AVP, Revenue Cycle & Business Operations

AVP, Revenue Cycle & Business Operations

Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties.

Summary:

The AVP, Revenue Cycle & Business Operations is a key member of the RCS leadership team with a crucial role to drive the financial success of the organization through strategic planning, operational oversight, and collaboration with corporate, facility, and clinic departments. The individual will oversee and manage all aspects of razões de revenue cycle operations, including Patient Access, Central Scheduling, point‑of‑service collections, billing, coding and reimbursement.

The AVP will also collaborate with various departments to ensure optimal revenue cycle performance and efficient healthcare operations, and will provide leadership and guidance to the Revenue Cycle team.

The role focuses on fostering a culture of continuous improvement and innovation within the revenue cycle and business operations, ensuring compliance with all applicable laws and regulations related to billing practices. The AVP will serve as a subject‑matter expert on revenue cycle management, stay current on industry trends and best practices, and make recommendations for improvement. The AV нами will also collaborate with finance and reimbursement teams to develop and manage revenue cycle budgets and financial forecasts.

Education/

Experience:

Bachelor’s degree in acute healthcare or a related field required;
Master’s degree in business preferred. Minimum seven years of recent experience in revenue cycle management required.

Licensure/Certification:
None.

Knowledge / Skills / Abilities:

• Knowledge of charge master, payer contracting analysis, reimbursement variances, and coordination of payer negotiations.
• Analytic skills needed to drive performance and determine process improvement.
• Ability to analyze, quantify and summarize data sets, develop financial models, and work with Finance, Reimbursement, Payer Contracting, and Revenue Cycle Management departments.
• Ability to develop proposals for payment resolution for claim denials and UR denials regarding long‑ and short‑term goals, objectives and strategies for customer service operations that include Out‑of‑Network plans, Marketplace benefits, and Single‑Case agreements that follow federal and state guidelines.
• Collaborate with Patient Financial Services and Managed Care to develop proactive solutions for denials management.
• Coordinate efforts with PFS and Reimbursement to improve Net Revenue projects that include analyzing and trending historical trends and month‑end validation.
• Act as liaison with IT, Decision Support, Finance, and other departments for Revenue Cycle metrics, systems, and performance.
• Act as a lead resource in coordinating Revenue Cycle with all the facilities and physician practices for processes supporting all areas of patient accounting.

Primary

Location:

Corporate

Job Type: Regular‑Full time

Shift: First Shift (United States of America)

• Executive

• Full‑time

• Management and Manufacturing

• Hospitals and Health Care