Austin Regional Clinic: ARC
Vice President of Revenue Cycle
Austin Regional Clinic (ARC) – Austin, Texas
Position: Vice President of Revenue Cycle
Salary: $245,000.00 - $286,460.00 (1 week ago)
About Austin Regional Clinic Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/
Purpose The Vice President of Revenue Cycle provides leadership and strategic direction to optimize revenue cycle operations, maximizing revenue and improving financial health while ensuring compliance. This involves developing and implementing strategies, leading cross-functional teams, optimizing processes from patient registration to collections, and ensuring the organization adheres to all relevant regulations.
Essential Functions
Develops and executes the organization's overall revenue cycle strategy to align with its financial objectives.
Collaborates with other executive leaders, clinic operations leadership and external stakeholders to align billing strategies with broader business objectives.
Drives continuous improvement, provides performance feedback, and achieves strategic goals.
Manages day‑to‑day Central Billing Office and Revenue Integrity operations to ensure accuracy and efficiency in processes like patient registration, billing, charge capture, coding, claims submission, remittance processing, denial management, collections, and resolution of payment variances.
Provides ongoing support and training to staff to meet expectations for high‑quality patient service, payer relations, billing and regulatory compliance, and other established guidelines.
Works to create transparent, patient‑friendly billing processes.
Maximizes revenue by optimizing collections, reducing inefficiencies and gaps, and implementing cost‑saving initiatives. Tracks and reports monthly AR KPI’s.
Monitors and enforces Service Agreements between ARC and third‑party payers with special emphasis on financial terms.
Ensures strict adherence to State, Federal and Payer regulations, industry standards and company policies to mitigate penalties and legal risks.
Stays informed about industry trends and regulatory changes affecting billing and reimbursement.
Analyzes payer reimbursement and claim denial patterns to identify opportunities for revenue enhancement.
Analyzes revenue cycle processes and performance metrics to identify areas of improvement and evaluates technology solutions to enhance performance.
Leads collaboration with payers to resolve escalated issues, streamline processes, and ensure compliance with contract terms, reimbursement policies and regulatory requirements.
Collaborates with financial service functions to ensure accurate recording of information and compliance with established financial controls.
Participates in reviewing, analyzing, and negotiating contracts with third‑party payers to promote optimal collections and efficient billing and collections processes.
Oversees the revenue cycle annual capital and operating budgets, monitors expenses and seeks cost‑effective process improvements.
Leads development and implementation of revenue‑specific policies, procedures and programs and monitors adherence to system‑wide policies/standardizations.
Works closely with Epic Business Systems Analysts to maximize practice management system performance and other revenue‑cycle vendor performance, and test and implement new applications, releases and upgrades.
Promotes long‑term financial stability and sustainable growth to safeguard our ability to continue offering high‑quality, coordinated care.
Adheres to all company policies, including OSHA, HIPAA, compliance and Code of Conduct.
Maintains regular and dependable attendance.
Follows core competencies set forth by the Company, available for review on ARC SharePoint.
Other Duties and Responsibilities
Performs other duties as assigned.
Qualifications
Bachelor’s degree in Healthcare Administration, Business, or related field.
Six (6) or more years of senior‑level revenue cycle management experience in a physician medical group.
Demonstrated competence in all areas of revenue cycle operations, including clinic business office and billing and collections in the healthcare industry.
Preferred Qualifications
Master’s degree in related field.
Skills and Abilities
Knowledge of and experience in the operational aspects of physician office practice.
Knowledge of coding patient encounters with physicians and skill in applying that knowledge.
Knowledge of Medicare regulations related to claims preparation and processing.
Knowledge of human resource fundamentals and underlying laws, i.e., FLSA, ADA, FMLA, etc.
Analytical skills in healthcare reimbursement and ability to use data to drive process improvement.
Skill in effectively using practice management systems to improve revenue‑cycle functions.
Ability to engage others, listen, and adapt response to meet others’ needs.
Excellent computer and keyboarding skills, familiarity with Windows and Microsoft.
Excellent verbal and written communication and presentation skills.
Ability to manage competing priorities.
Ability to perform job duties professionally at all times.
Ability to understand, recall, and communicate factual information.
Ability to organize thoughts and ideas into understandable terminology.
Ability to apply common sense in performing job.
Ability to align group’s priorities and activities with the company's strategic goals.
Ability to anticipate, communicate, and encourage employee involvement in needed change initiatives.
Ability to provide frequent feedback and coach all team members to grow and develop high‑impact skills.
Ability to focus on win‑win communication when conflicts, problems, or misunderstandings arise.
Ability to apply standardized processes appropriately; continuously improve processes.
Ability to continuously adapt and contribute to meet growth and market needs of the company and own career.
The ability to establish functional, collaborative, and cooperative relationships with operational and administrative management.
Ability to make decisions that significantly impact the department's credibility, operations, and services.
Knowledge of financial reporting concepts and preferred business practices.
Skill in analyzing and interpreting financial records.
Seniority Level Executive
Employment Type Full‑time
Job Function Finance and Sales
Industries Medical Practices
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information: Know Your Rights notice from the Department of Labor.
