Vice President, Revenue Recovery

🕒 vor 1 Tag

🇺🇸 Vereinigte Staaten – Remote

⏰ Vollzeit

🔴 Experte

👔 Vizepräsident

🗣️🇺🇸🇬🇧 Englisch erforderlich

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EnableComp

501 - 1000 Mitarbeiter

💼 Beratung

🛡️ Versicherung

📦 Logistik

💰 Venture Round im 2022-07

Consulting • Insurance • Logistics

EnableComp ist ein Unternehmen, das sich auf das Einnahmenzyklusmanagement (RCM) für Gesundheitsdienstleister und Gesundheitssysteme in den gesamten Vereinigten Staaten spezialisiert hat. Der Fokus liegt auf der Bearbeitung komplexer Ansprüche in Bezug auf die Veteranenverwaltung, die Arbeiterunfallversicherung, Verkehrsunfälle und Medicaid-Leistungen außerhalb des Staats sowie auf dem Umgang mit Ablehnungen für alle Zahlungsklassen. Durch den Einsatz intelligenter Automatisierung und ihrer proprietären E360 RCM™-Plattform hilft EnableComp Gesundheitsdienstleistern, Einnahmen zu steigern, Kosten zu kontrollieren und den Abrechnungsprozess zu optimieren. Mit Expertise im Umgang mit komplexen Ansprüchen stellt das Unternehmen eine genaue und fristgerechte Erstattung sicher, bietet signifikante Steigerungen bei der Sammlung und verbessert die finanzielle Leistung seiner Kunden.

Beschreibung

• Provide strategic leadership for EnableComp’s Revenue Recovery and Denials business, including Zero Balance Recovery, Denials, Appeals, and related solutions. • Lead financial performance, operational execution, business growth, and strategic direction. • Partner with executive leadership and Product, Technology, Finance, Sales, Client Success, and Operations teams. • Define departmental goals, financial targets, and key performance indicators. • Establish quality and productivity metrics and benchmarks. • Create, communicate, and train teams on process changes and operational best practices. • Ensure processes and inventory support monthly, quarterly, and annual revenue expectations. • Hire, train, oversee, motivate, and evaluate staff, including goal planning, performance reviews, workload distribution, and performance monitoring. • Coordinate organizational resources for client and project action plans. • Set daily priorities and ensure impactful work is properly staffed. • Monitor performance metrics, report results to stakeholders, and develop corrective action plans. • Explain variances to management concerning DRG reviews, billing activity, and revenue metrics. • Analyze operational processes and systems to identify improvements and SOP enhancements. • Manage high-level client relationships, provide performance updates, and resolve escalated concerns. • Oversee training materials, onboarding, ongoing education, and quality improvement. • Develop a high-performing, scalable team through leadership, coaching, and accountability. • Maintain knowledge of regulatory and compliance requirements, including HIPAA and coding guidelines, and ensure staff adherence. • Maintain expertise in DRG coding, clinical documentation, and reimbursement methodologies. • Perform other duties as required.

🎯 Anforderungen

• Bachelor’s degree in health information management, Nursing, Healthcare Administration, Business, or related field required; Master’s degree preferred. • Active Certified Coding Specialist (CCS), RHIT, or RHIA strongly preferred. • 7-10 years of progressive leadership experience in healthcare reimbursement, including 5+ years in clinical denials or inpatient claims environments. • Experience working with internal teams in a client-facing or client-support role. • Strong understanding of inpatient coding, DRG reimbursement methodology, medical record auditing, and payer guidelines. • Experience navigating hospital revenue cycle environments and working with large-scale data/reporting tools. • Ability to operate effectively at strategic and operational levels. • Timely and regular attendance. • Equivalent combination of education and experience will be considered. • Ability to perform each essential duty satisfactorily; reasonable accommodations may be made for qualified individuals with disabilities. • Strong professional written and oral communication skills. • Experience working in a production environment and meeting deadlines. • Excellent interpersonal skills for interfacing with multiple internal stakeholders. • Proven success obtaining quantifiable results from and setting priorities for direct reports. • Organized and able to handle multiple projects simultaneously. • Healthcare experience and familiarity with payer or provider data sets. • Ability to set and manage multiple priorities among several teams. • Experience communicating obstacles and challenges and developing action plans for management. • Travel 0-10%.

🏖️ Vorteile

• Professional growth and development opportunities • Tools, resources, and support for career growth • Flexible work environment • Work-life balance support • Fun-focused workplace culture • Remote work option • Equal opportunity and non-discrimination commitment

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