Career Opportunity
Vice President, Revenue Cycle Management
Vice President of Revenue Cycle Management
This position sits with a PE backed multi-site healthcare organization.
The Vice President (VP) of Revenue Cycle Management is responsible for overseeing and optimizing the revenue cycle processes within the organization. This role ensures effective management of key functions including payor relations, credentialing, insurance verification, financial clearance, charge entry, payment posting, accounts receivable, and patient balance resolution. The VP works to improve revenue and cash flow while ensuring compliance with regulations. This role also fosters strong collaboration with Operations to streamline processes related to scheduling, pre-service financial clearance, treatment planning/charging, and insurance billing. The VP will develop and execute department goals aligned with the organization’s strategic vision and lead a team of direct and indirect reports to achieve operational excellence.
Candidates will have the opportunity to work remote, but would prefer candidates who are west coast based.
Position Requirements:
Key Responsibilities
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Revenue Cycle Oversight
- Lead and manage all aspects of revenue cycle operations, including payor contracting, credentialing, coding, charge entry, payment posting, insurance verification, patient balance resolution, and accounts receivable.
- Ensure compliance with federal and state healthcare billing regulations, maintaining adherence to industry standards.
- Continuously evaluate and enhance revenue cycle processes to optimize cash flow and financial performance.
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Leadership & Team Management
- Direct and mentor the Revenue Cycle Management (RCM) team, fostering a high-performance culture.
- Oversee physician onboarding and practice acquisitions, managing credentialing and contracting processes.
- Collaborate with cross-functional teams to drive efficiency and problem-solving initiatives.
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Systems & Technology
- Optimize and manage EMR and other supporting financial systems.
- Lead the selection, implementation, and continuous improvement of revenue cycle-related technologies and vendor partnerships.
- Utilize data analytics to enhance reporting and operational efficiency.
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Analytics & Reporting
- Develop and track key financial and operational metrics, ensuring timely and accurate reporting.
- Analyze trends and identify opportunities for revenue optimization.
- Provide insights and recommendations to senior leadership based on data-driven evaluations.
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Communication & Stakeholder Engagement
- Serve as the primary liaison with third-party payers to ensure timely reimbursements.
- Communicate effectively across all organizational levels, proactively addressing revenue cycle challenges and proposing solutions.
- Deliver exceptional customer service to enhance the patient financial experience.
Qualifications
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Education & Experience
- Bachelor’s degree in Business Administration, Accounting, Healthcare, or a related field.
- 10+ years of progressive revenue cycle management experience in a healthcare environment.
- Multi-state experience preferred.
- Deep understanding of coding, billing, compliance, business operations, and financial systems.
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Skills & Competencies
- Strong leadership and team-building capabilities.
- Exceptional verbal and written communication skills.
- Expertise in data analysis, reporting, and performance metrics.
- Proven ability to identify, assess, and resolve revenue cycle challenges effectively.
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