Senior Vice President, Revenue Cycle Management

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Manage operations within the Revenue Cycle Department, including the collection of outstanding insurance balances, appealing denied claims, and addressing accounts receivable for clients.

• Provide support and resolve inquiries from both external and internal clients.

• Prepare necessary reports or logs as required.

• Serve as a technical authority on financial class responsibilities for both clients and team members.

• Stay updated on healthcare issues and regulations, particularly those related to Managed Care contracts.

• Identify and report trends in payments or denials, as well as procedural issues to clients, along with recommendations for improvements.

• Learn and adhere to organizational and departmental policies and procedures.

• Analyze and resolve problems efficiently and effectively.

• Set realistic goals and priorities that align with the organization's objectives.

• Ensure that remote client access is promptly disabled for employees who have been terminated or transferred, when applicable.

• Assist the Business Development team throughout the sales process.

• Use, safeguard, and disclose patients’ protected health information strictly in accordance with HIPAA standards, and enforce this for direct reports.

• Limit access to PHI to the minimum necessary for fulfilling assigned duties.

• Report any security or HIPAA violations or concerns to HIPAA Officers promptly.

• Carry out additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree in Accounting or Finance; MBA and/or CPA is highly preferred.

• Over 10 years of experience in progressively responsible financial leadership roles, ideally within an acute care setting or a similar revenue cycle management company.

• Strong analytical and problem-solving abilities; capacity to comprehend complex reimbursement structures and apply relevant contractual and governmental regulations to billing processes.

• Knowledge of legal, governmental, and regulatory provisions concerning collection activities.

• Familiarity with insurance company practices related to reimbursement.

• Experience in building teams and fostering a cooperative work environment is preferred.

• Proficient in Microsoft Office Suite.

• Excellent interpersonal skills; ability to communicate effectively and manage relationships at all organizational levels and with staff located remotely.

• Strong problem-solving and creative thinking skills; capacity to exercise sound judgment and make decisions based on timely and accurate analyses.

• High integrity and dependability, with a strong sense of urgency and results-oriented mindset.

• Exceptional written and verbal communication skills are required.

• A gracious and welcoming demeanor for customer service interactions.

• Must own a smartphone or electronic device capable of downloading applications for multifactor authentication and security measures.

• Ability to follow instructions, collaborate with others, and manage stress effectively.

🏝️ Benefits

• Comprehensive health insurance plans.

• Retirement savings options with company matching.

• Opportunities for professional development and growth.

• Flexible work schedules and remote working options.

• Paid time off and holidays.