Med-Metrix
Senior Vice President E2E Revenue Cycle - On site Metro NY
Med-Metrix, New York, New York, us, 10261
Med-Metrix is a leader in the Revenue Cycle Management (RCM) industry, providing healthcare systems, hospitals, and healthcare providers with tools, technology, and services to enhance the patient experience and revenue collections.
If you are interested in applying for this job, please make sure you meet the following requirements as listed below. The Senior Vice President, E2E Revenue Cycle Services will provide leadership to RCM/AR Follow Up VPs and their teams, including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. Goal is to meet or exceed national AR KPI benchmarks and client specific KPI’s. Job Purpose The Senior Vice President, E2E Revenue Cycle Services will provide leadership to RCM/AR Follow Up VPs and their teams. The goal is to meet or exceed national AR KPI benchmarks and client-specific KPIs, maintain or exceed productivity and quality standards set for clients, and understand and communicate the economic impact of upstream revenue cycle errors causing denials. Responsibilities
Oversee end-to-end revenue cycle service management for designated clients. Plan, organize, and direct overall operations of the AR Follow Up areas as it relates to insurance billing, collections, and follow-up. Serve as the visionary for AR Management and work in conjunction with leadership to set target performance levels. Ensure that the department stays current with billing regulations and industry requirements and/or trends. Convey opportunities/risks to VPs and other enterprise leaders. Maintain an overall objective of maximization of cash collections, minimization of A/R inventories, and the minimization of write-offs/non-collectible adjustments. Analyze AR reports, and utilize other work tools to review trends in charges and collections and proactively address potential issues. Provide concise reporting to Executive Leadership on performance benchmarks (i.e., collections, rejections, days, etc.) as they relate to national and client-based KPI’s. Provide management and supervisory duties related to educating and training staff, evaluating staff performance, and monitoring productivity. Interview, hire, train, evaluate, and develop subordinate staff, where applicable. Develop and maintain quality control programs, including in-depth and individual performance reviews. Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility. Perform a variety of tasks including special projects. Act as a leader, process, and escalate issues as appropriate. Serve as facilitator and lead on special projects. Partner with enterprise leaders to find the “best practice” solutions while maintaining vision of the larger strategic vision and process. Represent Med-Metrix on Client Projects and provide communication back to Leadership. Provide professional and summarized quantitative analysis to Leadership through presentations and reporting. Provide summarized analysis to Operations Leadership and subordinate staff. Attend external seminars/training as needed. Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. Understand and comply with Information Security and HIPAA policies and procedures at all times. Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties. Qualifications
BS in Accounting or Finance, MBA, and/or CPA highly desirable. Experience in healthcare consulting, revenue cycle transformation, and operation management. Full end-to-end revenue cycle operations experience in a hospital setting required. 10+ years in progressively responsible financial leadership roles within revenue cycle services, preferably in a healthcare hospital-based healthcare setting or comparable revenue cycle management company. Leadership experience in Patient Access, HIM, Back-end Revenue Cycle, Case Management, and Managed Care in a hospital setting. Analytical and problem-solving skills, the ability to understand complex reimbursement structures, and the ability to apply contractual and governmental regulations to billing processes. Knowledge of governmental, legal, and regulatory provisions related to collection activity. Knowledge of insurance company practices regarding reimbursement. Provide support to the Business Development team during the sales process. Team building and cooperative work environment preferred. Strong interpersonal skills, ability to communicate, and manage well at all levels of the organization and with staff at remote locations essential. Strong problem-solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses. High level of integrity and dependability with a strong sense of urgency and results-orientation. Excellent written and verbal communication skills required. Gracious and welcoming personality for customer service interaction. Working Conditions
Occasional travel and flexibility to work outside of normal business hours as needed. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals, and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal.
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If you are interested in applying for this job, please make sure you meet the following requirements as listed below. The Senior Vice President, E2E Revenue Cycle Services will provide leadership to RCM/AR Follow Up VPs and their teams, including supervision of staff, reviewing of processes, and providing recommendations for improvement of operations. Goal is to meet or exceed national AR KPI benchmarks and client specific KPI’s. Job Purpose The Senior Vice President, E2E Revenue Cycle Services will provide leadership to RCM/AR Follow Up VPs and their teams. The goal is to meet or exceed national AR KPI benchmarks and client-specific KPIs, maintain or exceed productivity and quality standards set for clients, and understand and communicate the economic impact of upstream revenue cycle errors causing denials. Responsibilities
Oversee end-to-end revenue cycle service management for designated clients. Plan, organize, and direct overall operations of the AR Follow Up areas as it relates to insurance billing, collections, and follow-up. Serve as the visionary for AR Management and work in conjunction with leadership to set target performance levels. Ensure that the department stays current with billing regulations and industry requirements and/or trends. Convey opportunities/risks to VPs and other enterprise leaders. Maintain an overall objective of maximization of cash collections, minimization of A/R inventories, and the minimization of write-offs/non-collectible adjustments. Analyze AR reports, and utilize other work tools to review trends in charges and collections and proactively address potential issues. Provide concise reporting to Executive Leadership on performance benchmarks (i.e., collections, rejections, days, etc.) as they relate to national and client-based KPI’s. Provide management and supervisory duties related to educating and training staff, evaluating staff performance, and monitoring productivity. Interview, hire, train, evaluate, and develop subordinate staff, where applicable. Develop and maintain quality control programs, including in-depth and individual performance reviews. Orient new hires and provide in-services and training, continuing education, and development related to those functional areas of responsibility. Perform a variety of tasks including special projects. Act as a leader, process, and escalate issues as appropriate. Serve as facilitator and lead on special projects. Partner with enterprise leaders to find the “best practice” solutions while maintaining vision of the larger strategic vision and process. Represent Med-Metrix on Client Projects and provide communication back to Leadership. Provide professional and summarized quantitative analysis to Leadership through presentations and reporting. Provide summarized analysis to Operations Leadership and subordinate staff. Attend external seminars/training as needed. Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards. Understand and comply with Information Security and HIPAA policies and procedures at all times. Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties. Qualifications
BS in Accounting or Finance, MBA, and/or CPA highly desirable. Experience in healthcare consulting, revenue cycle transformation, and operation management. Full end-to-end revenue cycle operations experience in a hospital setting required. 10+ years in progressively responsible financial leadership roles within revenue cycle services, preferably in a healthcare hospital-based healthcare setting or comparable revenue cycle management company. Leadership experience in Patient Access, HIM, Back-end Revenue Cycle, Case Management, and Managed Care in a hospital setting. Analytical and problem-solving skills, the ability to understand complex reimbursement structures, and the ability to apply contractual and governmental regulations to billing processes. Knowledge of governmental, legal, and regulatory provisions related to collection activity. Knowledge of insurance company practices regarding reimbursement. Provide support to the Business Development team during the sales process. Team building and cooperative work environment preferred. Strong interpersonal skills, ability to communicate, and manage well at all levels of the organization and with staff at remote locations essential. Strong problem-solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses. High level of integrity and dependability with a strong sense of urgency and results-orientation. Excellent written and verbal communication skills required. Gracious and welcoming personality for customer service interaction. Working Conditions
Occasional travel and flexibility to work outside of normal business hours as needed. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals, and telephones; extend arms; kneel; talk and hear. Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress. Work Environment: The noise level in the work environment is usually minimal.
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