- Develop and implement vision, business and operating plans targeted to promote the growth and enhancement of revenue cycle services to meet the needs of the agency.
- Clearly communicate revenue cycle performance expectations to staff to achieve revenue cycle goals in patient services, billing and collection of services.
- Work closely with the Chief Financial Officer and other agency leaders to effectively manage day-to-day operations and develop and execute to long-term strategic initiatives.
- Provide leadership and subject matter expertise in all areas of the revenue cycle. The VP of Revenue Cycle must have the ability to identify and implement corrective action regarding the agency's critical revenue cycle needs on a real time basis.
- Work closely with clinical leadership and office managers to support the revenue cycle processes to support clinical service goals of the organization.
- Develops and implements policies and procedures related to credentialing, insurance verification, billing, collections, coding, and reimbursement practices to achieve efficiency and consistency, while driving increased revenue collections.
- Closely collaborates with Finance to monitor and optimize revenue generation and cash collection.
- Minimizing bad debts by engaging stakeholders in robust Denial Management protocols.
- Ensures accurate charge capture and coding compliance for technical and professional services.
- Establishes key performance indicators (KPI's) for measuring revenue cycle performance across the business; Monitors and analyzes performance data to identify opportunities for continuous improvement.
- Responsible for all claims submissions to all primary and secondary payers.
- Analyzes and reviews billing requirements to maintain and improve clean claim submission and acceptance, bad debt reduction on a percentage basis and reducing AR greater than 90 days.
- Champions the use of data analytics to identify trends and opportunities within the revenue cycle, implementing process improvements for sustained financial performance.
- Oversees the enhancement and integration of revenue cycle systems including revenue cycle software, clearinghouses, and technologies to optimize revenue cycle operations and enhance revenue collection.
- Responsible for establishing an efficient and effective end to end revenue cycle operation including client registration and scheduling, credentialing, insurance verification, claims submission and payment, and Accounts Receivable and Denial management.
- Monitors the activities of the insurance companies, and assists in the negotiation and maintenance of the insurance contracts.
- Ensures financial systems are maintained and updated to reflect reimbursement rates and contract requirements.
- Maintain broad and current knowledge of Medicare and Medicaid regulatory and billing requirements, managed care contracting and reimbursement issues.
- Responsible for ensuring an exceptional client experience as it relates to revenue cycle and front end operations.
- Must have a minimum of 10 years of leadership experience in healthcare revenue cycle leadership roles and demonstrated success in healthcare revenue cycle processes.
- Bachelors or Masters degree in Business, Finance, Accounting Health Care Administration or related field preferred.
- Strong knowledge of healthcare billing, coding, and reimbursement processes.
- Expert understanding of billing Medicaid, Medicare, Managed Care organizations and commercial insurances.
- Excellent leadership, communication, and strategic planning skills.
- Experience using healthcare revenue cycle software and data analytics tools.
- Ability to lead and support a cross-departmental team.
- Ability to build effective relationships throughout all levels of the organization.
- Exceptional time & project management skills.
- 24/7 Emergency Crisis Center (In Development Phase)
-
Revenue Cycle Manager
6 days ago
Freed Maxick CPAs P C Buffalo, United StatesJob Description · Job DescriptionFreed Maxick has the technical capabilities and practical knowledge that come with 25 years of serving the financial and reporting needs of healthcare and not-for-profit organizations. Our expertise expand throughout the various areas of the healt ...
-
Vice President of Revenue Cycle
5 days ago
Best Self Behavorial Health Buffalo, United StatesJob Description · Job DescriptionBestSelf Behavioral Health (BestSelf) is an innovative organization formed through the merger of Child & Adolescent Treatment Services and Lake Shore Behavioral Health in June 2017. Both organizations served this community for a combined 120 years ...
-
Director Physician Revenue Cycle
2 days ago
United States Steel Corporation Buffalo, United StatesTweet Director Physician Revenue Cycle · Larkin Bldg @ Exchange Street · Full Time · Days · Job Description · Responsible for the coordination of all processes related to the physician revenue cycle of Kaleida Health. With direct responsibility for the financial health of ...
