Base pay range
$140,000.00/yr - $155,000.00/yr
Overview
The Vice President of Revenue Cycle is a senior position responsible for overseeing and optimizing the revenue cycle operations, credentialing process, and managing relationships with payers within an organization. This role involves oversight of all billing and collections, quality reporting, credentialing needs, as well integrations with future practices, process improvement, and successful payer relations. The VP of Revenue Cycle plays a critical role in maximizing revenue, minimizing denials, improving cash flow, and fostering positive relationships with insurance companies and other payers. This position requires deep experience in substance use disorder (SUD) treatment billing and reimbursement. Working closely with finance and operations, the VP will lead the RCM team to streamline revenue cycle processes, improve efficiency, optimize collections, all while equipping leadership with appropriate insights to financial performance and ensuring the RCM is a scalable function.
Responsibilities
- Revenue Cycle Management: Provide direct oversight of revenue cycle management including payer enrollment, charge capture, coding, billing, cash reconciliation and collections of accounts receivable from payers and patients.
- Payer Relations: Serve as a point of contact for payer organizations for all issues relating to claims adjudication and maintaining positive relationships. Track regulatory, market trends and payor policies that impact SUD reimbursement and prepare adaptive strategies to proactively address potential impacts on the organization's revenue cycle.
- Financial Analysis and Reporting: Analyze revenue cycle data, financial reports, and payer performance metrics to identify trends, opportunities, and areas for improvement; develop a revenue cycle dashboard for executive leadership highlighting performance and financial insights.
- Process Improvement: Lead continuous process improvement initiatives to streamline revenue cycle operations, collaborate with cross-functional teams to implement best practices and leverage technology solutions.
- Compliance and Regulatory Oversight: Ensure compliance with applicable laws, regulations, and industry standards related to revenue cycle management and payer relations; develop internal controls and audit procedures to mitigate risks; recruit, develop, and mentor a high-performing RCM team; maintain collaboration between RCM, credentialing and payor contracting; provide guidance and ongoing training to team members.
Qualifications
- Bachelor's degree in healthcare administration, business administration, or a related field (Master's degree preferred).
- Extensive experience (10+ years) in revenue cycle management, preferably in SUD; experience managing RCM within a multi-site, multi-state healthcare setting with minimum 10 years of RCM/leadership experience.
- Demonstrated expertise in healthcare billing and reimbursement processes, coding systems (e.g., ICD-10, CPT), and regulatory requirements (HIPAA, Medicare/Medicaid).
- Strong financial acumen and analytical skills, with the ability to interpret complex data and financial reports.
- Proven track record of driving revenue cycle improvement initiatives and achieving measurable results.
- Excellent negotiation and communication skills, with the ability to build and maintain relationships with payers, executive leadership, and internal stakeholders.
- Familiarity with healthcare revenue cycle management software, electronic health records (EHR), and billing systems.
- Demonstrated leadership capabilities, including team management, strategic planning, and change management.
About You
- The successful candidate will be a coach and player, who can lead by example while empowering the team.
- Strategic thinker with a passion for recovery and mental health services.
- Change agent comfortable navigating complexity and ambiguity.
- Highly organized, data-driven, and results-oriented.
- Values collaboration, transparency, accountability and operational rigor.
Benefits
- Coverage: Health, vision and dental through Anthem Blue Cross Blue Shield, FSA, HSA with employer match, along with STD, LTD, life insurance, EAP, and more.
- Balance: PTO accrual plan, 8 paid holidays, 1 paid floating holiday of your choice, and 1 day off for your birthday.
- Development: Certification/continuing education eligibility, leadership development, and 1 paid day off per year for personal/professional development.
- Culture: Great Place to Work certified, commitment to diversity, equity and inclusion, and a growing working environment.
- Equal Opportunity Employer: Aware Recovery Care is an Equal Opportunity Employer.
Why Work at Aware Recovery Care?
A Life-Driven Difference
At ARC, you have the opportunity to transform lives by delivering care in real-world settings, bridging gaps in the recovery journey, improving access, reducing stigma, and empowering clients to define their own path to lasting success. Join a team of professionals across multiple states who share a mission and a collaborative culture.
Care for Others, Care for You
We prioritize your well-being and provide resources to support work-life balance, ensuring you are valued, heard, and able to grow professionally and personally.
Real Growth, Real Impact
Be part of a mission-driven organization expanding to reach more people in need, partnering with major insurers, and treating the full medical, emotional, and mental health needs of clients.
Aware Recovery Care is an Equal Opportunity Employer.
Job Details
- Seniority level: Mid-Senior level
- Employment type: Full-time
- Job function: Finance
- Industries: Health and Human Services; Hospitals and Health Care; Public Health