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Vice President, Revenue Cycle Management- Remote

Med-Metrix · Troy Hills, NJ · 6 days ago
ManagementFull-time

About the role

The Vice President, Revenue Cycle Management will oversee the A/R team responsible for collecting outstanding insurance balances, appealing denied claims, and resolving A/R for our clients. This role has a major impact on ongoing client partnerships by demonstrating finesse with client relationships, thorough knowledge of client needs, and Revenue Cycle operational expertise.

Responsibilities

  • Provide assistance and resolution to external and internal client inquiries
  • Prepare reports or logs as required
  • Act as a technical expert regarding financial class responsibility, answering questions from clients and team members
  • Maintain current working knowledge of all healthcare-related issues and regulations
  • Report detected trends in payments or denials, as well as procedural problems, to the client and make recommendations for correction
  • Learn and comply with organizational and departmental policies and procedures
  • Analyze and solve problems quickly and thoroughly
  • Establish realistic goals and priorities concurrent with organizational objectives
  • Provide support to the Business Development team during the sales process
  • Ensure remote client access is disabled for terminated or transferred employees in a timely fashion when applicable
  • Use, protect, and disclose patients’ protected health information (PHI) only in accordance with HIPAA standards
  • Understand and comply with Information Security and HIPAA policies and procedures at all times
  • Limit viewing of PHI to the absolute minimum necessary to perform assigned duties
  • Other duties as assigned

Qualifications

  • BS in Accounting or Finance; MBA and/or CPA highly desirable
  • 10+ years in progressively responsible financial leadership roles, preferably in acute care setting or comparable Revenue Cycle company
  • Analytical and problem-solving skills; ability to understand complex reimbursement structures and apply contractual and governmental regulations to billing processes
  • Knowledge of governmental, legal, and regulatory provisions related to collection activity
  • Knowledge of insurance company practices regarding reimbursement
  • Proficiency in Microsoft Office Suite
  • Strong interpersonal skills; ability to communicate well at all levels of the organization
  • Strong problem-solving and creative skills; ability to exercise sound judgment and make decisions based on accurate and timely analyses
  • High level of integrity and dependability with a strong sense of urgency and results orientation
  • Excellent written and verbal communication skills required

Working conditions

Physical demands

While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals, and telephones; extend arms; kneel; talk and hear.

Mental demands

The employee must be able to follow directions, collaborate with others, and handle stress.

Work environment

The noise level in the work environment is usually minimal.

Technology requirement

Must possess a smart-phone or electronic device capable of downloading applications for multifactor authentication and security purposes.

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