Vice President, Revenue Cycle Management

Med-Metrix•Parsippany-Troy Hills, NJ

About The Position

The Vice President, Revenue Cycle Management will oversee the A/R team responsible for collecting outstanding insurance balances, appealing denied claims, and resolving A/R for our clients. The Vice President, Revenue Cycle Management will have a major impact on the ongoing partnership with clients by demonstrating finesse with client relationships, thorough knowledge of client needs and Revenue Cycle operational expertise.

Requirements

BS in Accounting or Finance, MBA and/or CPA highly desirable
10+ years in progressively responsible financial leadership roles, preferably in acute care setting or comparable Revenue Cycle company
Analytical and problem solving skills, the ability to understand complex reimbursement structures and the ability to apply contractual and governmental regulations to billing processes
Knowledge of governmental, legal and regulatory provisions related to collection activity
Knowledge of insurance company practices regarding reimbursement
Team building and cooperative work environment preferred
Strong interpersonal skills, ability to communicate and manage well at all levels of the organization and with staff at remote locations essential
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results-orientation
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.

Nice To Haves

MBA and/or CPA highly desirable
Team building and cooperative work environment preferred

Responsibilities

Provide assistance/resolution to external and internal client inquiries
Prepare reports or logs as required
Act as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team members
Maintain a current working knowledge of all healthcare related issues and regulations
Responsible for reporting any detected trends in payments or denials, as well as procedural problems, to the client. Recommendations regarding the correction of these trends and/or problems should also be reported.
Maintain a professional attitude
Learn and comply with organizational and departmental policies and procedures
Analyze and solve problems quickly and thoroughly
Establish realistic goals and priorities concurrent with organizational objectives
Provide support to the Business Development team during the sales process
Responsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashion
Understand and comply with Information Security and HIPAA policies and procedures at all times and ensure all direct reports are trained and in compliance of said policies and procedures at all times
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards and enforce such for all direct reports
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties for your respective team
Report any security or HIPAA violations or concerns for your team to the HIPAA Officers in a timely fashion