-
Vice President of Revenue Cycle
1 day ago
Best Self Behavorial Health Buffalo, United StatesJob Description · Job Description · BestSelf Behavioral Health (BestSelf) is an innovative organization formed through the merger of Child & Adolescent Treatment Services and Lake Shore Behavioral Health in June 2017. Both organizations served this community for a combined 120 ...
-
Associate Consultant, Revenue Cycle
2 weeks ago
The Chartis Group Boston, United StatesAssociate Consultant, Revenue Cycle · About Chartis · Chartis is a comprehensive advisory and analytics services firm dedicated to the healthcare industry. With an unparalleled depth of expertise in strategic planning, performance excellence, informatics and technology, and heal ...
-
Medical Billing Specialist I
5 days ago
Accountable Revenue Cycle Solutions Westerville, United StatesCompany Description · Accountable Revenue Cycle Solutions specializes in medical billing for office-based endovascular labs (OBLs) and Ambulatory Surgery Centers (ASCs) across the United States. Our clients include vascular surgeons, cardiologists, and interventional radiologists ...
-
Director Clinical and DRG Denials
5 days ago
United States Steel Corporation Buffalo, United StatesTweet Director Clinical and DRG Denials · Larkin Bldg @ Exchange Street · Full Time · Days · Job Description · The Director, Clinical & DRG Denials provides clinical leadership and administrative guidance to the Clinical Revenue Cycle department. Directs performance improv ...
-
Entry Level Software Sales
1 day ago
Odoo Buffalo, United StatesSoftware Sales Representative / Account Executive · This is a hybrid (40% remote and 60% onsite) role in Buffalo, NY. · To get the best candidate experience, please consider applying for a maximum of 3 applications within 12 months to ensure you are not duplicating efforts. · ...
-
Software Sales Executive
1 week ago
Odoo Buffalo, United StatesAccount Executive · This is a hybrid (40% remote and 60% onsite) role in Buffalo, NY. · To get the best candidate experience, please consider applying for a maximum of 3 applications within 12 months to ensure you are not duplicating efforts. · Applicants must be authorized to wo ...
-
Certified Medical Coder
1 week ago
Best Self Behavorial Health Buffalo, United StatesJob Description · Job DescriptionSUMMARY OF DUTIES · The Coder for the Revenue Cycle helps with all functions of the organization's revenue cycle coding to maximize cash flow. In conjunction with agency staff, the revenue cycle coder will contribute to the day-to-day operations o ...
-
IT Quality Assurance Analyst
1 week ago
Saxon Global Buffalo, United StatesThis is a 12 month contract with Roswell. 100% remote. Only EST/CST candidates. Hospital/Medical institutes, outpatient experience is a must. Not looking for healthcare insurance. CTG is seeking a IT Quality Assurance Analyst- Claims and Billing to join an interdisciplinary and c ...
-
Supervisor Claims PFS
5 days ago
Kaleida Health Buffalo, United StatesWorks to support the financial objectives of Kaleida Health and improve revenue cycle operations. Supervise the daily operations, work, distribution, and review of accounts receivable. Responsible for the success of timely and accurate reimbursement. Supervisor, Claims, Operation ...
-
CDM & Charge Compliance Analyst
2 weeks ago
Kaleida Health Buffalo, United States**68257BR** · **Auto req ID:** · 68257BR · **Department:** · KH Patient Financial Services · **Job Description:** · The CDM Charge Compliance Analyst is responsible for supporting the Revenue Integrity Director of CDM, Charge Control & Charge Compliance with preventing revenue le ...
-
System Director Women
4 weeks ago
Catholic Health System Buffalo, United StatesSalary: 124, ,459.00 USD · Facility: Sisters of Charity Hospital · Shift: Shift 1 · Status: Full Time FTE: · Bargaining Unit: ACE Associates · Exempt from Overtime: Exempt: Yes · Work Schedule: Days · Hours: · Summary: · The System Director, Women & Children Services is ...
