Senior Vice President , Revenue Cycle Management

CareAbout

1d•$150,000 - $225,000

About The Position

The Senior Vice President of Revenue Cycle Management is responsible for overseeing the strategic execution and performance of end-to-end revenue cycle functions. The SVP is responsible for day-to-day operational oversight of RCM in Consensus Medical Group and MSO and oversees and manages the following areas of Revenue Cycle Management: Revenue Optimization, AR Management, Training, Unpostables, Refunds, and Overpayments. The RCM operations of Consensus Health include practice oversight, global partnership operations, and local market resources. This coordinated effort is inclusive of all practice operations from scheduling through claim and payment reconciliation. The SVP of RCM is responsible for reviewing and enacting policies, procedures and processes related to revenue cycle functions and they hold teams accountable to key performance metrics. The successful candidate will provide leadership to staff; communicate and model mission, vision, and values of Consensus Health.

Requirements

Bachelor’s degree required; Master’s degree preferred
Minimum 8-10 years’ experience in healthcare management
Experience working in a physician practice, medical group or health system required
Detail oriented
Working knowledge of Microsoft Office Word and Excel
Knowledge and Skills/Expected Competencies
Intermediate knowledge of Microsoft Office.
Requires intermediate organizational skills to complete financial applications, insurance verification, billing, and collection processes within acceptable time frames.
Requires communication skills to clearly and concisely communicate verbally and in writing with peers, management, payers, physicians, ancillary departments, etc.
Ability to evaluate own workflows and Medical Group processes and appropriately recommends process improvements.
Requires continual communication keeping others informed of workflow status updates, trends and/or issues while managing tasks in a timely manner.
Requires analytical skills to compile and prepare reports monthly or as needed utilizing department software applications.
Requires the ability to work independently while completing billing and continual follow up on routine and challenging accounts with minimal assistance from management and others.
Ability to problem solve and analyze high dollars claims/cycles and elevate quickly for resolution.
Ability to work in multiple billing, insurance verification, and precertification systems simultaneously.
Requires minimal assistance for complex account resolution.
Requires the ability to adapt to urgent deadlines or rapidly changing priorities and maintain composure in high stress situations at all times.
Assists in other staff’s duties in their absences, in addition to routine workload.
Must have the knowledge and interpersonal skills to be a successful mentor and provide continual constructive feedback to team.
Ability to show professionalism when communicating with staff and vendors.

Nice To Haves

athenaNet experience preferred

Responsibilities

Promotes optimal use of all revenue cycle information systems.
Actively seeks out and implements process improvement opportunities.
Ensures all applicable state and federal laws and regulations are followed.
Leads and manages staff performance and facilitates appropriate staff training and resources, including outsourced staffing
Place high emphasis on developing a consistent and coordinated billing model that can sustain or improve financial performance within an evolving landscape.
Possess strong leadership skills and demonstrates capability to inspire staff to pursue excellence in goals and productivity, capable of coaching and improving staff in need of professional develop.
Places high priority on overall team performance.
Fosters open lines of communication and strong relationships with Medical Group stakeholders.
Works with Population Health team to ensure we are satisfying VBC metrics in line with risk contracts as it relates to Revenue Cycle
Oversees the optimization efforts in Medical Group practices in conjunction with the Operations team
Responsible for the successful management of the following areas of Revenue Cycle Management: Refund processing, Revenue Optimization, AR Management, Training, Unpostables, Refunds, Coding and Overpayments.
Lead annual budget planning exercise for these functions.
Must have knowledge in global/outsourced partnership arrangements
Lead presentations in front of potential new provider groups, conferences, and engage other experts to share best practices.
Manage metrics and goals related to finance, revenue cycle, implementation, productivity
Identify areas of opportunity improvements through reviewing financial & clinical metrics, and designing MOR(Monthly Operating Review) meetings with key stakeholders
Analyzes department performance against established internal and national best practice benchmarks.
Provides advice and support to senior management regarding matters related to all aspects of revenue management.
Responsible for the P&L for RCM.
Partners with Finance to develop the annual budget, and is accountable for departmental adherence to budget and/or other fiscal goals.
Responsible for staffing include hiring, termination, coaching, staff development and training.
Oversees vendor relationships and develops strategies for maximizing resource utilization.
Partners with Implementation Leadership to provide assessments of potential new clients through a rapid RCM consulting-like engagement.
Establishes optimal staffing ratio and services to be provided if partnership ensues.
Provides advice and support to senior management regarding matters related to all aspects of revenue management and Credentialing.
Serves as the subject matter expert on all issues regarding payer reimbursement, accurate claim processing, claim submission, collections and other general revenue cycle management.
Responsible for improving global partners team performance and cost reduction/ efficiency initiatives to help Consensus Health scale operations.
May perform other duties as assigned.