Vice President, Revenue Cycle Management- Remote

Med-Metrix•Parsippany-Troy Hills, NJ
•Remote

About The Position

The Vice President, Revenue Cycle Management oversees the accounts receivable team responsible for collecting outstanding insurance balances, appealing denied claims, and resolving client accounts receivable. The role supports strong client partnerships through effective relationship management, a thorough understanding of client needs, and revenue cycle operational expertise. It also provides technical guidance, identifies payment and denial trends, supports business development, and ensures compliance with organizational, information security, and HIPAA requirements.

Requirements

  • Bachelor of Science in Accounting or Finance.
  • 10 or more years in progressively responsible financial leadership roles, preferably in an acute care setting or comparable revenue cycle company.
  • Analytical and problem-solving skills.
  • 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 ability to communicate effectively at all levels of the organization.
  • Strong problem-solving and creative skills, sound judgment, and ability to make decisions based on accurate and timely analyses.
  • High integrity and dependability, with a strong sense of urgency and results orientation.
  • Excellent written and verbal communication skills.
  • Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

Nice To Haves

  • MBA and/or CPA.
  • Experience in an acute care setting.

Responsibilities

  • Provide assistance and resolution for external and internal client inquiries.
  • Prepare reports or logs as required.
  • Serve as a technical expert on financial class responsibility and answer questions from clients and team members.
  • Maintain current working knowledge of healthcare-related issues and regulations.
  • Report payment or denial trends and procedural problems to clients, and recommend corrective actions.
  • 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.
  • Support the Business Development team during the sales process.
  • Ensure remote client access is disabled in a timely manner for terminated or transferred employees when applicable.
  • Perform other duties as assigned.
  • Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards.
  • Comply with Information Security and HIPAA policies and procedures.
  • Limit viewing of protected health information to the minimum necessary to perform assigned duties.
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