-
Accounts Receivable Specialist Billing
1 week ago
Catholic Health System Buffalo, United StatesSalary: USD · Facility: Administrative Regional Training Cntr · Shift: Shift 1 · Status: Part Time w/Benefits FTE: · Bargaining Unit: ACE Associates · Exempt from Overtime: Exempt: No · Work Schedule: Days · Hours: · 9-2:30 · Summary: · The Revenue Management Center sup ...
-
Catholic Health System Buffalo, United StatesSalary: 124, ,459.00 USD · Facility: Administrative Regional Training Cntr · Shift: Shift 1 · Status: Full Time FTE: · Bargaining Unit: ACE Associates · Exempt from Overtime: Exempt: Yes · Work Schedule: Varied · Hours: · 8-4, schedule varies · Summary: · The System Dir ...
-
Vice President Financial Services HCS
2 weeks ago
Catholic Health System Buffalo, United StatesSalary: 155, ,902.00 USD · Facility: Administrative Regional Training Cntr · Shift: Shift 1 · Status: Full Time FTE: · Bargaining Unit: ACE Associates · Exempt from Overtime: Exempt: Yes · Work Schedule: Days · Hours: 8am to 5pm · Summary: · The Vice President Financial Services ...
-
System Director Surgical and Medical Services
4 weeks ago
Catholic Health System Buffalo, United StatesSalary: 124, ,459.00 USD · Facility: Administrative Regional Training Cntr · Shift: Shift 1 · Status: Full Time FTE: · Bargaining Unit: ACE Associates · Exempt from Overtime: Exempt: Yes · Work Schedule: · Varied · Hours: · 8-4, schedule varies · Summary: · The System ...
-
Catholic Health System Buffalo, United StatesSalary: USD · Facility: Administrative Regional Training Cntr · Shift: Shift 1 · Status: Full Time FTE: · Bargaining Unit: ACE Associates · Exempt from Overtime: Exempt: No · Work Schedule: Days · Hours: 7a-5p varied Hybrid work from home option available after successful comple ...
-
Senior Territory Manager, Sales
1 week ago
TEEMA Buffalo, United StatesJob Description · Job Description · Job Title: · Senior Territory Manager, Sales · Job ID: · DM · Location: · Buffalo, NY · Overview: · Does a career with an established Cybersecurity company sound enticing? Are you looking for an uncapped opportunity with a technology Di ...
Vice President of Revenue Cycle - Buffalo, United States - BestSelf Behavioral Health
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
BestSelf Behavioral Health (BestSelf) is an innovative organization formed through the merger of Child & Adolescent Treatment Services and Lake Shore Behavioral Health in June 2017.
Both organizations served this community for a combined 120 years and are proven leaders in innovative delivery of behavioral health services in Western New York.
Their shared reputation and stellar delivery of quality care in the community, led the Boards of Directors of both organizations to the creation of what is now the largest community-based behavioral health organization serving children and adults of all ages in Western New York .
No matter how old you are, where you live in Western New York or what challenges you're facing—BestSelf Behavioral Health can provide you and your family with the innovative and evidence-based services you need, along with a personal and caring approach that will help you feel respected, valued, confident and hopeful.
The Vice President of Revenue Cycle is responsible for the oversight and direction of all revenue cycle operations throughout BestSelf Behavioral Health including but not limited to patient access and financial clearance, billing follow up, accounts receivable management and cash posting.
Through effective leadership, this position will be responsible for creating and promoting a collaborative environment that encourages continuous improvement with respect to BestSelf's annual revenue cycle.
In addition, this position will provide ongoing support to the Billing, Front End Operations, and Revenue Cycle teams to meet the expectations for high quality customer services, fiduciary relations, and other established guidelines.
Lastly, the position is responsible for maintaining up to date knowledge of billing standards as well as federal and state billing regulations in order to ensure the agency follows and maintains compliance.
Required competenciesStrategic Thinking:
Ability to develop and execute strategic initiatives to optimize the revenue cycle process and improve financial performance. Proven track record of identifying opportunities for revenue enhancement and implementing effective solutions.
Financial Acumen:
Strong understanding of healthcare finance principles, including revenue cycle management, reimbursement methodologies, and financial reporting. Ability to analyze financial data and performance metrics to make informed business decisions.
