CardioOne is hiring a
Vice President of Revenue Cycle Management

Summary

Join us in our mission to positively impact US cardiology as the Vice President of Revenue Cycle Management at CardioOne, leading all functions that contribute to patient service revenue capture, management, and collection.

Requirements

• 10-15 years’ experience in Revenue Cycle Management within a healthcare setting
• Minimum 3-5 years experience in physician practice revenue cycle leadership is strongly preferred
• Bachelor’s degree required; Master’s in Health Administration or MBA preferred
• Demonstrated deep knowledge of the revenue cycle life cycle
• Strong analytic skills and a data-driven approach
• Strong data management capabilities, including the ability to acquire, transform, and summarize data to create operational insight
• Strong experience working with cardiology practices is preferred
• Experience managing and leading teams in revenue cycle operations
• Strong knowledge of health insurance plans, the authorization process, and requirements to convert a referral into an authorization are required
• In-depth understanding of healthcare finance, reimbursement methodologies, and revenue cycle processes
• Ability to solve for today’s need and build for tomorrow as CardioOne continues to scale in size and scope
• Athena EMR experience strongly preferred

Responsibilities

• Establish, document, and implement appropriate financial clearance/prior authorization, coding, billing, collections and cash posting policies, controls and procedures
• Establish oversight and review of revenue cycle systems to identify process and quality improvements using new functionality and new technology to transform the way revenue cycle departments operate
• Partner with clinical operations and other key stakeholders to drive shared revenue cycle improvement initiatives that continually reduce days in accounts receivable, increase cash collections, reduce bad debt write-offs, and minimize denials and write-offs due to revenue cycle process issues
• Monitor revenue cycle operations for compliance with established policies, regulations, procedures, and standards
• Develop and implement recommendations that will increase the efficiency and productivity of revenue cycle processes and enhance the patient financial experience
• Oversee activity relating to delinquent accounts, collection agencies, special adjustments, and/or write-offs and identify opportunities to partner with and improve processes related to bad debt and adjustments
• Direct the preparation and maintenance of reports on revenue cycle activities; maintain statistics from the units' work activities and provide regular productivity reporting and feedback to management and staff
• Manage internal revenue cycle personnel and CardioOne’s outsourced 3rd party RCM vendors, ensuring appropriate staffing levels based on business needs; ensure staff and 3rd party vendors are meeting quality of work and productivity goals; ensure accurate and timely reporting of key performance indicators
• Establish long term and short-term operational plans for revenue cycle operations that address financial performance, customer service, information technology, human capital and regulatory requirements; collaborate with other departments to optimize revenue cycle operations
• Plan, develop, and implement new systematic approaches to optimize accurate practice partner revenue and cash flow

Benefits

Full time base salary of $170,000 to $190,000 plus medical, dental, and vision benefits