Vice President, Revenue Cycle Management - Hospital Experience Required

Med Metrix•Arlington, VA

About The Position

The Vice President, Revenue Cycle Management oversees the A/R team responsible for collecting outstanding insurance balances, appealing denied claims, and resolving accounts receivable for clients. This role has a significant impact on client partnerships through effective client relationship management, a thorough understanding of client needs, and revenue cycle operational expertise. The position provides assistance and resolution for internal and external client inquiries, prepares reports and logs, and serves as a technical expert on financial class responsibility. It maintains current knowledge of healthcare issues and regulations, identifies and reports payment or denial trends and procedural problems to clients, and recommends corrective actions. The role also supports Business Development during the sales process and ensures timely removal of remote client access for terminated or transferred employees when applicable. The employee must comply with organizational and departmental policies, protect and use patient protected health information (PHI) in accordance with HIPAA, and follow Information Security and HIPAA policies. PHI access must be limited to the minimum necessary to perform assigned duties. The position requires a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes. The work environment is usually minimally noisy. The employee must be able to follow directions, collaborate with others, and handle stress.

Requirements

10 or more years in progressively responsible financial leadership roles, preferably in an acute care setting or a comparable Revenue Cycle 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 well at all levels of the organization.
Strong problem-solving and creative skills, sound judgment, and the ability to make decisions based on accurate and timely analyses.
High integrity and dependability, a strong sense of urgency, and a results-oriented approach.
Excellent written and verbal communication skills.
Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.
Ability to follow directions, collaborate with others, and handle stress.

Nice To Haves

BS in Accounting or Finance.
MBA and/or CPA is highly desirable.
Experience in an acute care setting or comparable Revenue Cycle company.

Responsibilities

Provide assistance and resolution to external and internal client inquiries.
Prepare reports or logs as required.
Act as a technical expert regarding financial class responsibility and answer questions from clients and team members.
Maintain a current working knowledge of healthcare-related issues and regulations.
Report 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.
Provide support to the Business Development team during the sales process.
Ensure remote client access is disabled in a timely fashion for terminated or transferred employees when applicable.
Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards.
Comply with Information Security and HIPAA policies and procedures, and limit PHI access to the minimum necessary.
Perform other duties as assigned.