Vice President, Revenue Recovery

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Vice President

👻 Ghost score 10%

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EnableComp

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Venture Round on 2022-07

Consulting • Insurance • Logistics

EnableComp is a company that specializes in revenue cycle management (RCM) for healthcare providers and health systems across the United States. They focus on processing complex claims related to Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid, as well as denial management for all payer classes. By leveraging intelligent automation and their proprietary E360 RCM™ platform, EnableComp helps healthcare providers increase revenue, control costs, and streamline billing processes. With expertise in handling complex claims, the company ensures accurate and timely reimbursement, providing significant uplift to collections and improving the financial performance of its clients.

📋 Description

• 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.

🎯 Requirements

• 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%.

🏖️ Benefits

• 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