Senior Revenue Cycle Advisor (Professional Billing)

Located in Nashville, Tennessee, Vanderbilt University Medical Center (VUMC) operates at a global crossroads of teaching, discovery, and patient care. VUMC is a community of individuals who come to work each day with the aim of changing the world through expertise, continuous learning, and challenge. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where uniqueness is celebrated.

About the Role

Evaluates revenue cycle performance operations independently. Ensures appropriate reimbursement of professional and technical services, serving as a liaison between clinic departments and the revenue cycle.

Responsibilities

• Acts as a liaison between clinical departments and revenue cycle, collaborating to solve problems using critical thinking skills.
• Applies project management and leadership skills to facilitate problem-solving and account management.
• Prepares and presents data, trends, and KPIs to physicians and administrators.
• Demonstrates generalist revenue cycle experience (patient registration, billing, collections, provider enrollment, contract management, etc.).
• Understands financial statements.
• Designs, plans, and implements billing procedures and systems for new services to ensure effective billing operations.
• Manages performance of the billing function concerning established operating standards.
• Facilitates necessary training and oversight to ensure competency in billing compliance and regulatory matters.
• Engages in continuous process improvement initiatives to ensure high-quality and cost-efficient billing and collection operations.
• Collaborates with various areas in the finance department to achieve optimal workflows supporting operations.
• Additional duties may be assigned as needed.

Technical Capabilities

• Revenue Cycle (Advanced): Knowledge of the financial process to track patient care from registration and scheduling to the final payment of a balance.
• Problem Solving (Advanced): Uses critical thinking and process improvement to develop problem statements, identify root causes, create future states, and develop sustainable solutions and action plans.
• Process Improvement (Advanced): Identifies, analyzes, and improves existing business processes for optimization and to meet quality standards.

Core Accountabilities

• Organizational Impact: Independently delivers on objectives with an understanding of their impact on own area/team and related teams.
• Problem Solving/Complexity of Work: Utilizes multiple data sources to analyze and resolve complex problems; may take new perspectives on existing solutions.
• Breadth of Knowledge: Possesses advanced knowledge within a professional area and basic knowledge across related areas.
• Team Interaction: Acts as a resource for colleagues with less experience; may lead small project teams.

Core Capabilities

• Supporting Colleagues:
  • Develops Self and Others: Invests time and energy in developing self and others to improve performance and gain knowledge.
  • Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders to expand and strengthen relationships.
  • Communicates Effectively: Recognizes group interactions and modifies communication style to suit different situations and audiences.
• Delivering Excellent Services:
  • Serves Others with Compassion: Seeks to understand current and future needs of stakeholders and customizes services accordingly.
  • Solves Complex Problems: Approaches problems from different angles to identify new opportunities and develop concrete solutions.
  • Offers Meaningful Advice and Support: Provides ongoing support and coaching to increase employees' effectiveness.
• Ensuring High Quality:
  • Performs Excellent Work: Engages in regular dialogue about quality and addresses issues promptly.
  • Ensures Continuous Improvement: Looks beyond symptoms to uncover underlying causes of problems and identifies solutions.
  • Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks.
• Managing Resources Effectively:
  • Demonstrates Accountability: Focuses on and drives critical issues to closure.
  • Stewards Organizational Resources: Applies understanding of departmental work to manage resources effectively.
  • Makes Data-Driven Decisions: Demonstrates a strong understanding of data to identify and elevate opportunities.
• Fostering Innovation:
  • Generates New Ideas: Proactively identifies new ideas/opportunities to improve processes beyond conventional approaches.
  • Applies Technology: Demonstrates enthusiasm for learning new technologies, tools, and procedures.
  • Adapts to Change: Views difficult situations/problems as opportunities for improvement and embraces change.

Requirements

• Bachelor’s degree.
• 7+ years of experience in the revenue cycle.
• Proficient in Microsoft Office (Word, Excel, PowerPoint, Visio).
• Experience working in EPIC preferred.

Benefits

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement, and/or wellness offerings to enhance your well-being and professional growth.