[Hiring] Vice President of Patient Financial Services @Confluent Health

Role Description

The Vice President of Patient Financial Services provides overall leadership for Confluent Health's multi-market post-service medical billing operations. They are responsible for multi-state billing, accounts receivable (AR) management, cash applications, denial remediation, and vendor management.

• Provides leadership to Regional RCM Directors to ensure operational efficiency and consistent application of policies and procedures.
• Establishes accountability framework for PFS results by region, including scorecard reporting and preparation of staff bonus submissions.
• Produces and administers standard AR policies and procedures.
• Serves as liaison and escalation point between Regional RCM Directors and operational leaders in matters of AR performance.
• Maintains knowledge of and assures compliance with HIPAA and applicable current regulations and policies of federal, state, and private payers. Keeps impacted departments informed of changes, revisions, and updates.
• Collaborates with SVP and VP Financial Clearance in creating and executing on strategic planning initiatives for RCM department, including establishment of KPIs and monitoring progress.
• Provides team leadership with professional and personal growth avenues with emphasis on opportunities (where possible) for individuals to grow and advance within the RCM organization.
• Works in close collaboration with finance, managed care, and operations leadership teams to enhance collection capabilities, adhere to payer contracts, and identify revenue enhancement opportunities.
• Directs the activities of the Director of Vendor Relations to maximize vendor performance.
• Ensures that all processing and reporting deadlines are consistently achieved.
• Develops and reviews KPIs, activities, costs, and operations to determine RCM progress toward stated goals and objectives.
• Establishes monthly, quarterly, and annual key operating indicators. Prepares appropriate periodic reports to manage the open accounts receivable appropriately and ensure key indicators are met.
• Demonstrates leadership ability and a record of building and leading multi-market, remote, high performing interdisciplinary teams, specifically among executive leadership, provider staff, and related key stakeholders.
• Provides strategic oversight for the development, implementation, and governance of robotic process automation (RPA), ensuring alignment with revenue cycle objectives, data integrity, and regulatory compliance.

Qualifications

• Bachelor's Degree required. Masters Degree in related field (business, finance, health administration) strongly preferred.
• Minimum of 8 years of experience in revenue cycle management with a proven track record of successfully implementing and expanding offerings across multiple markets.
• Experience with revenue cycle automation technologies/vendors, including implementation and vendor management.
• Demonstrated success delivering enterprise revenue cycle results and building, leading, and managing multi-market, remote work teams.
• Medical Practice Management Software and Electronic Health Records (EHR) Software experience.
• The ability to communicate effectively with all levels of management, employees, and outside entities.
• Demonstrated success in leading team(s) to accomplish organizational goals.
• This is a fully remote position.