Vice President, Revenue Cycle Management

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U.S. Urology Partners

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

⚕️ Seguro de Saúde

Healthcare Insurance

A U. S. Urology Partners é um dos maiores provedores independentes do país em urologia e serviços especializados relacionados. A empresa foca em ajudar as práticas de urologia a manterem sua independência ao mesmo tempo em que oferece cuidados de alta qualidade aos pacientes. Oferecendo ampla gestão de saúde e recursos financeiros, a U. S. Urology Partners permite que as práticas médicas concentrem-se no cuidado ao paciente sem serem forçadas a subserviência dentro de sistemas hospitalares maiores. Eles auxiliam em aspectos operacionais, como informática, TI, conformidade, questões legais, entre outros, permitindo que os médicos se concentrem na medicina em vez de em tarefas administrativas.

Descrição

• Oversee and support the daily operations of all revenue cycle functions, including but not limited to billing, follow-up and collections, cash posting, denial management, and credit balance reviews. • Establish and maintain departmental policies and procedures. • Communicate relevant information to other departments. • Establish controls and review mechanisms to ensure procedures are being followed correctly. • Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters. • Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS. • Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers. • Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implementing solutions. • Oversees the integration of acquired practices’ revenue cycle system into organization’s legacy RCM application. • Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks and verifies collection processes are being followed. • Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors. • In conjunction with operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices.

🎯 Requisitos

• Thorough knowledge of revenue cycle processes and standards related to billing, collections, and cash posting in a physician / medical group environment. • General knowledge of patient registration, finance, and data processing. • Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid and managed care processes. • A minimum of 10 years of experience of billing and collection activities in a health care / physician organization setting, of which at least 5 of which has been in a senior managerial capacity. • Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public. • Ability to read, analyze and interpret financial reports, contracts, and other legal documents. • Outstanding ability to work independently to achieve results. • Ability to set and maintain priorities when dealing with multiple demands and interruptions. • Strong analytical and problem-solving skills. • Background in system integrations in conversions in an acquisitive, constantly changing environment. • Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth. • Excellent customer service and communication skills. • Intermediate computer skills including email, word processing and spreadsheets. • Experience in working with numerous billing and collection systems, and ability to identify strengths and weaknesses of systems and related processes.

🏖️ Benefícios

• Comprehensive medical, dental and vision plans • HSA / FSA • 401(k) matching • Employee Assistance Program (EAP)