Senior Vice President, Revenue Cycle Management- Remote

Med Metrix•Parsippany-Troy Hills, NJ

2d•Remote

About The Position

The Senior Vice President, Revenue Cycle Management oversees Revenue Cycle Department operations focused on collecting outstanding insurance balances, appealing denied claims, and resolving accounts receivable for clients. The role provides technical expertise on financial class responsibility, supports internal and external client inquiries, and reports payment or denial trends and procedural problems to clients with recommendations for correction. It also supports the Business Development team during the sales process and ensures compliance with organizational policies, healthcare regulations, HIPAA standards, and security practices. The position includes responsibility for timely removal of remote client access for employees who are terminated or transferred, when applicable. The role requires financial leadership experience, strong analytical and problem-solving abilities, knowledge of healthcare reimbursement and collection regulations, and effective communication with employees and clients, including staff at remote locations. The employee must use and safeguard protected health information appropriately and report potential HIPAA or security violations. A smartphone or other electronic device capable of downloading applications is required for multifactor authentication and security purposes. The work environment is generally quiet. Physical activities may include moving around the work area, sitting, performing manual tasks, operating office equipment, extending arms, kneeling, talking, and hearing. The role also requires following directions, collaborating with others, and handling stress.

Requirements

Bachelor of Science in Accounting or Finance.
10 or more years in progressively responsible financial leadership roles, preferably in an acute care setting or comparable revenue cycle management company.
Analytical and problem-solving skills, including the ability to understand complex reimbursement structures and apply contractual and governmental regulations to billing processes.
Knowledge of governmental, legal, and regulatory provisions related to collection activity.
Knowledge of insurance company reimbursement practices.
Proficiency in Microsoft Office Suite.
Strong interpersonal skills and the ability to communicate and manage effectively at all organizational levels and with staff at remote locations.
Strong problem-solving and creative skills, with sound judgment and the ability to make decisions based on accurate and timely analyses.
High integrity and dependability, with a strong sense of urgency and results orientation.
Excellent written and verbal communication skills.
A gracious and welcoming personality for customer service interactions.
A smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

Nice To Haves

MBA and/or CPA highly desirable.
Experience in an acute care setting or comparable revenue cycle management company preferred.
Team building and a cooperative work environment preferred.

Responsibilities

Provide assistance and resolution for external and internal client inquiries.
Prepare reports or logs as required.
Serve as a technical expert on financial class responsibility and answer questions from clients and team members.
Maintain current working knowledge of healthcare issues and regulations, especially Managed Care contracts.
Report detected payment or denial trends and procedural problems to clients, and recommend corrections.
Learn and comply with organizational and departmental policies and procedures.
Analyze and solve problems quickly and thoroughly.
Establish realistic goals and priorities aligned with organizational objectives.
Ensure remote client access is disabled in a timely manner for terminated or transferred employees, when applicable.
Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards, and enforce these standards for direct reports.
Limit access to PHI to the minimum necessary to perform assigned duties.
Report security or HIPAA violations or concerns for the team to the HIPAA Officers in a timely manner.
Provide support to the Business Development team during the sales process.
Perform other duties as assigned.