Facilitate business reviews with operational stakeholders
Stay informed on organizational objectives and industry trends
Collaborate to maintain strong intercompany relationships
Support vendor implementations and process improvement initiatives
Benefits
Strong community ties through advisory boards and outreach
Investments in employee development and technology
High-quality care and extraordinary results
Recognized as one of healthcare's best employers
Opportunities for professional growth and advancement
Full Job Description
POSITION SUMMARY:
The Vice President, Revenue Cycle Management will have primary oversight of Ardent's revenue cycle processes and revenue cycle management vendor partner. This role is accountable for the measurement and analytics of vendor performance to ensure service level agreements are met and operational effectiveness is maintained for the entire revenue cycle process including Front-End (Registration, Financial Counseling, Scheduling, Insurance Verification, Authorizations, Pre-Registration), Middle (HIM Operations, Coding and Coding Education, CDI Program Management, DRG Validation, Revenue Integrity Services) and Back-End (Billing/Claims Processing; Collections/AR Management, Cash Services/Credit Balances, Denials/Underpayments, Customer Service/Self Pay Flow, Correspondence, Dedicated Analytics).
Responsibilities
Manages outsourced revenue cycle vendor relationship and serves as organization's point of contact and liaison, both internally and externally.
Tracks and manages performance of vendor ensuring an optimal level of performance to meet targeted KPIs and reporting metrics.
Facilitates necessary onsite or remote business reviews with key operational stakeholders.
Maintains awareness of organizational objectives and monitor industry developments and trends that may affect organizational direction with vendor.
Works proactively and collaboratively to maintain strong intercompany relationships.
Provides support in all vendor implementations and process improvement efforts.
Qualifications
Education & Experience:
Bachelor's degree
15+ years of leadership experience in Revenue Cycle Management.
Experience in large, multi-facility organization.
Multi-state experience, preferred.
Knowledge, Skills & Abilities:
Deep understanding of denials management and payor behavior
Denials management skills that include constant monitoring with ability to pivot and address issues in a proactive manner
Proven track record that shows ability to assess and solve NR service line optimization opportunities
Command of prior authorization workflows and demonstrated ability to influence change
Skilled in scheduling optimization solutions
Chargemaster optimization
Payor Contract compliance
Ability to create specific service line and payor goals in a manner that provides clear roadmaps to success for our leaders
Comfortable presenting to large audiences
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About Ardent Health Services
Ardent Health Services is a healthcare company that operates hospitals and other healthcare facilities in the United States. The company was founded in 1993 and is headquartered in Nashville, TN. Ardent Health Services is committed to providing high-quality healthcare services to patients and their families. The company's mission is to improve the health of the communities it serves by providing compassionate, personalized care.