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Position: Vice President of Revenue Cycle
Salary: $245,000.00 - $286,460.00 (1 week ago)
About Austin Regional Clinic Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit https://www.austinregionalclinic.com/careers/
Purpose The Vice President of Revenue Cycle provides leadership and strategic direction to optimize revenue cycle operations, maximizing revenue and improving financial health while ensuring compliance. This involves developing and implementing strategies, leading cross-functional teams, optimizing processes from patient registration to collections, and ensuring the organization adheres to all relevant regulations.
Essential Functions
Develops and executes the organization's overall revenue cycle strategy to align with its financial objectives.
Collaborates with other executive leaders, clinic operations leadership and external stakeholders to align billing strategies with broader business objectives.
Drives continuous improvement, provides performance feedback, and achieves strategic goals.
Manages day‑to‑day Central Billing Office and Revenue Integrity operations to ensure accuracy and efficiency in processes like patient registration, billing, charge capture, coding, claims submission, remittance processing, denial management, collections, and resolution of payment variances.
Provides ongoing support and training to staff to meet expectations for high‑quality patient service, payer relations, billing and regulatory compliance, and other established guidelines.
Works to create transparent, patient‑friendly billing processes.
Maximizes revenue by optimizing collections, reducing inefficiencies and gaps, and implementing cost‑saving initiatives. Tracks and reports monthly AR KPI’s.
Monitors and enforces Service Agreements between ARC and third‑party payers with special emphasis on financial terms.
Ensures strict adherence to State, Federal and Payer regulations, industry standards and company policies to mitigate penalties and legal risks.
Stays informed about industry trends and regulatory changes affecting billing and reimbursement.
Analyzes payer reimbursement and claim denial patterns to identify opportunities for revenue enhancement.
Analyzes revenue cycle processes and performance metrics to identify areas of improvement and evaluates technology solutions to enhance performance.
Leads collaboration with payers to resolve escalated issues, streamline processes, and ensure compliance with contract terms, reimbursement policies and regulatory requirements.
Collaborates with financial service functions to ensure accurate recording of information and compliance with established financial controls.
Participates in reviewing, analyzing, and negotiating contracts with third‑party payers to promote optimal collections and efficient billing and collections processes.
Oversees the revenue cycle annual capital and operating budgets, monitors expenses and seeks cost‑effective process improvements.
Leads development and implementation of revenue‑specific policies, procedures and programs and monitors adherence to system‑wide policies/standardizations.
Works closely with Epic Business Systems Analysts to maximize practice management system performance and other revenue‑cycle vendor performance, and test and implement new applications, releases and upgrades.
Promotes long‑term financial stability and sustainable growth to safeguard our ability to continue offering high‑quality, coordinated care.
Adheres to all company policies, including OSHA, HIPAA, compliance and Code of Conduct.
Maintains regular and dependable attendance.
Follows core competencies set forth by the Company, available for review on ARC SharePoint.
Other Duties and Responsibilities
Performs other duties as assigned.
Qualifications
Bachelor’s degree in Healthcare Administration, Business, or related field.
Six (6) or more years of senior‑level revenue cycle management experience in a physician medical group.
Demonstrated competence in all areas of revenue cycle operations, including clinic business office and billing and collections in the healthcare industry.
Preferred Qualifications
Master’s degree in related field.
Skills and Abilities
Knowledge of and experience in the operational aspects of physician office practice.
Knowledge of coding patient encounters with physicians and skill in applying that knowledge.
Knowledge of Medicare regulations related to claims preparation and processing.
Knowledge of human resource fundamentals and underlying laws, i.e., FLSA, ADA, FMLA, etc.
Analytical skills in healthcare reimbursement and ability to use data to drive process improvement.
Skill in effectively using practice management systems to improve revenue‑cycle functions.
Ability to engage others, listen, and adapt response to meet others’ needs.
Excellent computer and keyboarding skills, familiarity with Windows and Microsoft.
Excellent verbal and written communication and presentation skills.
Ability to manage competing priorities.
Ability to perform job duties professionally at all times.
Ability to understand, recall, and communicate factual information.
Ability to organize thoughts and ideas into understandable terminology.
Ability to apply common sense in performing job.
Ability to align group’s priorities and activities with the company's strategic goals.
Ability to anticipate, communicate, and encourage employee involvement in needed change initiatives.
Ability to provide frequent feedback and coach all team members to grow and develop high‑impact skills.
Ability to focus on win‑win communication when conflicts, problems, or misunderstandings arise.
Ability to apply standardized processes appropriately; continuously improve processes.
Ability to continuously adapt and contribute to meet growth and market needs of the company and own career.
The ability to establish functional, collaborative, and cooperative relationships with operational and administrative management.
Ability to make decisions that significantly impact the department's credibility, operations, and services.
Knowledge of financial reporting concepts and preferred business practices.
Skill in analyzing and interpreting financial records.
Seniority Level Executive
Employment Type Full‑time
Job Function Finance and Sales
Industries Medical Practices
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information: Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr