Vice President, Revenue Cycle Management

Med-Metrix • Parsippany-Troy Hills, NJ

3d

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
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• 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 oriented
• Excellent written and verbal communication skills required

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
• Report any detected trends in payments or denials, as well as procedural problems, to the client and make recommendations regarding the correction of these trends and/or problems
• 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
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

What This Job Offers

• Job Type: Full-time
• Career Level: Executive