As a member of the Executive Team the VP of Revenue Cycle Management will provide leadership and oversight to all aspects of the revenue cycle. The VP will collaborate with revenue cycle stakeholders including Clinical, Financial, Regulatory, other Corporate
and Divisional Leadership to ensure effective revenue cycle management. The VP will be a proactive and responsive leader, overseeing the systems of a rapidly changing business environment.
Essential Duties and Functions
Leadership, Staff Management and Organizational Strategy
Promotes and supports a working environment consistent with the values-based culture of RHD
Provides values-based supervision, support, and guidance to direct reports; identifies and creates leadership and professional development opportunities for direct reports
Provides support, training, and education of revenue cycle management (RCM) to the Executive Team and other leadership
Partners with VP Business Development in the monitoring of market and industry data and trends to inform business development decisions
Partners with Executive Team and other stakeholders to achieve strategic objectives through successful implementation/completion of strategic initiatives
Electronic Health Record (EHR)/Other RCM Technology
Partners with Clinical Leadership to provide vision and direction for the EHR
Leads electronic health record (EHR) design, development, and implementation
Partners with corporate, divisional, and program leadership to assess and implement technology to enhance revenue cycle management
Provides and/or supports project management of EHR implementation and other Revenue Cycle Management Initiatives
Ensures integrity of the EHR and related processes to minimize organizational risk
Ensures systems and processes are in place to maintain and support the use of the EHR
Partners with Business Systems Technology to manage vendor relationships related to revenue cycle management
Revenue Cycle Management
Provides direction and oversight of Revenue Cycle Operations, including but not limited to charge capture, billing, claim follow-up and collections, payment application, and denials management.
Partners with corporate, division and program management around all aspects of the revenue cycle
Tracks and monitors key revenue cycle performance indicators; reports key findings to appropriate leadership and stakeholders across the organization
Ensures systems and processes are in place to ensure compliance with contract requirements around submission of claims; including service provision/documentation, established fee schedules, credentialing, and site enrollments
Partners with the Business Development Team and division management to manage payer contracts and support payer relationships
Provides guidance and supports provider enrollment and payer credentialing
Provides oversight, in collaboration with financial leadership, on the general ledger close as it relates to revenue, accounts receivable and billing
Corporate Accounts Receivable Management and Reporting
Monitors and reports on accounts receivable monthly to management; providing analysis of trends in aged balances across divisions, customers, and programs as well compared to trends in the industry
Monitors collections to established goals to maximize cash flow and to monitor claim submission to provide ongoing process assessment and resolution
Establishes and maintains policies and procedures that will ensure the completeness and accuracy of billing and accounts receivable and consistency in revenue recognition
Oversees the evaluation of the allowance for doubtful accounts receivable; communicates to management any significant increase or decrease in the needed allowance
Oversees the analysis and recording of revenue adjustments, write offs and denial activity; provides reporting on trends to management along with suggestions to mitigate future write offs and denied claims
Bachelor’s Degree in Accounting, Finance, or Business/Healthcare Mgmt.
Min 15 years related experience in a healthcare or social service environment
Experience in managing teams and supervising staff
Proven ability to evaluate, improve, and implement systems
Ability to design, analyze and present user-friendly reports
Advanced knowledge of Microsoft Excel
Experience with EHR/Billing Software -Netsmart myAvatar preferred
Ability to travel to attend or participate in conferences, meet with funders, engage staff, and conduct business
Resources for Human Development provides a wide range of human services including support for individuals with developmental disabilities, mental illnesses, addictions, and homelessness. Our corporate Paid Time Off plan includes 22 vacation days/10 sick days/12
holidays annually, along with other great benefits including an open and flexible work environment in a values-based organization!
Resources for Human Development is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information,
veteran, or disability status.
Resources for Human Development is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, gender, gender identity, sexual orientation, national origin, genetic information, veteran, or disability status.