Senior Director, Self Pay Operations

🔥 8 horas atrás

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟠 Sênior

⚙️ Operações

👻 Score fantasma 10%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Ventra Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2021

🏥 Saúde

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

A Ventra Health é uma empresa de gestão de ciclo de receita na área de saúde que oferece serviços completos de faturamento médico, codificação, gestão de sinistros, prevenção de negativas, contratação com pagadores e cobrança para hospitais, sistemas de saúde e consultórios médicos nos EUA. Suas ofertas combinam expertise no domínio e um serviço de atendimento ao cliente de alto nível com plataformas proprietárias baseadas em dados e IA - vCision (IA e automação) e vSight (dados e análises) - para melhorar o reembolso, reduzir negativas, acelerar coletas de caixa e fornecer melhorias mensuráveis de desempenho no ciclo de receita. A Ventra enfatiza a entrega de serviços empresariais, educação de provedores, auditorias de conformidade e codificação, gestão da responsabilidade do paciente e estratégia de pagadores, atendendo milhares de provedores e instalações em todo o país.

Descrição

• Provide strategic direction, operational leadership, and overall performance management for Ventra Health's Self Pay Center of Excellence • Direct and govern the patient billing and collection process, including patient account management, billing operations, payment collections, patient communications, Contact Center operations, and revenue optimization • Develop and implement comprehensive accounts receivable strategy aligned with organizational financial and operational objectives • Establish and maintain performance metrics, KPIs, and governance frameworks for patient billing, collections, and accounts receivable management • Oversee and optimize patient account lifecycle management, including billing strategy, payment plans, accounts receivable aging, and bad debt • Build, mentor, and develop a high-performing team of accounts receivable specialists and analysts • Monitor aging reports, trends, net collection rates, and other accounts receivable metrics to identify process improvements and revenue leakage • Manage integration and optimization of billing and collection systems, including EHR platforms, Ventra systems, and payment processing solutions • Partner with Client Success, Finance, Compliance, Technology, and Operations teams on process improvements, system implementations, and policy updates • Ensure compliance with HIPAA, state billing regulations, payer guidelines, and consumer protection requirements • Develop and implement patient communication strategies concerning billing, payment options, and financial responsibility • Analyze financial data, forecasting, and trending to support budget management and revenue optimization initiatives

🎯 Requisitos

• Bachelor's degree in Healthcare Administration, Finance, Business Administration, or related field • Minimum 7+ years of healthcare revenue cycle management experience • Minimum 5+ years of progressive leadership experience managing billing, collections, or accounts receivable functions in healthcare settings • Minimum 3+ years of direct people management and team leadership experience • Certified Revenue Cycle Executive (CRCE), Certified Revenue Cycle Professional (CRCP), or Certified Healthcare Billing and Management Executive (CHBME) preferred • Experience with hospital or facility-based physician billing models preferred • Advanced knowledge of end-to-end revenue cycle operations, particularly self-pay workflows • Expertise in patient accounts receivable management, aging analysis, and cash flow optimization • Strong understanding of billing regulations, state billing laws, and consumer protection regulations (FDCPA, TCPA) • Strong financial acumen and ability to analyze complex financial data, aging reports, and performance metrics • Advanced proficiency with data analysis and business intelligence tools (Excel, Power BI, Tableau, or similar) • Experience with healthcare billing systems, EHR platforms, patient responsibility platforms, and collection management systems (Epic, Cerner, Athena, or similar) • Understanding of healthcare compliance requirements (HIPAA, state billing regulations, payer guidelines) • Exceptional leadership, communication, and interpersonal skills with ability to motivate and develop teams • Ability to manage multiple priorities and stakeholder groups simultaneously • Strong problem-solving skills and ability to drive continuous improvement initiatives and operational efficiency • Strategic thinking with ability to balance short-term operational needs with long-term revenue optimization goals • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook) • Ability to read, understand, and apply state/federal laws, regulations, and policies • Ability to communicate with diverse personalities in a tactful, mature, and professional manner • Ability to remain flexible and work within a collaborative and fast-paced environment • Strong oral, written, and interpersonal communication skills • Strong time management and organizational skills • Understand and comply with company policies and procedures • Ability to comply with Ventra Health's attendance policy; regular and predictable attendance is an essential function

🏖️ Benefícios

• Ventra performance-based incentive plan • Discretionary incentive bonus in accordance with company policies • Referral bonus • Reasonable accommodations for qualified individuals with disabilities • Growth opportunities to expand capabilities and knowledge • Recognition of colleague contributions

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