Agojob requisition :
R2750
** About the Role
** The Vice President, Revenue Cycle Management is responsible for the establishment of the strategic vision, organization, and overall management, as well as administering policies for all Revenue Cycle operations. This person ensures all financial resources are maximized and optimized, and financial viability is maintained, while continually challenging and transforming Revenue Cycle operations and maintaining a customer-focused operational model. The position is responsible for enhancing and maintaining a properly functioning system centralized patient financial services process.

The role promotes a culture of innovation, accountability, and constant improvement throughout Revenue Cycle, while maintaining a dedication to the mission, vision, and values of U.S. Urology Partners.
** What You'll Be Doing
*** 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/implanting 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; ensure systems are fully functional and maximized and recommend new processes to improve current workflow.
* Monitors daily productions of billings, denials, and appeals.
* Reviews, monitors and recommends updates to the medical practices’ fee schedule to maintain fees at levels that maximize reimbursement.
* Ensures compliance with relevant federal, state, and payor-specific billing requirements.
* Regularly provides upper management with revenue cycle status including reports, metrics, and presentation.
* Direct the selection, supervision and evaluation of staff. Ensure performance evaluations are conducted in a timely manner according to organization policy and initiate disciplinary actions as warranted. Resolve grievances and other sensitive personnel matters.
* Oversee orientation and continuing education for all staff. Ensure mandatory and relevant training is provided to staff in a timely manner.
* Ensure staff is educated on new technology, goals, and contracts
* Any and all other projects, goals, issues surrounding the revenue cycle, conflicts or concerns as directed or indicated by senior management.
** What We Expect from You
*** 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…