Vice President, Revenue Cycle

Company: Acuity Eye Group
Location: Arcadia
Posted on: March 18, 2023

Job Description:

Description:
Vice President, Revenue Cycle

The Vice President, Revenue Cycle manages and oversees the authorization, coding, billing, claims and collections for the Company. The Vice President, Revenue Cycle is responsible for maximizing the productivity and minimizing the errors of the Billing Department using structured auditing and reporting methodologies combined with follow-up training. The Vice President, Revenue Cycle will assume a strategic and practical role in the finance department to include day-to-day responsibility for billing processing and strategy, planning, management and analysis, and policy development.

ESSENTIAL FUNCTIONS:
To perform this job successfully, an individual must be able to perform each essential function satisfactorily with or without accommodation. The requirements listed below are representative, but not all inclusive, of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Drive Enterprise-wide revenue cycle function including developing strategic direction for the function, delivering on the operational & financial goals, and identifying, analyzing, implementing solutions to critical revenue cycle issues..
Oversees the day-to-day activities of the authorization, verification, eligibility, invoicing and collections departments.
Oversees denials Management, including reporting, accountability and resolution.
Protects confidentiality within the parameters of federal guidelines and established policy and process as well as compliance with payer and provider contracts
Leads in development and implementation of policies/procedures to assure compliance with new regulatory standards affecting billing/revenue
Managing, training, and coaching individual team members, including creating personnel development and succession plans and partnering with HR as needed to maintain an engaged and productive team
Develop and maintain strong relationships with stakeholders, including executive leadership, to ensure alignment with organizational goals and priorities.
Summarizes and communicates revenue cycle successes, challenges, and trends to the executive team.
Monitor and evaluate the performance of Revenue Cycle KPIs to ensure services meet, or exceed agreed upon benchmarks.
Identify, develop, and implement strategies and solutions to improve the effectiveness and efficiency of the revenue cycle processes.
Collaborates with the Finance team to manage the month-end close, cash flow forecasting and annual audit processes.
Partner with the contracting team to manage the modeling and negotiation process, evaluate proposals, and provide guidance to executive leadership on the financial impact and viability of the contract.
Work closely with Finance and IT team to translate contract changes and analytics including support on the financial forecast.
Management of RCM Operations, business intelligence requirements, including the optimization of reporting tools within the EHR system.
Design and implement sound tools to efficiently measure, monitor and forecast Payor P&L.
Oversee production of clear and concise summaries of analytical findings for easy consumption through an assortment of presentations, executive summaries, and communication.
Execute a roadmap to get to standardized RCM approach - requiring long-range planning capabilities, strong relationship skills, and a great understanding of the criticality of execution.

KNOWLEDGE/SKILLS/ABILITIES/TALENTS:

Optimizing the Revenue Cycle
Results driven; aligns and allocates time and energy on key drivers.
Understands key metrics, revenue drivers, and ROI expense analytics.
Strong research and auditing skills. Can analyze financial information and determine impact on the business
Ability to identify and resolve issues in a timely and proactive manner
Developer of Staff
Clearly communicates vision and aligns team members around it
Identifies, develops and promotes potential Leads, and ensures that direct reports similarly develop their employees.
Provides continual, direct feedback; coaching vs. directing.
Appropriately delegates authority and responsibility and holds team accountable.
Recognizes and celebrates success.
Influencer of professionals
Ability to develop trusting, mutually-respectful relationships with professionals.
Tailors coaching style to the individual's needs and appropriate professional boundaries (e.g., clinicians).
Active listener/observer of behavior.
Creates a win/win need for change.
Strategic Planner
Sets realistic monthly, quarterly, and annual objectives.
Measures and communicates monthly results.
Prioritizes work and time/schedule to achieve business objectives.
Plans ahead (6-12months) to anticipate and overcome potential obstacles to success.
Effective Collaborator with Peers and Support Resources
Oriented towards team success.
Effectively communicates needs and expectations.
Shares best practices.
Innovates to improve operational processes.
Resourceful; optimistic; humble.
Detail oriented, organized, process focused, problem solver, self motivated proactive, customer service focused.
Displays independent judgment by willingness to make timely and accurate decisions based on available information that is sometimes vague or limited in nature.
Ability to multitask effectively and work in a fast paced and sometimes ambiguous environment, without compromising quality of work.
Ability to prioritize tasks and projects with limited direction, while understanding and contributing to the success of the organization

Requirements:
QUALIFICATION GUIDELINES:

REQUIRED:
Equivalent to Bachelor's degree in Business, Finance, Accounting or Healthcare Administration or equivalent and 7-10 or more years billing experience with management experience as a Director or above.

Experience with working in an integrated health care system required.
Must have experience and be A/R oriented, daily and monthly closings, and understand the revenue cycle for all payers.
Demonstrated knowledge of all Insurance companies, HMO's, PPO's, Medicare, third party payers
Directly overseeing payer and provider billing, collections, and cash posting
Facilitating communication between and extracting relevant information from a variety of stakeholders in order to comprehensively identify problems and subsequently create sustainable and scalable solutions
Excellent written and oral communication skills
Experience managing subordinates and teams.
Ability to work at a strategic and tactical level.

DESIRABLE:
Master's degree in Business, Finance, Accounting or Healthcare Administration. Considerable prior coursework or on-the-job training in optical, ophthalmology, insurance, and management. Knowledge of WORD, EXCEL, POWERPOINT, Care Cloud, Acuity Logic, SIS, Advantx.
CERTIFICATES/LICENSES/REGISTRATIONS:

Certified Revenue Cycle Specialist or Certified Revenue Cycle Executive (preferred)

WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

This is primarily a sedentary office classification but may require field visits and driving. Temperature conditions are controlled with limited direct exposure to hazardous physical substances. The noise level in the work environment is usually low to moderate.
While performing the duties of this job, the employee is regularly required to sit, stand, walk, handle, or feel, reach with hands and arms, see, talk and hear. The employee will frequently lift and/or carry reports, records and other materials that typically weigh less than 20 pounds. The employee is occasionally required to stoop, kneel, bend, or crouch.
Finger dexterity is needed to access, enter, and retrieve data using a computer keyboard, calculator, and other standard office equipment.

All of the information contained herein reflect general details as necessary to describe the principal functions of this classification, the level of knowledge and skill typically required and the scope of responsibility but should not be considered an all-inclusive listing of work requirements. Management reserves the rights to add, modify, change, or rescind the duties and/or work assignments of all positions, without advanced notice, and to make reasonable accommodations so that qualified employees can perform the essential functions of the job.PI208287590

Keywords: Acuity Eye Group, Arcadia , Vice President, Revenue Cycle, Executive , Arcadia, California