Vice President, Revenue Cycle Management

Family & Children's Services Career Center•Tulsa, OK

About The Position

The Vice President of Revenue Cycle Management provides strategic leadership for revenue cycle management, RCM software implementation, performance analysis, transitions, payer relations, and contract implementation in a CCBHC environment. The role drives and optimizes the revenue continuum using industry best practices, lean office methodology, automation, technology, and data analytics. The VP stays current on developments in revenue cycle management, technology, access management, and payer contracting, including managed care, and ensures operations comply with federal and state regulations and payer requirements. The position works closely with other departments and clinical leadership to improve operational efficiency, accuracy, and compliance. The VP oversees end-to-end revenue cycle operations and the RCM team, including enrollment, billing, payment processing, denials management, and collections. The role leads billing accuracy and timeliness, develops and reports performance indicators, chairs the Revenue Cycle Committee, and uses business intelligence to identify trends and improve outcomes. It also manages Medicaid managed care contracts and payer relationships, supports contract performance and reimbursement issue resolution, and collaborates with compliance and legal teams on policies, training, and risk management. A bachelor's degree in Healthcare Administration, Business, Finance, or a related field is required; a master's degree is preferred. Extensive experience with progressively increasing responsibilities may be considered in lieu of a bachelor's degree if the candidate agrees to obtain one. The role requires at least 10 years of progressively responsible leadership experience in revenue cycle and related operations in a complex healthcare environment, including at least five years in senior leadership. A valid driver's license and satisfactory driving record are required, along with use of a personal automobile for travel to locations other than the primary office and proof of automobile insurance. This is classified as a safety-sensitive position subject to drug and alcohol testing, including random testing.

Requirements

Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or extensive progressively responsible experience with agreement to obtain a bachelor's degree.
At least 10 years of progressively responsible leadership experience in revenue cycle and related operations in a complex healthcare environment.
At least five years of experience in senior leadership.
Experience with end-to-end revenue cycle management, billing, receivables, credentialing, claims processing, and payer relations.
Extensive healthcare industry knowledge, including billing processes, revenue optimization, medical coding, reimbursement methodologies, and regulatory compliance.
Track record of strategic leadership and successful project management.
Comprehensive knowledge of the revenue cycle, medical coding, reimbursement methodologies, industry best practices, and healthcare regulations and compliance standards, including ICD-10, CPT, HCPCS, HIPAA, Medicare, and Medicaid.
Proficiency with revenue cycle management software, EHR systems, billing software, and data analytics.
Strong analytical, organizational, and project management skills, including the ability to interpret complex data and make evidence-based decisions.
Proficiency in financial concepts, problem-solving, and multitasking, including resolving issues involving billing, denials, reimbursement, and revenue optimization.
Leadership and strategic thinking skills, including the ability to develop high-performing teams and execute a revenue cycle strategy aligned with organizational goals.
Excellent communication and collaboration skills, and expertise in change management and decision-making.
Valid driver's license and satisfactory driving record.
Must use a personal automobile to travel to locations other than the primary office and provide proof of automobile insurance.
Subject to drug and alcohol testing, including random testing, due to the safety-sensitive job classification.

Nice To Haves

Master's degree preferred.
Certified Professional Biller (CPB), Certified Revenue Cycle Professional (CRCP), or Healthcare Financial Management Association certification is a plus.

Responsibilities

Create synergies and streamline workflows across the revenue cycle by implementing efficient, compliant processes.
Alert F&CS leaders to impactful developments, maintain key performance indicators, and contribute to strategic planning, budgeting, and work plans.
Oversee the revenue cycle management team and optimize end-to-end operations, including enrollment, billing, payment processing, denials management, and collections.
Implement best practices to minimize billing errors and collaborate with senior clinical leadership on performance improvement.
Lead the billing process, ensuring coding accuracy, compliance, and timeliness.
Drive automation and uniformity through technology and continuously improve revenue cycle performance while adhering to policies and procedures.
Chair the Revenue Cycle Committee and use business intelligence to analyze trends, reduce claim denials, and identify process improvements.
Establish and report revenue cycle KPIs, define performance expectations, and provide routine feedback.
Use business intelligence to optimize revenue cycle performance and report consistently to promote transparency and accountability.
Manage Medicaid MCO contracts and ensure compliance with applicable guidelines and regulations.
Analyze performance metrics and ensure billing practices align with contract terms.
Collaborate with internal departments and external partners to optimize contractual arrangements and resolve issues.
Serve as the primary payer liaison, maintain relationships, and facilitate communications.
Monitor contract performance, resolve reimbursement issues, and recommend new payer relationships or products.
Ensure adherence to healthcare regulations, coding guidelines, and billing compliance standards.
Collaborate with compliance and legal departments to develop policies and educate team members.
Support staff training and maintain strategies to identify and analyze organizational risks, alerting F&CS leadership as needed.
Travel to locations other than the primary office using a personal automobile.