Senior Vice President, Revenue Cycle Management- Remote

Med-Metrix•Parsippany-Troy Hills, NJ

3d•Remote

About The Position

The Senior Vice President, Revenue Cycle Management oversees Revenue Cycle Department operations, including collecting outstanding insurance balances, appealing denied claims, and resolving accounts receivable for clients. The role provides technical expertise on financial-class responsibility and healthcare reimbursement, supports clients and staff, and identifies and reports payment, denial, and procedural trends with recommendations for correction. The position also supports the Business Development team during the sales process and ensures compliance with organizational policies, healthcare regulations, and HIPAA requirements. The SVP must safeguard protected health information, limit access to the minimum necessary, and report security or HIPAA concerns. The role is remote and requires a smartphone or other electronic device capable of downloading applications for multifactor authentication and security purposes.

Requirements

10+ 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, including with staff at remote locations.
Strong problem-solving and creative skills, 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.
Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

Nice To Haves

Bachelor of Science in Accounting or Finance; an MBA and/or CPA is highly desirable.
Team building and a cooperative work environment are preferred.

Responsibilities

Provide assistance or resolution to 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 trends in payments or denials and procedural problems to clients, and recommend corrective actions.
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 those standards for direct reports.
Limit viewing of protected health information 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.