Baptistfirst
AVP, Revenue Cycle & Business Operations
Baptistfirst, Montgomery, Alabama, United States, 36136
AVP, Revenue Cycle & Business Operations page is loaded## AVP, Revenue Cycle & Business Operationsremote type:
1- Onsitelocations:
Corporatetime type:
Full timeposted on:
Posted Todayjob requisition id:
JR103633Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties.To learn more about Baptist Health, visit us at .**Highlights:****Summary:**The AVP, Revenue Cycle & Business Operations is a key member of the RCS leadership team with a crucial role to drive the financial success of the organization through strategic planning, operational oversight, and collaboration with corporate, facility, and clinic departments. This individual shall oversee and manage all aspects revenue cycles operations, including Patient Access, Central Scheduling, and point of service collections, billing, collecting, coding, and reimbursement. Additionally, the AVP will collaborate with various departments to ensure optimal revenue cycle performance and efficient healthcare operations. The AVP shall provide leadership and guidance to Revenue Cycle team.The AVP shall foster a culture of continuous improvement and innovation within the revenue cycle and business operations, as well as to ensure compliance with all applicable laws and regulations related to revenue Cycle and billing practices. The AVP will serve as a subject matter expert on revenue cycle management and provide guidance and support to other departments and leaders as needed, and to stay current on industry trends and best practices in revenue cycle management and make recommendations for improvement. The AVP shall collaborate with finance and reimbursement teams to develop and manage revenue cycle budgets and financial forecasts.**Education/Experience:**Bachelor’s degree in acute healthcare or related field required, Master’s degree in business preferred. Minimum 7 years of recent experience of revenue cycle management required.**Licensure/Certification:**None**Knowledge/Skills/Abilities:*** Knowledge of chargemaster, payer contracting analysis, reimbursement variances and coordination of payer negotiations.* Analytic skills needed to drive performance and determine process improvement.* Analyze, quantify, and summarize data sets, develop financial models and work with Finance, Reimbursement, Payer Contracting, and Revenue Cycle Management departments.* Develop proposals for payment resolution for claim denials and UR denials regarding long- and short-term goals, objectives and strategies for customer service operations that include Out of Network plans, Marketplace benefits, and Single Case agreements that follow federal and state guidelines.* Collaborate with Patient Financial Services and Managed Care to develop proactive solutions for denials management.* Coordinate efforts with PFS and Reimbursement to improve Net Revenue projects that include analyzing and trending historical trends and month end validation.* Act as a liaison with IT, Decision Support, Finance, and other departments for Revenue Cycle metrics, systems, and performance.* Act as a lead resource in coordinating Revenue Cycle with all the facilities and Physician practices for processes supporting all areas of patient accounting.**Primary Location:**Corporate**Job:**AVP, Revenue Cycle & Business OperationsAVP, Revenue Cycle & Business Operations**Job Type:**Regular-Full time**Shift**:First Shift (United States of America) #J-18808-Ljbffr
1- Onsitelocations:
Corporatetime type:
Full timeposted on:
Posted Todayjob requisition id:
JR103633Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties.To learn more about Baptist Health, visit us at .**Highlights:****Summary:**The AVP, Revenue Cycle & Business Operations is a key member of the RCS leadership team with a crucial role to drive the financial success of the organization through strategic planning, operational oversight, and collaboration with corporate, facility, and clinic departments. This individual shall oversee and manage all aspects revenue cycles operations, including Patient Access, Central Scheduling, and point of service collections, billing, collecting, coding, and reimbursement. Additionally, the AVP will collaborate with various departments to ensure optimal revenue cycle performance and efficient healthcare operations. The AVP shall provide leadership and guidance to Revenue Cycle team.The AVP shall foster a culture of continuous improvement and innovation within the revenue cycle and business operations, as well as to ensure compliance with all applicable laws and regulations related to revenue Cycle and billing practices. The AVP will serve as a subject matter expert on revenue cycle management and provide guidance and support to other departments and leaders as needed, and to stay current on industry trends and best practices in revenue cycle management and make recommendations for improvement. The AVP shall collaborate with finance and reimbursement teams to develop and manage revenue cycle budgets and financial forecasts.**Education/Experience:**Bachelor’s degree in acute healthcare or related field required, Master’s degree in business preferred. Minimum 7 years of recent experience of revenue cycle management required.**Licensure/Certification:**None**Knowledge/Skills/Abilities:*** Knowledge of chargemaster, payer contracting analysis, reimbursement variances and coordination of payer negotiations.* Analytic skills needed to drive performance and determine process improvement.* Analyze, quantify, and summarize data sets, develop financial models and work with Finance, Reimbursement, Payer Contracting, and Revenue Cycle Management departments.* Develop proposals for payment resolution for claim denials and UR denials regarding long- and short-term goals, objectives and strategies for customer service operations that include Out of Network plans, Marketplace benefits, and Single Case agreements that follow federal and state guidelines.* Collaborate with Patient Financial Services and Managed Care to develop proactive solutions for denials management.* Coordinate efforts with PFS and Reimbursement to improve Net Revenue projects that include analyzing and trending historical trends and month end validation.* Act as a liaison with IT, Decision Support, Finance, and other departments for Revenue Cycle metrics, systems, and performance.* Act as a lead resource in coordinating Revenue Cycle with all the facilities and Physician practices for processes supporting all areas of patient accounting.**Primary Location:**Corporate**Job:**AVP, Revenue Cycle & Business OperationsAVP, Revenue Cycle & Business Operations**Job Type:**Regular-Full time**Shift**:First Shift (United States of America) #J-18808-Ljbffr