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    VP, Revenue Cycle Management - Newtown Square, United States - Center for Orthopedic and Research Excel

    Center for Orthopedic and Research Excel
    Center for Orthopedic and Research Excel Newtown Square, United States

    2 weeks ago

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    Description

    Job Description

    Job Description

    Premier Orthopaedics and Sports Medicine is looking for a VP, Revenue Cycle Management to work out of our Newtown Square, PA corporate office.

    The Company: Premier Orthopaedics is a full-service orthopaedic practice formed in 2000 that specializes in the diagnosis and care for a wide range of orthopaedic injuries and conditions. Through partnership with the Healthcare Outcomes Performance Company (HOPCo), we have grown to over 50 specialty locations and over 100 physicians across the Greater Philadelphia region

    We're proud of the company we've built as we've grown to over 1000 employees to make Premier a place that people love to come to work every day

    At Premier Orthopaedics, we are dedicated to taking care of you so you can take care of business Our robust benefits package includes the following:

    • Comprehensive benefits; including medical, vision, and dental plans, 100% employer paid life insurance, 401k match, among other supplemental benefits
    • Generous paid personal, sick, and vacation time off
    • Flexible work hours
    • Excellent growth and advancement opportunity
    • Employee referral reward program

    ESSENTIAL FUNCTIONS

    The Vice President of Revenue Cycle Management will ensure the following:

    • Efficient and accurate pre-registration and registration process
    • Thorough pre-certification procedures
    • Complete and timely charge capture, coding and claim submission
    • Capture of up-front patient collections, self-pay, and balances owed
    • A successful follow up and denial program that aggressively pursues monies owed
    • Open and active communication and partnership between all invested departments and with billing provider team to drive an efficient and successful revenue cycle process
    • Transparent and accurate reporting process that provides regular review of department performance to all levels of the organization
    • Coaching and mentoring of team that reports up through this position, developing leaders beneath them

    EDUCATION

    • Minimum: Bachelor's Degree in Business Administration, Health Administration, Finance, Accounting, or similar
      Preferred: Master's Degree in Business Administration, Health Administration, Finance, Accounting or similar
    • Certified Coder a plus
    • Relevant experience and proven track record of success considered in lieu of education

    EXPERIENCE

    • 10+ years overseeing front and back-end revenue cycle
    • 5+ years with oversight of director level leadership in revenue cycle

    REQUIREMENTS
    This position requires an active partnership with several collaborative departments and leaders across the organization. Communication with physicians and providers, the Executive Committee, and senior leadership to report on department metrics and initiatives to occur regularly. The successful candidate will understand organizational dynamics and balance the competing priorities of all invested parties in the process to drive the team's success. This position will be tasked with identifying opportunities to improve the revenue cycle process from initial patient registration through denials and balance collection, navigating matrixed reporting structures and complex interdepartmental dynamics to maximize the revenue outcomes of the enterprise.

    KNOWLEDGE
    General:

    • Knowledge of HIPAA regulations.
    • Knowledge of computer applications including windows-based applications and web-based EMR.
      o Athena EMR experience a plus.
    • Knowledge of telephone and fax systems.
    • Knowledge of grammar, spelling and punctuation.

    Role Specific:

    • Advanced understanding of the revenue cycle process, payor regulations, and collections.
    • Knowledge and billing and coding compliance.
    • Knowledge of healthcare setting, with orthopedic experience a plus.

    SKILLS

    • Skill in using computer programs and applications. Demonstrates familiarity with Microsoft Office products such as Outlook, Excel, PowerPoint and Word. Skill in producing reports, graphs, slides and other metrics for distribution at various levels in the organization.
    • Skill in problem-solving.
    • Skill in handling large volumes of data.
    • Skill in communicating via telephone and writing. Ability to tailor communication style and level of detail to the audience. Professional presentation of self in all encounters.
    • Skill in prioritizing work duties.
    • Demonstrates outstanding customer service skills, communicates well and utilizes excellent listening skills and telephone etiquette.
    • Dedicated attention to detail.
    • Adept mentoring and coaching skillset, supporting the team that reports up to this role and developing their skills and leadership.

    ABILITIES

    • Ability to follow oral and written instructions.
    • Ability to establish professional working relationships with providers, staff, patients and the public.
    • Ability to multi-task in a face paced environment. Able to pivot quickly as priorities change.
    • Able to have consistent attendance and punctuality. Willingness to be visible and front facing across the organization.
    • Able to build strong relationships and partnerships at all levels of the organization to drive success.
    • Able to work with physician's and billing providers and engage them in the process.
    • Able to navigate complex organizational dynamics, partnership with management company and matrixed reporting systems.
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