Job description
Cardiovascular Services of America (CVAUSA), the largest private and independent cardiology network in the United States. Our inclusive and diverse network brings together top cardiovascular specialists thought leaders who offer regional perspectives and a broad strategic vision for the future of patient care.
We are seeking a VP - Revenue Cycle Management who will be responsible the oversight of developing and executing revenue cycle strategy and operations in support of the overall business objectives and relationship management of the organization. The VP of Revenue Cycle Management has a deep, cross-functional focus on revenue cycle optimization, including opportunity analysis, process optimization, and data system development to support thorough, timely revenue capture and retention.
Required Skills and Experience:
- Develop and provide national support to revenue cycle management operations for the organization.
- Direct and oversee overall policies, procedures, and initiatives of the organization's revenue cycle activities to maximize revenue, minimize expense, and optimize overall financial and operational performance.
- Review, design, and advise on implementing processes across the various medical practice groups as requested. Includes focus on pre-registration, registration, charge capture, claim submission, remittance processing, insurance follow-up and patient collections to ensure that clinical revenue cycle is highly efficient and effective.
- Establish and/or revise policies & procedures to ensure compliance with and responsiveness to regulatory requirements and changes.
- Track and report key performance metrics.
- Coordinate with stakeholders across the organization to drive optimal financial and operational performance.
- Manage relations with all key stakeholders including portfolio company leaders and managers, third-party vendors and consultants, healthcare providers, and payers to achieve optimal RCM performance.
- Consults with management to identify and pursue revenue improvement opportunities through process improvement and data management review.
- Develops and presents ROI-based recommendations to executive leadership, regarding process changes, revenue capture opportunities, staffing changes, or training opportunities that accelerate or maximize revenue collections
- Collaborates with operational and clinical leadership to improve revenue.
- Close collaboration with credentialing and payor contracting functional teams
- Plans, tracks and forecasts corresponding revenue improvements.
Qualifications:
- Bachelor’s degree in business, healthcare management, finance, or a related field is required. Master's degree preferred.
- Proven track record of successfully implementing revenue cycle improvements and achieving financial targets.
- Ability to build and maintain effective relationships with internal and external stakeholders.
- 10+ years in proven, progressive experience in healthcare receivables management, including significant experience in primary care and multi-specialty medical groups.
- 10+ years of leadership experience in a dynamic, high growth, matrixed reporting environment.
- Hands-on approach to leadership and management – will be directly interfacing at all levels of the organization from C-suite to office managers, day-to-day.
- Extensive experience for planning, organizing, and advising and directing RCM operations.
- Strong knowledge of benchmarks for metrics and revenue cycle performance.
- In-depth knowledge of the correlational impacts of RCM functions across the organization.
- Must have extensive experience in leading reimbursement strategy.
- Proven ability to manage and effectuate change.
- Strong knowledge of federal and state collection laws, third-party payer and regulatory requirements.
- Strong communication and interpersonal skills with a high degree of professionalism in dealing with staff at all levels.
- A highly respected leader with excellent relationship building skills.
- Demonstrated project management and performance improvement skills.
- Ability to work in a complex environment with the skills to manage multiple projects and deadlines, establish priorities, set objectives, and achieve stated goals.
- Ability to analyze, assimilate and proactively anticipate factors with potential accounts receivable and reimbursement impact.
- Ability to analyze and evaluate data and make appropriate decisions or recommendations.
- Must have in-depth knowledge and experience working with systems such as EPIC, NextGen, Athena, eClinicalWorks, etc.
- Ability to travel is required
It would be great if you had:
- MBA or MHA from a leading program/institution
- Prior executive experience
- Experience in value-based revenue generation and the corresponding medical economics
- Experience working in a medical practice environment with multiple locations
- Experience within high growth startup environments
CVAUSA offers a competitive compensation package including a bonus potential and benefits package for its employees.
Job Type: Full-time
Pay: $140,000.00 - $170,000.00 per year
Medical specialties:
- Cardiology
Schedule:
- 8 hour shift
Work Location: Remote