The Vice President of Revenue Cycle Management will work to help new Practices, as well as established ones, realize improved performance through embracing developed Policies and Standard Procedures, and oversee the Central Business Offices and Third Party Contracting. In particular, this individual will ensure each practice follows best practices in revenue cycle management, conducts monthly reviews to ensure that goals are met, and helps the practice negotiate the best possible contract and re... more details
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Job Type
Full-time
Description
The Vice President of Revenue Cycle Management will work to help new Practices, as well as established ones, realize improved performance through embracing developed Policies and Standard Procedures, and oversee the Central Business Offices and Third Party Contracting. In particular, this individual will ensure each practice follows best practices in revenue cycle management, conducts monthly reviews to ensure that goals are met, and helps the practice negotiate the best possible contract and reimbursement with third-party payers.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Responsibilities
Leadership
Develops a relationship between the Practice and Central Business Office(s) that fosters trust and a collaborative approach
Develop a relationship through which physicians and staff embrace policies and stand procedures
Develops a relationship and contracts with Third Party Payers (insurances) that are in the best interest of our practices
Participates in the development and delivery of PSPs that promote excellence, superior patient care experience and improved performance
Assures the establishment of feedback loops through quality improvement strategies/programs to continually improve and refine processes
Demonstrates excellence in leadership as demonstrated by guiding the Practices to continual higher levels of performance in patient care and financial results
Fosters a positive working environment for staff; attracts and retains motivated employees and appropriately rewards positive results
Demonstrates strong relationship management skills that provide for handling challenging interpersonal situations respectfully and gracefully
Identifies and pro-acts to potential issues that will impede success
Planning and Execution
Develops a dynamic and cost effective Central Business Office(s) that can be leveraged by all partners practices to conduct payment posting, A/R Management, Cash Managements, Patient Customer Service
Develops Policies and Standard Procedures that improve performance at the practice
Negotiates contracts with Third Party Payers to acquire the best possible contract and reimbursement
Leads/participates in monthly RCM meetings to provide continuous feedback on gaps, sub-optimal performance, and inefficient workflow/processes
Conducts Reimbursement Analysis to ensure contractual reimbursements are met
Monitors and implements third party contractual changes with practices
Collaboration and Teamwork
Collaborates with the practices, Central Business Office(s) and Practice management team to ensure that best practices are implemented
Acts as liaison between the Practice and the billing system to educate how the PSPs will fill identified gaps in processes
Acts as a liaison between the Practice and Third-Party Payers to resolve contractual issues, negotiate new contracts and re-negotiate existing contracts
Assists, supports and manages efforts to ensure that the Central Business Office(s) operates in full and complete compliance with all regulatory bodies
Communication
Demonstrates effective interpersonal problem solving, as well as written/verbal communication skills
Maintains continuous communication with Practice, Central Business Office and Home Office to ensure that RCM Goals are met or Third-Party Insurance Payer issues are being addressed in a timely manner
Functional Areas
Performs Practice and Central Business Office(s) assessments to eliminate or minimize slippage of performance (i.e. not following PSPs)
Manage in a complex environment involving several parties with each one’s accompanying policy and regulatory requirements
Additional Areas of Responsibility
Manages the Central Business Office (CBO) activities, maintains a strong working relationship with the practice to ensure high quality of service is being delivered to the practices and patients
Requirements
Skills & Requirements
Bachelor’s degree or Masters in healthcare administration is preferred
Minimum of four to seven (4-7) years leadership experience in managing Central Business Offices and Insurance Contracting
Understand the principles of Policies and Standard Procedure
Embrace collaboration as essential to success
Engage in open, respectful and ongoing communication
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