AVP, Revenue Cycle Management (EOR)

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*The team is flexible on location. 

JOB OVERVIEW
The Associate Vice President of Revenue Cycle Management of responsible for developing and executing the strategic vision for the Revenue Cycle Management (RCM) functions.  Challenging assumptions and standards of business to improve overall operational effectiveness and service to the company’s customers.  Providing leadership and oversight of key operational and financial decisions pertaining to all underlying functions.  Functional areas that report to this position include billing, third-party AR management and payment applications.
The incumbent serves as the leader of Revenue Cycle Management (RCM) to internal and external organizations, including government agencies, payer organizations, vendors, and business partners.

KEY RESPONSIBILITIESDevelop ongoing thought leadership and the strategic vision for Revenue Cycle Management that will be shared with Revenue Cycle and overall corporate leadership.
Oversee all RCM functions including Billing, Payment Application, third-party and patient AR Management, Denials Prevention/Appeals, Credits/Refunds.
Develop, implement, and manage efficient and effective operational policies, processes and performance monitoring across all RCM related functions.
Lead the establishment and implementation of KPIs for RCM operations.  Responsible for measurement and reporting ongoing financial and operational performance.  Ensure the implementation of action plans where performance does not meet expectations.  Review KPI expectations annually and adjust appropriately.  Recognize areas of excellence.
Identify potential process improvements throughout RCM and lead the design and implementation as required.
Ensure RCM employees comply with established policies, processes, compliance and quality assurance programs.
Coordinate and oversee all billing, third party A/R and payment application process transition points between RCM and other functional areas within the organization.
Coordinate with peers across the revenue cycle organization, and with related stakeholders, on the management of third-party denials by working with locations and field operations leadership to identify trends and implement denials prevention/recovery programs.
Routinely participate in payer trend analyses to ensure optimal processing and reimbursement, identify issues, and communicate findings to company stakeholders, define solutions and initiate resolution.
Build strong relationships and facilitate productive communication between key revenue cycle stakeholders, including field operations and core support departments (e.g., human resources, finance, compliance, information technology, PMO).
Create a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encourage creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance.  Encourage and supports employee decision-making within their scope of responsibilities.
Participates in and, where appropriate, leads cross-functional revenue cycle projects.
Completes any duties and special assignments as requested.


QUALIFICATIONSRequiredA Bachelor’s degree from a recognized college or university or at least seven (7) years of management experience in Revenue Cycle Management-related functions, (Authorization, Eligibility, Billing, Payment Application, third-party AR Management, Denials Prevention/Appeals, and Credits/Refunds) within a progressive healthcare environment. 
Excellent written, verbal communication and interpersonal skills.
Time management and organizational skills.
Self-directed with the ability to work with various stakeholders and teams.
Ability to make quality, independent decisions as well as the ability to collaborate effectively to make decisions with other leaders.
Superior analytical and problem-solving skills.
Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions. 
Proficiency with Microsoft Office (Word, PowerPoint, & Excel).

PreferredRevenue cycle operations, consulting and/or project management experience for at least ten (10) years.
Leader or member of a revenue cycle transformation effort where key functions were reviewed for standardization and centralization.
Revenue cycle leadership in a multi-location environment.
Previous experience using or implementing an EMR and patient accounting system.
A Master’s Degree from a recognized college or university in Health Care Administration or Business Administration preferred.

Other Requirements
Ability to adhere to confidentiality standards and professional boundaries at all times

Physical Requirements
Must be able to travel; the company does not provide vehicles or transportation.
Occasional lifting, carrying, pushing and pulling of up to 40 pounds.
Must be able to climb stairs.
Must have visual and hearing acuity.
Must have a strong sense of smell and touch. 

Driving
A valid driver's license and an acceptable Motor Vehicle Record (MVR) may be required.

Age Requirements
Must be 18 years or older

Language
Must be able to speak, write, read, and understand English

Work Environment
Performs duties in an office environment during agency operating hours.
Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions.

Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Total RewardsBenefits: Comprehensive health, dental, vision, 401(k) match
Career Path: Opportunities for advancement.

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As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

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