Vice President of Revenue Cycle

The Vice President, Revenue Cycle is responsible for the strategic oversight, optimization and day to day operation of the system-wide revenue cycle for the Hospital. S/he will establish a metric driven approach to managing the department and reporting on performance. The Vice President will help design the future service model that will support the revenue cycle function for the system, while providing exceptional customer experience and ensuring the collection of all revenue due. S/he will develop a culture that is conducive to effective teamwork by recognizing both the internal and external customers and will embrace and model the organization's values of patient centered care. Personal commitment will be demonstrated through open and clear communication, appropriate utilization of resources, recognition of opportunities for quality improvement, and the demonstration of a proactive approach to problem solving. Additionally, s/he will model personal compliance with organization policies.

Responsibilities:

Directing the activities and systems related to those departments under the Revenue Cycle umbrella that include:

·Patient Financial Services for hospital and professional services

·Hospital/facility-based patient access

·Financial Counseling

·Revenue Integrity

·Clinical documentation, coding and compliance, including benchmarking and education

·Health information services

·Leads the revenue cycle automation strategy, including identification, prioritization, value modeling, deployment, and continuous optimization of automation technologies (e.g. RPA, AI/ML, autonomous prior authorization, generative AI, etc.), ensuring measurable throughput improvement, reduction in avoidable manual work, and improved collection yield.

·Manage the day-to-day activities of a large team of professionals.

·Communicate clear near-term and long-term plans, including measurable improvements and ongoing maintenance of key performance indicators.

·Creation, maintenance and ongoing evolution of systems and processes necessary to create best practice metrics including A/R days, DNFB days, CFB days, aged A/R over 90 days, payer denial rates and write offs, point of service collections, bad debt recoveries, self-pay yield, charge lag time, credit balance days and cost to collect.

·Collaborates with other areas of Finance including Payor Strategy/Managed Care, Reimbursement Services, Financial Planning and Analysis, and Accounting to support enterprise initiatives.

·Coordinates decentralize revenue cycle departments including Information Services Revenue Cycle support, Centralized Scheduling, and other decentralized scheduling and patient access departments to ensure revenue cycle alignment.

·Collaborates with operational leaders, both administrative and clinical, across the organization.

·Coordinates and collaborates with the VP of Internal Audit/Compliance to ensure billing complies with the various regulations

·Develop and maintain rapport with insurance payers and vendors; hold external entities to contracts and a high level of performance

·Serves as the external marketing face for revenue cycle and as such represents the Hospital in the appropriate and assigned venues such as OHA committees, legislative conferences, CHA meetings, Epic user groups and appropriate HFMA chapter events.

·Participates in management decisions, communicates support and participates in the implementation of policies, programs and changes.

·Maintains excellent relationships with management, physicians and staff.

Education and Experience:

·Bachelor’s degree in business, Accounting, or related field.

·Years of Relevant Experience: Ten (10) years’ progressive experience in healthcare revenue management required.

·Years of Supervisory Experience: Five (5) years' experience in a leadership capacity.

·Demonstrated competency and senior operational leadership experience in a large, complex organization with multiple locations and matrix accountabilities.

·Demonstrated strategic thinking, keen judgment and planning skills; recognized commitment to and skill in working in and developing teams; demonstrated ability to achieve results and to develop people; sound fiscal judgment.

·Possesses superior communication skills both written and verbal. Has the ability to effectively present information and respond to questions from groups of managers, staff, physicians. Has the capacity to present in front of a large group and communicate to senior management and to Board of Directors.

·Proven record of accomplishment in developing and monitoring scorecards to manage revenue cycle operations.

·Ability to successfully perform within a metric driven healthcare delivery system.

·Possess the emotional intelligence to resolve stressful professional situations.

Preferred:

·Master’s degree in business administration, Accounting, Healthcare, or related field.

·Children's Hospital revenue cycle experience.

·In-depth knowledge of Medicaid billing.