- Provides strategic direction and designs systems to ensure compliant and efficient functioning of the revenue cycle; i.e. registration, eligibility, coding, billing, reimbursement, collections, and contract management.
- Develop and implement a comprehensive revenue cycle strategy aligned with organizational goals and objectives.
- Oversee all revenue cycle processes and ensure adherence to industry regulations and best practices.
- Lead a team of experienced revenue cycle professionals, fostering a culture of excellence, compliance, continuous improvement, and high performance.
- Analyze revenue cycle data to identify areas for improvement and implement process optimization initiatives.
- Manage and optimize revenue cycle technology systems.
-
Collaborate with key stakeholders across the organization, including finance, operations, and clinical departments, to ensure seamless patient access, accurate coding, and timely claims submission.
- Develop and maintain excellent payer relationships to ensure resolution of issues resulting in timely and accurate reimbursement.
- Responsible for the successful negotiation and implementation of the terms of managed care contracts.
- Ensure compliance with all applicable healthcare coding, billing, and reimbursement regulations.
- Achieves annual and periodic budgetary goals and key performance indicators of Revenue Cycle performance and the organization's overall financial performance.
- Bachelor's degree in Healthcare Administration, Business Administration, or a related field (MBA preferred).
- Minimum 10 years of experience in revenue cycle management within a healthcare setting.
- Proven track record of successfully leading and managing a high performing revenue cycle team.
- Strong understanding of healthcare revenue cycle processes, regulations, and best practices.
- Excellent analytical and problem-solving skills.
- Experience with revenue cycle technology systems.
- Experience and knowledge of managed care contracting and reimbursement methodologies.
- Strong communication, interpersonal, and leadership skills.
- Ability to work effectively in a fast-paced, results-oriented environment.
- Patient Access Services
- Health Information Management
- Patient Financial Services
- Revenue Integrity
- Clinical Documentation Improvement
- Managed Care
- Population Health/Accountable Care Organization participation
- Chief Financial Officer
- Competitive salary and benefits package.
- Opportunity to make a significant impact on the organization's financial performance.
- Work in a dynamic and growing healthcare environment.
- Be part of a committed leadership team dedicated to providing high-quality care to our patients and community.
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Vice President - Thomasville, United States - Archbold Medical Center
Description
Vice President, Revenue Cycle Operations Do you thrive in a fast-paced healthcare environment and have a passion for optimizing financial performance? Are you a strategic leader with a proven track record of building high-performing teams? If so, we want to hear from you The Opportunity We are seeking a dynamic, seasoned, and results-oriented Vice President of Revenue Cycle Operations to lead our organization#s financial engine.
In this critical role, you will oversee all aspects of the revenue cycle, from patient access and pre-authorization to claims submission, denials management, and collections.
You will be responsible for developing and implementing strategies to maximize managed care contract yield, maximize revenue capture, ensure clean claims submission, and optimize cash flow.
Key Responsibilities Provides strategic direction and designs systems to ensure compliant and efficient functioning of the revenue cycle; i.e. registration, eligibility, coding, billing, reimbursement, collections, and contract management. Develop and implement a comprehensive revenue cycle strategy aligned with organizational goals and objectives. Oversee all revenue cycle processes and ensure adherence to industry regulations and best practices. Lead a team of experienced revenue cycle professionals, fostering a culture of excellence, compliance, continuous improvement, and high performance. Analyze revenue cycle data to identify areas for improvement and implement process optimization initiatives. Manage and optimize revenue cycle technology systems.Collaborate with key stakeholders across the organization, including finance, operations, and clinical departments, to ensure seamless patient access, accurate coding, and timely claims submission.
Develop and maintain excellent payer relationships to ensure resolution of issues resulting in timely and accurate reimbursement. Responsible for the successful negotiation and implementation of the terms of managed care contracts. Ensure compliance with all applicable healthcare coding, billing, and reimbursement regulations.Achieves annual and periodic budgetary goals and key performance indicators of Revenue Cycle performance and the organization#s overall financial performance.
Qualifications Bachelor#s degree in Healthcare Administration, Business Administration, or a related field (MBA preferred). Minimum 10 years of experience in revenue cycle management within a healthcare setting. Proven track record of successfully leading and managing a high performing revenue cycle team. Strong understanding of healthcare revenue cycle processes, regulations, and best practices. Excellent analytical and problem-solving skills. Experience with revenue cycle technology systems. Experience and knowledge of managed care contracting and reimbursement methodologies. Strong communication, interpersonal, and leadership skills. Ability to work effectively in a fast-paced, results-oriented environment.Supervises Patient Access Services Health Information Management Patient Financial Services Revenue Integrity Clinical Documentation Improvement Managed Care Population Health/Accountable Care Organization participation Reports To Chief Financial Officer We Offer Competitive salary and benefits package.
Opportunity to make a significant impact on the organization#s financial performance. Work in a dynamic and growing healthcare environment. Be part of a committed leadership team dedicated to providing high-quality care to our patients and community. Our Company Archbold Medical Center is a four-hospital, four-nursing-home health system with 540 patient beds. We employ more than 2,500 people and boast an outstanding medical staff of nearly 200 qualified physician specialists. Our flagship hospital, Archbold Memorial Hospital, is a 264-bed hospital located in Thomasville, Georgia.Our system hospitals, also in Georgia, are Archbold Brooks Hospital in Quitman, Archbold Grady Hospital in Cairo, and Archbold Mitchell Hospital in Camilla.
For nearly 100 years, Archbold has been synonymous with high-quality, compassionate medical care.While our exemplary facilities have helped us maintain an excellent reputation, our team members are what makes Archbold special.# You are unique.
You have skills and a strong passion for helping people. You also have personal goals, and Archbold wants to help you achieve them.We are a diverse healthcare system that promotes teamwork, continuing education, and leadership, and we are committed to recruiting and retaining the best healthcare professionals to join our Archbold team.
# EEO Statement We are an equal opportunity employer and value diversity at our company.We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Vice President, Revenue Cycle OperationsDo you thrive in a fast-paced healthcare environment and have a passion for optimizing financial performance? Are you a strategic leader with a proven track record of building high-performing teams? If so, we want to hear from you
The Opportunity
We are seeking a dynamic, seasoned, and results-oriented Vice President of Revenue Cycle Operations to lead our organization's financial engine.
In this critical role, you will oversee all aspects of the revenue cycle, from patient access and pre-authorization to claims submission, denials management, and collections.
You will be responsible for developing and implementing strategies to maximize managed care contract yield, maximize revenue capture, ensure clean claims submission, and optimize cash flow.
Key ResponsibilitiesArchbold Medical Center is a four-hospital, four-nursing-home health system with 540 patient beds. We employ more than 2,500 people and boast an outstanding medical staff of nearly 200 qualified physician specialists. Our flagship hospital, Archbold Memorial Hospital, is a 264-bed hospital located in Thomasville, Georgia.
Our system hospitals, also in Georgia, are Archbold Brooks Hospital in Quitman, Archbold Grady Hospital in Cairo, and Archbold Mitchell Hospital in Camilla.
For nearly 100 years, Archbold has been synonymous with high-quality, compassionate medical care. While our exemplary facilities have helped us maintain an excellent reputation, our team members are what makes Archbold special.You are unique. You have skills and a strong passion for helping people. You also have personal goals, and Archbold wants to help you achieve them.
We are a diverse healthcare system that promotes teamwork, continuing education, and leadership, and we are committed to recruiting and retaining the best healthcare professionals to join our Archbold team.
EEO StatementWe are an equal opportunity employer and value diversity at our company.
We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.