Vice President, Transformation Services

Duties And Responsibilities

• Lead and drive revenue cycle transformation initiatives to maximize efficiency and effectiveness of full end-to-end revenue cycle operations and services for clients
• Provide strategic guidance and support to external and internal stakeholders on revenue cycle optimization initiatives and activities
• Prepare comprehensive reports, presentations and documentation as required to monitor, evaluate and communicate the effectiveness of revenue cycle initiatives
• Act as a subject matter expert on revenue cycle practices and operations, addressing inquiries from clients and team members
• Responsible for tightly monitoring analytics to report progress on any detected trends in payments, denials and procedural problems to the client and developing recommendations regarding the execution of corrective actions
• Stay abreast of healthcare industry trends, regulations, and managed care contracts, and provide recommendations to clients regarding payment trends, denials, and process improvements
• Maintain a positive and professional demeanor with clients and team members
• Ensure compliance with organizational and departmental policies and procedures
• Analyze and resolve complex problems efficiently, ensuring timely and accurate resolutions
• Establish realistic and measurable goals and priorities aligned with organizational objectives
• Effectively communicate with various stakeholders, including patients, colleagues, insurance companies, hospital staff, and clients
• Demonstrate familiarity with insurance company practices pertaining to reimbursement processes
• Collaborate with the Business Development team during the sales process, providing revenue cycle expertise and support
• Oversee the timely disablement of remote client access for terminated or transferred employees, when applicable
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred
• Proven experience in a leadership role within revenue cycle services, preferably in a healthcare hospital-based healthcare setting
• Strong understanding of revenue cycle management principles and practices, with a demonstrated ability to deliver high-quality services to clients
• Possess knowledge of state and federal governmental, legal, and regulatory provisions related to front-end, middle and backend revenue cycle operations
• Excellent leadership skills, including the ability to motivate, mentor, and develop a high-performing team
• Proficiency in revenue cycle management systems, electronic health records (EHR), and client management tools
• Ability to adapt to a fast-paced and changing environment, managing multiple priorities and deadlines effectively
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the 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 oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction