Vice President, Revenue Cycle Management

Urgent Team Management hiring for Vice President, Revenue Cycle Management jobs in Gallatin, TN, US

Urgent Team, an independent operator of urgent and family care centers, is seeking a dynamic VP of Revenue Cycle Management to optimize financial operations and drive revenue growth. Based in Nashville, TN, you'll spearhead strategic initiatives, streamline billing processes, and ensure compliance with regulatory standards. Join our dedicated team and play a pivotal role in shaping the financial future of healthcare delivery.

SUMMARY
This person will plan and lead the transition of the company’s outsourced revenue cycle function to a partial or full-internal service. The VP, Revenue Cycle Management, reporting to the CFO, is initially responsible for interfacing and managing the current outsourced revenue cycle company including, a small existing internal company staff, and monitoring, interfacing and managing the current outsourced company to optimize their effectiveness. Concurrently, the VP, long with an outside consulting firm, will begin the planning process to internalize a revenue cycle company; leading to supervising revenue cycle staff, processes and technology that support multiple locations and all payers. The VP, Revenue Cycle Management will develop and manage policies and procedures to optimize all facets of revenue cycle operations to ensure staff compliance as well as provide cross-functional leadership that facilitates an effective operation of the entire end-to-end revenue cycle process. Responsible for oversight of the revenue cycle to optimize reimbursement and ensure achievement of the company’s financial targets.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all-inclusive. Other duties may be assigned.
• Functions as a change agent; leads the enterprise-wide development and implementation of revenue cycle strategies that are optimal and consistent with best practice processes in healthcare.
• Provides support and information to the clinical staff with regards to health information with the goals of optimizing revenue and promoting billing compliance.
• Assesses and responds to current and future internal and external healthcare trends to establish and ensure the necessary direction for the revenue cycle activities.
• Ensures that revenue cycle goals including A/R days, cash and bad debt are delivered.
• Coordinates and enhances the development of data collection, analysis, and reporting processes for management of the revenue cycle, including information integrity validation and interpretation.
• Serves as the financial interface and expert between the billing, IT, and clinical teams.
• Plans, coordinates and prepares year-end audits with public accounting firms and third-party auditors as it relates to revenue cycle operations.
• Maintains a collaborative, supporting relationship with management across the company and encourages direct reports to ensure integration of processes that will achieve optimal patient and financial outcomes.
• Participates directly in completion of various financial forecasts, including cost center salary and direct expenses, month-end financial reporting, receivables, cost center productivity and strategic plans for the department.
• Leads monthly Revenue Cycle Steering Committee Meetings, participates in revenue cycle, denial management, charge master, coding and access management meetings.
• Ensures compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers.
• Ensures correct and timely claim submissions to primary and secondary payers.
Ensures effective accounts receivable and denials management, including reporting/ accountability and resolution.
• Ensures all collections are complete, timely and accurately posted into customer accounts using electronic clearinghouses.
• Monitors and manages department staff productivity with key metrics and makes timely adjustments when/where needed.
• Analyzes and reviews billing requirements to maintain and improve clean claim rate submission and acceptance, bad debt reduction on a percentage basis and reducing AR > 90 days.
• Monitors and manages accounts receivable aging reports keeping collection percentages and cost-to-collect within industry standards.
• Ensures complete, timely and accurate delivery of recurring tasks and month-end reporting functions.
• Practice and adhere to the Code of Conduct, Mission and Valued Behaviors.

SUPERVISORY RESPONSIBILITIES:
Oversee revenue cycle team.

EDUCATION and/or EXPERIENCE:
• Bachelor’s Degree in Finance, Accounting, Economics or related field preferred.
• Minimum of 7 years of proven, progressive experience in healthcare receivables management including experience in a complex healthcare delivery system. Experience with urgent care billing is ideal and preferred, but not required.
• A proven ability to build a successful team by identifying, recruiting, developing, and retaining world-class talent at all levels of the organization while inspiring a
team environment that cultivates success, develops talent, and fosters open communication.
• Expert understanding of billing governmental entities and commercial insurance.
• In-depth understanding of healthcare financing, strategy, community benefit and charity care.
• Ability to build effective relationships throughout all levels of the organization by demonstrating strong interpersonal skills.
• Experience in managing vendor partners, including understanding of contracts, ability to negotiate and manage quality operations through metrics and SLA’s.

BENEFITS INCLUDE:
• Competitive Salary
• Medical, Dental, and Vision Options
• Retirement savings plans
• Paid Time Off
• and MORE!

ABOUT URGENT TEAM:
The Urgent Team Family of Urgent Care & Walk-in Centers, an “on-demand” healthcare company, was created to provide quality, affordable and, convenient walk-in medical and telemedicine service in suburban neighborhoods, rural towns, and mid-size cities across the Southeast.

The company was founded in August 2011 to meet the evolving needs of patients and customers to have access to healthcare during evening hours and on weekends; a less expensive alternative to the emergency room; and more convenient and timely access than a primary care physician’s office typically requiring an advanced appointment.

Believing there are important clinical and patient convenience benefits to increased integration across the continuum of care, Urgent Team’s services are often in conjunction with the leading healthcare system in each community; hence the company operates as a family of brands and can often be identified by the local health system brand.

Our Centers provide compassionate and quality walk-in medical care for non-life or limb-threatening injuries or illnesses, as well as occupational health services. From sprains and broken bones to common illnesses that arise, the ailments that interrupt our lives don’t happen on a schedule. Similarly, when workplace health needs exist (from DOT physicals, employment health assessments, or workplace injuries), we are here to meet those needs.

All of our centers are have achieved the Urgent Care Association Accreditation, the highest level of distinction for an urgent care center. UCA Accreditation demonstrates an organization’s overriding commitment to safety, quality and scope of services. Additionally, 17 centers are designated Rural Health Clinics, which provide access to primary care services for patients in rural communities.

Based in Nashville, TN, the Urgent Team Family of Urgent Care & Walk-in Centers delivers care in five states through eight distinct brands: Ascension Saint Thomas Urgent Care, Baptist Urgent Care, Washington Regional Urgent Care, Huntsville Hospital Urgent Care, Physicians Care, Urgent Team, Sherwood Urgent Care, and Baptist Health Urgent Care.