VP of Revenue Cycle
Company: Healthcare/Hospitals/Clinics, Irvine, CA
Posted on: March 16, 2019
The Vice President of Revenue Cycle will lead all facets of development, implementation, optimization and delivery of high quality, cost effective Revenue Cycle management. Reporting to the Corporate Controller, the Vice President of Revenue Cycle role offers a fantastic opportunity to bring an entrepreneurial vision to an established revenue team. This position requires a thorough understanding of assisted living community billing, home care, hospice and SNF medical claims billing process, and specifically, knowledge of the coding and collection process. The role requires versatility as a key success factor with the ability to operate strategically at all levels within the organization as well as the ability to move between the strategic vision and the day-to-day tactical needs is a must. Responsibilities: Financial Ensure the operating effectiveness of the Revenue Cycle from the point of service capture through cash collections. Monitor accounts receivable activity and initiate appropriate corrective measures as needed. Oversees payment posting and reconciliation to bank statements. Management of Monthly Adjustments and Bad Debt Assignments. Technical Oversees and provides input to ensure all systems are functional in categories such as dictionary file, data elements, interface and mapping, payer specificity, file transmission, billing software, fee schedules, etc. Knowledge of federal and state regulations. Knowledge of government and commercial payer regulations. Knowledge of billing and collections protocols for assisted living communities, home care, hospice, and SNF billing. Knowledge and handling of protected health information in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Operational Oversee the day-to-day operations of the business office as they relate to the Revenue Cycle ensuring adherence to policies and procedures. Develop and enhance key financial metrics required to analyze the overall effectiveness of the Revenue Cycle process. Manages staff for timely credentialing. Focus on continual process improvement, automation opportunities, and change management in various receivables and EHR systems. Ability to analyze, review and ensure automation of billing and collections processes. Qualifications: Bachelor’s Degree in finance, accounting, or management. 7 years managing the revenue cycle of a healthcare organization. 12 years of progressive industry experience. Knowledge of receivables software, billing platforms, and EHR systems. Strong written and oral communication skills with the ability to influence at all levels within the organization. Advanced skills with Microsoft applications including Word, Excel, and Outlook. Preferred: Experience with Homecare Homebase, PCC, ClearCare and Yardi systems MBA, MHA, or similar graduate degree
Keywords: Healthcare/Hospitals/Clinics, Irvine, CA, Irvine , VP of Revenue Cycle, Executive , Irvine, California
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