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Vice President, Professional Revenue Cycle

Company: Beachside Healthcare Recruiting
Location: San Jose
Posted on: June 15, 2019

Job Description:

Beachside Healthcare is recruiting a Vice President, Professional Revenue Cycle for large client (25,000+FTE) in a highly ranked mid sized (1.5m metro area) city. ---Job Summary:Revenue Cycle Vice President will be responsible for the strategic, operational and financial direction and oversight of multiple departmental units within Professional Revenue Cycle.--- Performance Improvement Team--- Coding Department--- Revenue Cycle OperationsThis position will coordinate with other senior leadership staff to ensure that all operational revenue functions are aligned and optimized to meet or exceed customer requirements, maximize cash collections, and minimize cost to collect. (Customers include patients, physicians, payers, vendors and leadership) Accountable for making strategic decisions based on organizational issues, trends and business implications, keeping in mind a system-wide perspective which could have regional and local implications. Provides complex analysis, advice and coaching in response to business issues and executes appropriate revenue cycle strategy. May challenge decisions where precedents have been set and communicates rationale with stakeholders to gain consensus. Makes decisions in fast-paced, fluid environment where limited precedents exist; actively collaborates with key business and functional partners, such as Physician Services, Physicians, Physician Leadership, Medical Groups, Clinical Operations and the Revenue Cycle Team, Finance, Contracting, Compliance and the Acute Revenue Cycle Team. Supports the success of a high-performing organization by helping to champion and drive long-term vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Responsible for all activities necessary to ensure the accurate and timely flow of charges within the revenue cycle. Revenue OperationsResponsible for the timely processing of authorization requests. Will ensure continuous process improvement to exceed our customers' expectationsAccountable for clean claims submission which have a direct impact on the health system's dashboard metrics including Charge Lag and Denial Rate Days in A/R.Responsible for the timely response to and prevention of claim denials; ensuring maximum revenue capture.Collaborate with those departments having a direct impact on the revenue cycle to improve processes and outcomes (registration, authorizations, necessary documentation, ABN, etc.) Revenue CycleLeads the Revenue Cycle in planning, coordinating and executing policies, procedures and strategies within the Operating UnitEnsures cross-departmental operations are optimized and aligned with all other operations within the revenue cycle and its business partners.Works closely with physician leadership to maintain accountability with timely coordination of revenue cycle activities and best practices.Assist in setting the strategic direction of the Revenue Cycle and identifying areas of continuous improvement in conjunction with the Chief Financial Officer and Senior Leadership.Develop strategies across functional departments to meet or exceed cash projections, reduce days in AR, and properly address and ultimately limit denials and adjustments.Ensure compliance with state and federal law, compliance plans, HIPAA; ensure that internal controls, policies and procedures across departments are consistently tested and developed and align these controls to optimize the overall control environment of the revenue cycle.Identify new technologies to enhance revenue cycle operations and be the primary business champion for new technology implementations within the revenue cycle.Lead regular review of core billing metrics with team members. Develop robust monitoring and metric reviews, implement feedback loops across departments to capitalize on improvement opportunities.Provide vision for scalable, sustainable infrastructure to support future growth.Develop strategies to reduce overall cost to collect across functional departments.Identify areas to improve customer service and enhance patient centricity within the department.Foster an environment aligned with health system's goals for affordability, quality, growth and patient experience.Model a positive work culture within cross-departmental teams and align this work with other health system initiatives.Collaborate with Physician Services, Revenue Cycle and others to create a strong and cohesive system-wide Revenue Cycle.CodingEnsure physicians receive their annual audits and subsequent education within agreed upon time frame.Assess and provide guidance and prioritization of system initiatives related to coding, documentation and reimbursement data quality.Ensure coding denial target goals by means of strategic processes.Responsible for analysis, dashboards and reports required by physicians and leadership to promote accurate coding and reimbursement. Develop strategy and programs to address non-compliant or high-risk coding practices.Ensures coding compliance and education process is consistent across all areas. Partners with compliance departments to ensure correct coding and billing practices.Performance ImprovementResponsible for the reduction and prevention of charge lag; identification of missing charges and improving capture of potential lost revenue.Monitor cash collectionsEngage team members to create a culture with a commitment towards continuous performance improvement and willingness to challenge existing practices.Identifies, develops and implements ways to improve work processes, enhance quality, productivity, and facilitate integration and service delivery. Qualifications: Required: Bachelor's Finance or Healthcare Operations or equivalent At least 10 years as a leader in healthcare operationsAt least 6 years of Revenue Cycle experience, process improvement and knowledge managementAt least 6 years of experience managing complex/large scale/transformational and integration projects, including demonstrated success coordinating major projects and successful implementation of cost containment initiativesDemonstrated experience in budget preparation and planning, development and monitoring of staff productivity systems analysis and tracking, quality improvement, and establishment of quality standards and other key management control systemsKnowledge of Generally Accepted Accounting Principles (GAAP), and financial forecastingComprehensive knowledge of Revenue Cycle functions in an ambulatory setting including Charge Capture, Coding, CDM and billing.

Keywords: Beachside Healthcare Recruiting, San Jose , Vice President, Professional Revenue Cycle, Executive , San Jose, California

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