Vice President of Revenue Cycle

Job Summary

The Vice President of Revenue Cycle (VP of RCM) for CareWell Health Medical Center reports to the CFO of CareWell Health and will oversee the hospital’s revenue cycle functions. The VP of RCM will be responsible for overseeing and managing the day-to-day functions of the Patient Financial Services Department to ensure accurate and timely patient registration, clinical coding, patient and payor billing, collections, and analysis of patient accounts receivable.

About the Role

Maintains strong relationships with hospital senior leadership. Works collaboratively with the finance team on forecasting, budgeting, and ensuring internal controls are in place regarding compliance and applicable federal, state, and local regulatory laws and rules for financial tax reporting.

Essential Functions

• Develops, leads, and improves revenue cycle workforce, processes, policies, and procedures, and technologies to ensure consistency with an effective revenue management approach.
• Oversees the management and continuous improvement of operational standards to positively impact collection, financial yield, cost of collection, accounts receivable days, and the service experience throughout CareWell Health.
• Provides regular reports to members of the Executive Leadership Team, in written and presentation formats.
• Affords effective management by providing, assessing, and teaching appropriate staff and promoting communications and feedback.
• Effectively manages information to meet the needs of the organization by creating systems, analyzing data, and providing timely reporting.
• Develops, leads, and improves revenue cycle workforce, processes, policies, and procedures, and technologies to ensure consistency with an effective revenue management approach.
• Establishes goals and matrices to measure the effectiveness of workflows and cash collections of patient accounts receivable.
• Analyzes data and makes decisive decisions based on accurate and timely analyses.
• Manages third-party data and billing requirements.
• Exhibits exceptional organizational skills and excels in a fast-paced, deadline-oriented environment.
• Specific knowledge of Patient Accounting Protocol, financial systems, third-party, state, and federal regulations, Fair Debt Collection Law, and broad knowledge of associated hospital systems and practices.
• Displays strong interpersonal skills, ability to communicate and manage well at all levels of the organization and with staff at remote locations.
• Possesses strong problem-solving and creative skills and exercises sound judgment.
• Displays high level of integrity and dependability with a strong sense of urgency and results orientation.
• Adopts an action-oriented, entrepreneurial, flexible, and innovative approach to management.
• Possesses team-building and cooperative work environment skills.

Key Areas of Responsibility

• Oversight of the hospital registration, insurance verification, financial counseling, revenue integrity, clinical documentation improvement (CDI), health information management, patient financial services, training, and overall collection of patient service revenues across the revenue cycle.
• Develops, leads, and improves revenue cycle workforce, processes, policies, and procedures, and technologies to ensure consistency with an effective revenue management approach.
• Establishs goals and matrices to measure the effectiveness of workflows and cash collections of patient accounts receivable.
• Analyzes data and makes decisive decisions based on accurate and timely analyses.
• Manages third-party data and billing requirements.
• Exhibits exceptional organizational skills and excels in a fast-paced, deadline-oriented environment.
• Specific knowledge of Patient Accounting Protocol, financial systems, third-party, state, and federal regulations, Fair Debt Collection Law, and broad knowledge of associated hospital systems and practices.
• Displays strong interpersonal skills, ability to communicate and manage well at all levels of the organization and with staff at remote locations.
• Possesses strong problem-solving and creative skills and exercises sound judgment.
• Displays high level of integrity and dependability with a strong sense of urgency and results orientation.
• Adopts an action-oriented, entrepreneurial, flexible, and innovative approach to management.
• Possesses team-building and cooperative work environment skills.

Minimum Education/Certifications

BS degree in relevant field required.

Minimum Work Experience

Minimum 10 years of leadership experience in hospital revenue cycle management role.