Senior Vice President of Revenue Cycle Management 8/18/2016

MedEvolve Little Rock, AR

Company
MedEvolve
Job Classification
Full Time
Company Ref #
28863358
AJE Ref #
575921205
Location
Little Rock, AR
Job Type
Regular

JOB DESCRIPTION

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JOB TITLE: SVP of Revenue Cycle Management

DEPARTMENT: RCM

LOCATION: Little Rock, AR

MANAGER: CEO

FLSA STATUS: Exempt

TRAVEL REQUIREMENTS: 40%

POSITION SUMMARY:

The SVP of RCM is responsible for leading the revenue growth of our RCM organization and driving the strategies for maximizing payment from patients, insurance companies and government health programs for all clients. This position requires a thorough understanding of the ambulatory medical billing process and specifically, knowledge of the coding and collection process. The Executive Vice President of RCM also contributes heavily to company strategy, including sales and product management for both our clients and internal RCM department.

RESPONSIBILITIES:

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Assists, drives, and participates in the company wide objectives of aggressive revenue growth, sales bookings and EBITDA - including but not limited to, go to market strategies, marketing efforts, client and prospect visits and sales presentations.
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Senior member of the management team that collaborates with Sales, Training/ Installation, Client Services, Development to develop standard operation procedures, define billing department's priorities and policies for MedEvolve and our clients.
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Determines appropriate and effective performance metrics and staff requirements for the RCM organization to run with efficiency, accuracy and outstanding customer service; manages to various metrics including but not limited to days in accounts receivable, net collection percentage, cash factor, and bad debt.
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Through collaboration with the CEO and CFO, manages the development of the RCM Operations budget to include technology, 3rd party relationships and resources to align results with expense plan.
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Develops processes and procedures for the efficient and successful flow of interdependent information between Finance, Operations, Client Services, Programming, and Executive Partners as well as clients.
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Designs and executes key strategies to drive collection of appropriate reimbursement.
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Develops processes and policies for exception handling, appeals and denials and balance billing.
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Understands tools used to monitor all client accounts receivable activity and performance; supports and initiates appropriate corrective measures as needed.
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Monitors billing compliance with all third party payer regulations.
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Ensures that customer satisfaction is achieved through courteous and effective communication, problem solving and efficient processes.
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Resolves complex internal and external customer (client) issues when necessary.
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Promotes a team-oriented environment that fosters effective collaboration within and outside of the RCM team; manages employees through best practices that instill increasing employee engagement and retention.
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Proactively identifies and assess trends and aberrations then proposing a course of action to the management team and clients alike.
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Manages attrition and growth by establishing a recruiting pipeline, conducting behavior based interviews, and developing skills assessment prior to on-boarding.
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Identifies, develops and implements objective and meaningful performance metrics associated with each job description in the RCM team. Link operational metrics data with each role. Align all performance measures within MedEvolve's strategic objectives.
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Monitors and manages the daily performance of the RCM Team using objective performance measures.
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Manages resource capacity, role and skill definitions and metrics, and developmental aspirations of team to effectively staff while aligning revenue targets and business needs with resource goals.
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Resource management through high touch interaction and career/role mentoring. This includes a minimum of quarterly 1:1 direct and manger meetings, monthly department meetings, and insuring that goal setting, succession planning, and reviews (bi annual) are delivered; ensure additional training is always being offered to new and existing employees.
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Maintains confidentiality in compliance with HIPAA regulations and ensures that department remains compliant with all relevant regulations.

QUALIFICATIONS:

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10 years of experience working in the medical/healthcare billing area, with strong, demonstrated knowledge of the RCM process and business analytics requirements and proven track record of growth and success.
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5 years of supervisory leadership experience with demonstrated ability to recruit, assess, motivate & inspire others to help business achieve success. Leadership in accounts receivable or billing operations preferred.
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Experience using demonstrated knowledge with billing regulations and reimbursement methodologies.
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Business Processing Outsourcing (BPO) experience.
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Experience using strong analytical and forecasting skills with demonstrated ability to plan workload, allocate tasks, and scale operations to align with business priorities while operating within the confines of a fiscal budget.
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Must be self-motivated and passionate about creating application and workflow solutions for diverse and challenging health care problems, including the ability to understand user persona needs across different client types and translate those needs into specific product requirements that will deliver customer value
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Proficiency with technology - Microsoft Office (Word, Excel, Outlook, PowerPoint), Salesforce, Microsoft Dynamics, PM and EHR solutions.

REQUIREMENTS:

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Bachelor's degree in finance, accounting or computer sciencerequired, MBA preferred
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Excellent analytical and communication skills
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Strong interpersonal skills to interact with MedEvolve clients
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High energy individual who is excited to be a part of a rapidly growing company
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Strong attention to detail and organizational skills
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Ability to work independently and to prioritize
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Regular attendance is an essential function of this position

PHYSICAL ELEMENTS AND WORK ENVIRONMENT:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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Regularly required to sit, talk, and hear
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Occasionally required to stand and walk
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The noise level is usually moderate