System Vice President of Revenue Cycle

System Vice President of Revenue Cycle

Job Title: System Vice President of Revenue Cycle

Salary: $211,578 - $311,064

Job Summary: The VP Revenue Cycle will lead the integrated financial functions related to Accounts Receivable to contribute to optimal reimbursement for all services provided. Oversee all administrative functions that contribute to the patient access, HIM, coding, CDI, authorizations, charge capture, billing, and collection of patient service revenue. Will be responsible for enhancing and maintaining a properly functioning revenue cycle process through a cross department organizational structure and dual reporting relationship to the CFO and CEO.

Will work on collaborating with hospital management and support of operations to ensure appropriate charge capture and reimbursement for services that are in compliance with all billing requirements. Work closely with hospital leaders to ensure the charges are flowing timely and accurately.

Critical responsibilities include achievement of annual and periodic goals for significant statistical indicators under revenue cycle performance. Will serve as the functional representative in leadership meetings regarding revenue cycle improvements and initiatives. Will maintain a focus on continuous improvement within the area of influence and deliver the highest degree of quality service possible. The VP will work on special projects as directed by the CFO and COO.

Actively and consistently contributes to department operations and communications, behaves in a manner consistent with the mission, vision, and values of Pipeline Health, upholding standards of AIDET (Acknowledge, Introduce, Duration, Explanation, Thank you) patient communication.

Essential Functions:

• Lead the strategic planning of and revenue cycle functions, including establishing the vision, mission, short-term and long-term goals.
• Plan, implement, direct, and evaluate revenue cycle functions on a strategic and operational level to support the vision, mission, and strategic plan.
• Complete (or contribute to the completion of) various financial forecasts, including direct expenses, month-end financial reporting, receivables levels (days in AR and aging), cost center productivity, and any long-range strategic plans for the department.
• Direct/Collaborate the administration and measurement of activities across the enterprise to achieve the best possible outcome and financial return through innovative programs related to the strategic direction of the organization.
• Establish, build and sustain professional contacts with key stakeholders internally and externally.
• Serve as a resource to leaders across the organization looking to enhance revenue cycle processes and outcomes.
• Identify opportunities in the use of existing and new administrative and clinical information technology and decision-support tools to improve care management and revenue cycle performance efficiency and productivity.
• Leverage the use of administrative and clinical information technology and decision-support tools in process and performance improvement related to patient access, care management, patient financial services, health information management, and revenue integrity.
• Actively sponsor the utilization and continuous upgrade of information management capabilities to meet current and future organizational needs related to revenue cycle.
• Monitor key performance indicator utilization reports and evaluate variances; recommend interventions for variance corrections.

Behavioral Standards:

• Treats everyone as their customer; utilizes scripting and other tools to ensure consistency in customer service; expresses recognition and shows appreciation to others; fully utilizes AIDET principles; responds quickly to handle requests, complaints, and questions; displays a positive attitude.
• Demonstrates the highest level of professionalism, passion and care when interacting with patients, families, physicians, and hospital staff members.
• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential, embracing ingenuity to service our customers.

Communication/Knowledge:

• Wears nametag properly; follows dress code policy; answers phone correctly and promptly; is prepared for meetings; meets deadlines; does not participate in gossip; acts ethically and treats others with respect; respects customer's and co-worker's time; establishes and maintains effective relationships with customers and co-workers.

Collaboration/Teamwork:

• Attends staff meetings; follows HIPAA guidelines; follows patient rights policy; complies with the compliance program.

Experience:

• Extensive knowledge of case management, patient registration, medical records, clinical documentation improvement, patient accounting, billing and revenue integrity management functions, process improvement preferred.
• Demonstrated leadership and management skills.
• Excellent written and verbal communication skills.
• Experienced in financial management, case management and personnel communication

Qualifications

Education:

Masters or better in Business Administration.

Experience:

FHFMA, CPA, CCM, CMA, or CIA certification, preferred.

Licenses & Certifications:

WPV Tier I