Leadership and Team Development:
Demonstrated leadership skills with the ability to inspire and motivate teams to achieve goals and objectives. Experience in building and developing high-performing teams through coaching, mentoring, and professional development opportunities.
Problem-Solving Skills:
Excellent problem-solving abilities with the capacity to identify root causes of revenue cycle issues and develop innovative solutions. Proven track record of implementing process improvements and driving operational efficiencies.
Attention to Detail:
Strong attention to detail and accuracy in coding, billing, and documentation processes. Ability to review and analyze complex billing and reimbursement data to ensure compliance with regulatory requirements and payer guidelines.
Ethical and Compliance Orientation:
Strong ethical standards with a commitment to integrity and compliance with healthcare regulations and industry standards. Knowledge of healthcare compliance regulations, including HIPAA, Stark Law, and Anti-Kickback Statute, and experience implementing compliance initiatives.
Job duties
Vision Statement
Empowering everyone to be their BestSelf.
Mission Statement
To provide innovative, evidence-based, accessible, and family-focused behavioral health services to promote health, hope, recovery, and an enhanced quality of life.
We believe strong, healthy families provide the foundation for emotional well-being.
We believe every individual is unique and recovery is possible.
We believe quality behavioral healthcare is accessible, person-centered and holistic.
We believe inclusion of peers, families and significant others in services promotes successful outcomes.
We believe in culturally competent and trauma-informed services.
We believe engaged employees are essential.
We believe in innovative, evidence-based interventions.
We believe in collaboration and community partnerships.
We believe in community education and advocacy to combat stigma.
BestSelf Behavioral Health, Inc.
is the largest community-based behavioral health organization serving children and adults with mental health and substance use disorders in WNY.
We provide easy access to a full continuum of person-centered, trauma-informed behavioral health treatment, rehabilitation and recovery services.
BestSelf offers a comprehensive array of services to promote self-sufficiency, wellness, and an enhanced quality of life for children, adolescents and adults.
We deliver a full range of services to a diverse, multicultural consumer population by employing a cadre of fully bilingual, bicultural staff.
BestSelf utilizes more than 20 evidence-based therapies including; Dialectical Behavioral Therapy (DBT); Cognitive Enhancement Therapy (CET); Parent-Child Interaction Therapy (PCIT); and Cognitive-Behavioral Treatment (CBT).
Created in June 2017 when Child & Adolescent Treatment Services and Lake Shore Behavioral Health merged
2022
Annual Budget:
$94 Million
Clients Served (2021): 40,000+ children, adolescents & adults
Employees: 1,200+
51st Largest Employer in Buffalo & WNY (2022 Business First List)
Total Outpatient Clinics: 13
Total Service Locations: 70+
What We Do
Serving Children, Adolescents & Adults
Mental Health & Substance Use Disorders Outpatient Clinics
Medication Assisted Treatment (Suboxone, Vivitrol, Methadone)
ClubWest, ClubSouth, Safe Space & Afterhours Supportive Care
Assertive Community Treatment (ACT)
Personalized Recovery Oriented Services (PROS)
Community & Mobile Mental Health and Addiction Treatment Services
Building Brighter Futures - school-based programs providing academic assistance, social-emotional supports, high-quality enrichment opportunities, and family engagement to encourage positive development.
Health Home Services for Medicaid Recipients - Children & Adults
Integrated Primary Care Clinic
Vocational Services and Supported Employment
Residential Substance Use Disorder Treatment for Pregnant & Parenting Women where children up to age 11 can reside with their mother during treatment; Residential Substance Use Disorder treatment for Children and Adolescents.
Child Advocacy Center at BestSelf is an innovative, comprehensive center offering safety, support and a healing place for children and families affected by trauma and abuse.
Job Type:
Full-time
Pay:
$100, $120,000.00 per year
Ability to Commute:
Buffalo, NY Required)
Ability to Relocate:
Buffalo, NY 14202:
Relocate before starting work (Required)
Work Location:
In person
#J-18808-Ljbffr