[Hiring] Senior Vice President, Revenue Cycle Management @Med-Metrix

Role Description

The Senior Vice President, Revenue Cycle Management is responsible for overseeing the Revenue Cycle Departments operations in collecting outstanding insurance balances, appealing denied claims, and resolving A/R for our clients.

• Provide assistance/resolution to external and internal client inquiries
• Prepare reports or logs as required
• Act as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team members
• Maintain a current working knowledge of all healthcare related issues and regulations especially Managed Care contracts
• Responsible to report any detected trends in payments or denials, as well as procedural problems, to the client. Recommendations regarding the correction of these trends and/or problems should also be reported.
• Learn and comply with organizational and departmental policies and procedures
• Analyze and solve problems quickly and thoroughly
• Establish realistic goals and priorities concurrent with organizational objectives
• Responsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashion
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards and enforce such for all direct reports
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties for your respective team
• Report any security or HIPAA violations or concerns for your team to the HIPAA Officers in a timely fashion

Qualifications

• BS in Accounting or Finance, MBA and/or CPA highly desirable
• 10+ years in progressively responsible financial leadership roles, preferably in acute care setting or comparable revenue cycle management company
• Analytical and problem solving skills, the ability to understand complex reimbursement structures and the ability to apply contractual and governmental regulations to billing processes
• Knowledge of governmental, legal and regulatory provisions related to collection activity
• Knowledge of insurance company practices regarding reimbursement
• Provide support to the Business Development team during the sales process
• Team building and cooperative work environment preferred
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate and manage well at all levels of the organization and with staff at remote locations essential
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results-orientation
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.