Vice President, Denials & Revenue Recovery

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

📋 Description

• Define strategic priorities that are in line with revenue, margin, client value, and the growth objectives of the company.

• Discover opportunities to enhance revenue recovery capabilities, along with products, services, and client outcomes.

• Act as a senior subject matter expert and executive resource for Revenue Recovery and Denials.

• Take ownership of the strategy, financial performance, and operational execution of Zero Balance Recovery.

• Set targets for recovery, revenue, productivity, and profitability, ensuring that performance meets established goals.

• Enhance inventory identification, claim prioritization, workflows, payer strategies, staffing, and technology.

• Collaborate with Product and Technology teams to increase automation, AI, analytics, and scalable Zero Balance capabilities.

• Align inventory, staffing, processes, and technology with financial objectives set for monthly, quarterly, and annual periods.

• Direct variance analysis and corrective action planning in collaboration with executive leadership and operational teams.

• Work alongside Finance on budgeting, forecasting, financial modeling, and business planning efforts.

• Ensure that new products, technologies, and processes are scalable and effectively implemented across the organization.

• Serve as an executive resource for key clients and strategic accounts.

• Collaborate with Sales and Client Success teams on retention, expansion, executive relationships, and new business opportunities.

• Lead the resolution of significant client issues and coordinate resources across various functions.

• Build and lead a high-performing Revenue Recovery and Denials organization.

• Establish the organizational structure, workforce plans, performance expectations, and succession strategies.

• Recruit, develop, coach, and retain high-performing leaders.

• Lead initiatives for organizational change, transformation, integration, and growth.

• Stay informed about HIPAA, healthcare revenue cycle operations, insurance billing, reimbursement, payer regulations, and provider contract language.

• Ensure compliance with policies, procedures, training, and operational standards.

• Represent Revenue Recovery and Denials in executive leadership and cross-functional projects.

• Support strategic planning, acquisitions, integrations, and corporate initiatives.

• Perform additional duties that align with EnableComp’s strategic objectives.

⛳️ Requirements

• Bachelor's degree in Healthcare Administration, Business, Finance, Revenue Cycle Management, or a related field; advanced degree preferred.

• Over 10 years of progressive experience in healthcare revenue cycle, revenue recovery, denials, collections, hospital finance, managed care, or a related field.

• More than 5 years of senior leadership experience managing multiple teams, functions, products, or business lines.

• Proven experience in leading revenue recovery, denials, appeals, collections, Zero Balance, or related healthcare financial operations.

• Proficiency in revenue forecasting, budgeting, profitability, and margin management.

• Experience in developing and executing strategies that enhance revenue, recovery, and profitability.

• Capability to lead large, complex organizations through managers and senior leaders.

• Experience in cross-functional partnerships with Product, Technology, Finance, Sales, Client Success, and Operations teams.

• Strong understanding of hospital revenue cycles, payer behavior, reimbursement methodologies, healthcare financials, and provider contract language.

• Excellent analytical, strategic, communication, problem-solving, and executive leadership skills.

• Proficient in computer applications, including Microsoft Office.

• Willingness to travel 0–20% as business needs dictate.

• An equivalent combination of education and experience will be taken into account.

• Regular and predictable attendance is required.

• Commitment to EnableComp’s Core Values, Vision, and Mission is essential.

• Strong written and verbal communication skills are necessary.

• Experience in a production environment with the ability to meet deadlines.

• Excellent interpersonal skills for engaging with multiple internal stakeholders.

• Demonstrated success in setting priorities for direct reports and achieving measurable results.

• Ability to manage various projects and priorities across multiple teams.

• Background in healthcare and familiarity with payer or provider data sets is advantageous.

• Experience in communicating challenges and obstacles while developing action plans for management.

🏝️ Benefits

• Support for professional growth and development.

• Access to tools, resources, and assistance for career advancement.

• A flexible, family-oriented work environment.

• A healthy work-life balance.

• A work culture that promotes enjoyment and celebrates achievements.

• Equal opportunity employment.