U.S. Urology Partners logo
U.S. Urology Partners

Patient Focused - Physician Driven - U.S. Urology Partners understands independence is important to urology practices.

Vice President, Revenue Cycle Management

Vice PresidentVice PresidentFull TimeRemoteLeadTeam 501-1,000H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

25 days ago

Salary

Not specified

Seniority

Lead

Bachelor Degree10 yrs expEnglish

Job Description

• Oversee and support the daily operations of all revenue cycle functions, including but not limited to billing, follow-up and collections, cash posting, denial management, and credit balance reviews. • Establish and maintain departmental policies and procedures. • Communicate relevant information to other departments. • Establish controls and review mechanisms to ensure procedures are being followed correctly. • Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters. • Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS. • Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers. • Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implementing solutions. • Oversees the integration of acquired practices’ revenue cycle system into organization’s legacy RCM application. • Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks and verifies collection processes are being followed. • Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors. • In conjunction with operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices.

Job Requirements

  • Thorough knowledge of revenue cycle processes and standards related to billing, collections, and cash posting in a physician / medical group environment.
  • General knowledge of patient registration, finance, and data processing.
  • Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid and managed care processes.
  • A minimum of 10 years of experience of billing and collection activities in a health care / physician organization setting, of which at least 5 of which has been in a senior managerial capacity.
  • Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public.
  • Ability to read, analyze and interpret financial reports, contracts, and other legal documents.
  • Outstanding ability to work independently to achieve results.
  • Ability to set and maintain priorities when dealing with multiple demands and interruptions.
  • Strong analytical and problem-solving skills.
  • Background in system integrations in conversions in an acquisitive, constantly changing environment.
  • Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth.
  • Excellent customer service and communication skills.
  • Intermediate computer skills including email, word processing and spreadsheets.
  • Experience in working with numerous billing and collection systems, and ability to identify strengths and weaknesses of systems and related processes.

Benefits

  • Comprehensive medical, dental and vision plans
  • HSA / FSA
  • 401(k) matching
  • Employee Assistance Program (EAP)

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