VP, Revenue Cycle Management

Vice PresidentVice PresidentFull TimeRemoteLeadTeam 10,001+Since 1833H1B SponsorCompany SiteLinkedIn

Location

Texas

Posted

35 days ago

Salary

$104K - $173.3K / year

Seniority

Lead

Bachelor Degree12 yrs expEnglish

Job Description

• Develop and implement an enterprise-wide revenue cycle strategy, supporting infusion services across multiple sites. • Oversee all processes related to coding, claims submission, reimbursement, and accounts receivable management. • Oversee intake services including benefit verification, financial counseling, prior authorization, and customer call center operations. • Establish and maintain strong payer relationships, ensuring optimal reimbursement rates and contract compliance. • Ensure adherence to federal, state, and payer-specific regulations, including CMS and value-based care initiatives. • Leverage automation and analytics to improve revenue cycle performance, reduce denials, intake time and overall cost to collect and RCM OpEx. • Partner with clinical and operational leadership to ensure smooth revenue cycle integration with patient care workflows. • Analyze revenue cycle KPIs, drive continuous improvement, and present strategic insights to executive leadership. • Serve as a trusted consultant for clients, attending Quarterly Business Reviews (QBRs) and other key meetings to provide strategic insights on revenue cycle performance, reimbursement optimization, and payer trends.

Job Requirements

  • Typically requires 12+ years of professional experience
  • 4+ years of management experience
  • Bachelor’s degree in finance, healthcare administration, or a related field (MBA or MHA preferred)
  • 12+ years of progressive experience in revenue cycle management, preferably in infusion, specialty pharmacy, or oncology settings.
  • Expertise in payer contracting, reimbursement methodologies, and healthcare finance.
  • Strong leadership skills with experience managing large teams and cross-functional collaboration.
  • Deep understanding of compliance (CMS, HIPAA, Stark Law, etc.) and regulatory considerations in infusion services.
  • Proven success in scaling revenue cycle operations for a growing healthcare organization.

Benefits

  • Competitive compensation package
  • Annual bonus or long-term incentive opportunities

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