Description

Job Purpose

The Vice President, Revenue Cycle Services will have a major impact on the ongoing partnership with key clients of the organization by demonstrating finesse with client relationships, thorough knowledge of client needs and RCM operational expertise.

Duties and Responsibilities

• Oversee end to end revenue cycle service management for designated client(s
• Maintains acceptable levels of days in A/R, bad debt, and other key indicators
• Analyzes financial results, develops and implements action plans as needed
• Partners with appropriate resources on chargemaster strategic pricing, evaluates charge structure, contractual terms and conditions
• Act as a technical expert in regards to financial class responsibility for client and team members
• Develop and drive strategic initiations to optimize operating results and improved performance
• Develop strategic annual plans to achieve client KPIs
• Seek and develop opportunities for new services, revenue generation, and/or process optimization
• Conduct regular visits to client facilities for touch point meetings including account reviews (with associated data and policy analysis) as appropriate
• Report on trends in payments and/or denials; procedural issues
• Make recommendations to the client for correction of trends
• Work closely with all levels of client and Med-Metrix leadership on issues and initiates related to revenue cycle management operations
• Manages vendor and other 3rd party resources as appropriate and ensuring performance adheres to client expectations and KPIs
• Accountability for profit and loss of client RCM activities including workforce management and revenue forecasts
• Ensure all compliance and safety standards at client sites are maintained and adhered to by Med-Metrix employees
• Ensure timely and direct resolution of client issues and involve other team members as appropriate
• Ensure operational team members adapt and respect client culture nuances to result in an exceptional customer experience
• Other duties as assigned by the management team
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
• 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

Requirements

Qualifications

• Undergraduate degree; post graduate degree preferred; degrees in Accounting or Finance preferred
• 10 years of progressively responsible financial leadership roles
• Experience in healthcare consulting, sales or RCM operation management
• Detail oriented and well organized
• Ability to perform under pressure in a calm manner & maintain a positive attitude
• Excellent, customer service, verbal, written, listening and interpersonal skills
• Proficient computer skills including Microsoft Office Suite. Must have intermediate Excel skillset
• Self-motivated and resourceful with the ability to multitask and successfully operate in a fast paced, team environment
• Ability to work well individually and in a team environment
• Must adapt well to change and successfully set and adjust priorities as needed
• Strong analytical skills

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.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.