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Vice President, Revenue Cycle Management

U.S. Urology Partners -
Remote

Apply Now

Job Details

Full-time

Benefits

Health savings account
Health insurance
Dental insurance
Flexible spending account
Employee assistance program
Vision insurance
401(k) matching

Qualifications

Application Integration
Customer communication
Systems integration
Medicare
Cash application
Customer service
Word processing
Spreadsheets
Coaching
Regulatory compliance in claims processing
Financial statement analysis
Team development
Financial report interpretation
Charge capture (medical billing)
Medicare regulations
Industry knowledge of financial regulations
Mentoring
Contracts
Centers for Medicare & Medicaid Services (CMS) billing regulations
Financial statement interpretation
Medicaid regulations
Medicaid
Patient registration
Healthcare IT
Financial systems implementation
General management
Collections account management
Cross-functional communication
Patient collections management
Senior leadership

Full Job Description

About the Role

The Vice President, Revenue Cycle Management is responsible for the establishment of the strategic vision, organization, and overall management, as well as administering policies for all Revenue Cycle operations. This person ensures all financial resources are maximized and optimized, and financial viability is maintained, while continually challenging and transforming Revenue Cycle operations and maintaining a customer-focused operational model. The position is responsible for enhancing and maintaining a properly functioning system centralized patient financial services process. The role promotes a culture of innovation, accountability, and constant improvement throughout Revenue Cycle, while maintaining a dedication to the mission, vision, and values of U.S. Urology Partners.

What You'll Be Doing

Oversee and support the daily operations of all revenue cycle functions, including but not limited to billing, follow-up and collections, cash posting, denial management, and credit balance reviews.
Establish and maintain departmental policies and procedures. Communicate relevant information to other departments. Establish controls and review mechanisms to ensure procedures are being followed correctly.
Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters.
Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implanting solutions.
Oversees the integration of acquired practices’ revenue cycle system into organization’s legacy RCM application.
Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks and verifies collection processes are being followed.
Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors.
In conjunction with operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices; ensure systems are fully functional and maximized and recommend new processes to improve current workflow.
Monitors daily productions of billings, denials, and appeals.
Reviews, monitors and recommends updates to the medical practices’ fee schedule to maintain fees at levels that maximize reimbursement.
Ensures compliance with relevant federal, state, and payor-specific billing requirements.
Regularly provides upper management with revenue cycle status including reports, metrics, and presentation.
Direct the selection, supervision and evaluation of staff. Ensure performance evaluations are conducted in a timely manner according to organization policy and initiate disciplinary actions as warranted. Resolve grievances and other sensitive personnel matters.
Oversee orientation and continuing education for all staff. Ensure mandatory and relevant training is provided to staff in a timely manner.
Ensure staff is educated on new technology, goals, and contracts
Any and all other projects, goals, issues surrounding the revenue cycle, conflicts or concerns as directed or indicated by senior management.

What We Expect from You

Thorough knowledge of revenue cycle processes and standards related to billing, collections, and cash posting in a physician / medical group environment. General knowledge of patient registration, finance, and data processing.
Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid and managed care processes.
A minimum of 10 years of experience of billing and collection activities in a health care / physician organization setting, of which at least 5 of which has been in a senior managerial capacity.
Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public.
Ability to read, analyze and interpret financial reports, contracts, and other legal documents.
Outstanding ability to work independently to achieve results. Often, there is no precedent for and little help in carrying out assigned tasks. Must originate, plan, adapt and invent to accomplish tasks.
Ability to set and maintain priorities when dealing with multiple demands and interruptions.
Strong analytical and problem-solving skills.
Background in system integrations in conversions in an acquisitive, constantly changing environment
Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth.
Excellent customer service and communication skills.
Intermediate computer skills including email, word processing and spreadsheets. Experience in working with numerous billing and collection systems, and ability to identify strengths and weakness of systems and related processes.

What We are Offer You

At U.S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here “Every Family Matters”

Compassion

Make Someone’s Day

Collaboration

Achieve Possibilities Together

Respect

Treat people with dignity

Accountability

Do the right thing

Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more.

About US Urology Partners

U.S. Urology Partners is one of the nation’s largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy.

U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

Apply Now

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