Job Description

The Vice President Revenue Cycle Hospital Billing for the Mount Sinai Health System (MSHS) is accountable for Hospital Billing performance across the medical center. The Vice President will report to the Chief Revenue Officer of the MSHS.

The Vice President of Hospital Billing is a senior leader within the Revenue Cycle structure responsible for overseeing all hospital billing operations, ensuring accuracy, compliance, and efficiency in the billing process. This role drives strategic initiatives to optimize revenue capture, enhance patient financial experience, and strengthen organizational financial performance. The VP will serve as a key partner to clinical, financial, and operational leaders, aligning billing practices with organizational goals and regulatory requirements.

Responsibilities

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1. Provides strategic direction for hospital billing operations within the broader revenue cycle framework.
2. Develop and execute initiatives to improve billing accuracy, timeliness, and compliance.
3. Establish performance metrics and accountability structures to monitor and enhanced departmental outcomes.
4. Oversee daily billing operations, including claims processing, denials, management and collections.
5. Implement best practices and technology solutions to streamline workflows and reduce errors.
6. Establishes and maintains strong working relationships with Revenue Cycle leaders, key stakeholders, and fosters a strong working relationship with key strategic partners.
7. Maintains strong understanding of revenue performance metrics and payer mix and leads team in building plans to support operational departments to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.
8. Ensure compliance with federal, state, and payer regulations, including HIPAA and CMS guidelines.
9. Effectively collaborates with finance on month end revenue performance, identifying trends and opportunities for optimization.
10. Drives initiatives to maximize net revenue through effective billing practices and denial prevention.
11. Partner with finance teams to forecast monitor, and report on billing performance and revenue cycle KPIs.
12. Leads efforts to reduce accounts receivable days and improve cash flow.
13. Develops options, communicates, and builds support for recommendations to allow the organization to meet changing environment/regulatory requirements and to ensure the MSHS receives appropriate reimbursement for services provided.
14. Leads development and implementation of consistent policies, procedures, and productivity standards to improve operations.
15. Maintains strong customer relationships with key strategic partners.
16. Ensures appropriate functional strategic partners are engaged throughout the process.
17. Monitors and provides regular reporting to senior management on key performance metrics (e.g., actual versus expected results for financial targets)
18. Brings developing issues and recommended actions to the attention of senior leadership and governance committees.
19. Develops, maintains, and ensures compliance with standardized policies, processes, and programs throughout the MSHS.
20. Oversees activities with Compliance to ensure communication, coordination, policies/protocols, and audits are monitored and effective.
21. Develops a high-performing team as measured through the achievement of benchmark process outcomes, audit and compliance results, financial goals, and employee satisfaction.
22. Stays current with government regulations regarding billing and charging requirements.
23. Establish goals, objectives, and budgets for assigned areas, and monitors/manages to ensure achievement once approved.
24. Ensures all HIPAA privacy and security standards are adhered to.
25. Conforms to the established policies/ procedures/ processes/ Standards of Behavior and ensures assigned staff do so as well.
26. Performs other duties as required by the CRO or other C-level officers.

ESSENTIAL FUNCTIONS OF POSITION:

• Ability to perform duties and responsibilities promptly and consistently with little direct supervision in planning and organizing his/her work.
• Ability to objectively appraise and analyze the qualifications and performance of others as well as the ability to plan and direct their activities.
• Ability to judge the appropriate action in response to changes, circumstances or problems.
• Ability to effectively manage change and be capable of implementing new courses of action.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

• Deep knowledge of healthcare billing regulations, payer requirements, and compliance standards.
• Excellent interpersonal skills, experience with making presentations to, and dealing with senior management and other C-suite leaders.
• Proven track record of leading large teams and driving measurable improvements in billing performance.
• Strong leadership skills to motivate cross-departmental teams' performance towards excellence using team concepts and consensus-building management styles.
• Advanced/ effective interpersonal, written/ verbal communication, and presentation skills, along with the ability to communicate complex finance concepts to others without a finance background.
• Demonstrated ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/ or agendas, leading to outcomes that meet identified goals.
• Experience in revenue cycle technology platforms and emerging AI solutions.
• Ability to enlist cooperation and build teams committed to carrying out initiatives in environments that may be resistant to change and not under the incumbent's direct authority.
• Strong analytical, communication, and leadership skills with the ability to influence across the organization.
• The ability to maintain a high level of positive energy/ creativity during periods of elevated work demands.
• Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes.
• Ability to develop and maintain effective relationships at all levels throughout the organization.
• Strong leadership, communications, and analytical skills.

Qualifications

Experience

• Minimum of 10 years of progressive leadership in hospital billing or revenue cycle management.
• Epic expertise strongly preferred.
• Deep knowledge of healthcare billing regulations, payer requirements, and compliance standards.
• Proven track record of leading large teams and driving measurable improvements in billing performance.

Education: Bachelor's Degree Required; Master's Preferred

WORKING CONDITIONS:

Normal corporate office environment in an academic health system.

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $ - $ . Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.