We are looking for a VP of Revenue Cycle to join our team!
We are looking for an outgoing leader to join and lead our revenue cycle team! This position can be a remote position allowing you to work from your home. The person in this role will oversee managing our central business office which currently provides revenue cycle services for 14 ambulatory surgery centers, 2 specialty hospitals and 2 physician offices. The position is a bonus eligible position with a competitive salary and very competitive benefits!
Oversees all processes and functions of the central business office (CBO).
Develop and implement policies and procedures for CBO and each SMP client.
Maintains billing accuracy by monitoring reports and addressing variances and/or denials and coding discrepancies on a timely basis.
Assists and monitors established goals and key performance indicators for days in accounts receivable, net and gross collection percentages, accounts receivable aging by payer and collections for all SMP clients. Provides recommendations and corrective action as appropriate. Demonstrates knowledge of departmental internal controls, and understands senior management’s objectives for the overall performance of the department.
Acts as a resource to central business office manager, supervisors, coding manager, client site managers, SMP Leadership and other team members to accurately respond to questions pertaining to revenue cycle related issues.
Provides support for all billing systems and accurately responds to questions regarding the appropriate use of the software while ensuring compliance with the CBO policies and procedures.
Ensures that all work is completed within established timeframes and in accordance with all applicable local, state and federal guidelines.
Assists in the implementation of new software modules or enhancements that increase the efficiency and accuracy of the CBO team members, client site managers, and other center staff.
Ensures that all claims are submitted daily, and all payments and denials are posted timely and accurately.
Manage and oversee 38 employees with support from 2 supervisors, 1 coding manager and 1 central business office Manager.
Must be experienced in A/R management, EOB interpretation, working with payers to correct issues with claims adjudication, line item payment posting, electronic claim submission, clearinghouse set-up, and intermediate knowledge of Excel with ability to utilize for data analysis.
Experience in ambulatory surgery center and/or hospital business office leadership is required. Experience working at a management consulting company providing revenue support is a plus.
Experience in successfully managing of a team, minimal of 20+ FTEs Bachelor’s Degree in business or related field is preferred with 5+ years of health care administration/revenue cycle management experience.
Required Knowledge, Skills and Abilities:
The individual in this position must take ownership in their leadership position, be dependable and desire the opportunity to lead a team environment.
Must have excellent attention to detail and the ability to prioritize work flow and projects to meet deadlines and demonstrate the ability to think critically under pressure.
Requires computer and systems competency in the following areas: working knowledge of systems and interfaces preferably with AdvantX/SIS/Vision/Amkai/McKesson/Paragon/Epic/AdvanceMD, eClincalWorks software, Rycan EDI system, Microsoft Word, Microsoft Excel and Microsoft Outlook.
Excellent writing and verbal communication skills and professional positive attitude are required.
General knowledge of coding guidelines (CPT-4, HCPCS and ICD-9 codes) required.
Must have knowledge of revenue cycle management process local/state/federal regulations, Fair Debt and Collection Practice Act, medical terminology, claims adjudication process and payer contract familiarity.
Understanding of basic Business Office functions to include patient registration and checkout, billing process via electronic and paper claim method, EOB interpretation and payment posting, denial tracking and denial resolution process, all aspects of accounts receivable management.
Surgical Management Professionals (SMP) is a surgery center and physician owned hospital acquisition, management and development company. In addition to our core services of surgery center development and management, SMP provides an array of revenue cycle solutions including coding, billing services, and collections that can be customized to fit the needs of your ASC, hospital or clinic. SMP has b...een serving physicians, surgery centers and hospitals for over 25 years with an impressive record of success.