Austin Regional Clinic: ARC · 1 month ago
Vice President of Revenue Cycle
Austin, TX
Full-time
Onsite
Director/Executive
6+ years expAustin Regional Clinic is one of central Texas’ largest professional medical groups, recognized as a top employer. The Vice President of Revenue Cycle provides leadership and strategic direction to optimize revenue cycle operations, ensuring compliance and maximizing revenue through effective management of processes from patient registration to collections.
Health CareMedical
Responsibilities
Develops and executes the organization's overall revenue cycle strategy to align with its financial objectives
Collaborates with other executive leaders, clinic operations leadership and external stakeholders to align billing strategies with broader business objectives
Drives continuous improvement, provides performance feedback, and achieves strategic goals
Manages day-to-day Central Billing Office and Revenue Integrity operations to ensure accuracy and efficiency in processes like patient registration, billing, charge capture, coding, claims submission, remittance processing, denial management, collections, and resolution of payment variances to secure maximum reimbursement
Provides ongoing support and training to staff to meet the expectations established for high quality patient service, payer relations, billing and regulatory compliance, and other established guidelines
Works to create transparent, patient-friendly billing processes
Maximizes revenue by optimizing collections, reducing inefficiencies and gaps, and implementing cost-saving initiatives. Tracks and reports monthly AR KPI’s
Monitors and enforces the terms of Service Agreements between ARC and third-party payers with special emphasis on the financial terms of those agreements
Ensures strict adherence to State, Federal and Payer regulations, industry standards and company policies to mitigate penalties and legal risks
Stays informed about industry trends and regulatory changes affecting billing and reimbursement
Analyzes payer reimbursement and claim denial patterns to identify opportunities for revenue enhancement
Analyzes revenue cycle processes and performance metrics to identify areas of improvement. Evaluates and implements technology solutions to enhance performance
Leads collaboration with payers to resolve escalated issues, streamline processes, and ensure compliance with contract terms, reimbursement policies, and regulatory requirements. Collaborates with the organization’s financial service functions to ensure accurate and efficient recording of information and compliance with established financials controls
Participates in processes to review, analyze, and negotiate contracts with third party payers to promote optimal collections and efficient billing and collections processes
Oversees the Revenue Cycle annual capital and operating budgets, monitors expenses, and continually seeks cost-effective process improvement to enhance performance
Leads the development and implementation of revenue specific policies, procedures, and programs and monitors adherence to system-wide policies/standardizations
Works closely with Epic Business Systems Analysts to maximize practice management system performance and other revenue cycle vendor performance, and test and implement new applications, releases and upgrades
Promotes long term financial stability and sustainable growth to safeguard our ability to continue to offer high quality, coordinated care
Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct
Regular and dependable attendance
Follows the core competencies set forth by the Company, which are available for review on ARC SharePoint
Performs other duties as assigned
Qualification
Required
Bachelor's degree in Healthcare Administration, Business, or related field
Six (6) or more years of senior-level revenue cycle management experience in a physician medical group
Demonstrated competence in all areas of revenue cycle operations, including clinic business office and billing and collections in the healthcare industry
Knowledge of and experience in the operational aspects of physician office practice
Knowledge of the requirements of coding patient encounters with physicians and skill in applying that knowledge
Knowledge of Medicare regulations relating to claims preparation and processing
Knowledge of human resource fundamentals and underlying laws, i.e., FLSA, ADA, FMLA, etc
Demonstrated analytical skills in healthcare reimbursement and ability to use data to drive process improvement
Demonstrated skill in the effective use of practice management systems in improving revenue cycle functions
Ability to engage others, listen and adapt response to meet others' needs
Excellent computer and keyboarding skills, including familiarity with Windows and Microsoft
Excellent verbal and written communication and presentation skills
Ability to manage competing priorities
Ability to perform job duties in a professional manner at all times
Ability to understand, recall, and communicate, factual information
Ability to organize thoughts and ideas into understandable terminology
Ability to apply common sense in performing job
Ability to align group's priorities and activities to the strategic goals of the company
Ability to anticipate, communicate, and encourage employee involvement in needed change initiatives
Ability to provide frequent feedback and coach all team members to grow and develop high-impact skills
Ability to focus on win-win communication when conflicts, problems, or misunderstandings arise
Ability to apply standardized processes appropriately; continuously improving processes
Ability to continuously adapt and contribute to meet growth and market needs of the company and own career
The ability to establish functional, collaborative, and cooperative relationships with operational and administrative management
Ability to make decisions which have significant impact on the department's credibility, operations, and services
Knowledge of financial reporting concepts and preferred business practices
Skill in analyzing and interpreting financial records
Ability to relocate to Austin, TX 78723 before starting work
Preferred
Master's degree in related field
Benefits
Medical
Dental
Vision
Flexible Spending Accounts
PTO
401(k)
EAP
Life Insurance
Long Term Disability
Tuition Reimbursement
Child Care Assistance
Health & Fitness
Sick Child Care Assistance
Development
Company
Austin Regional Clinic: ARC
Austin Regional Clinic (ARC) is a multispecialty medical group committed to providing comprehensive, coordinated healthcare services throughout Central Texas.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
M
Manish Naik
Chief Medical Officer
Recent News
Austin American-Statesman
2024-12-29
Company data provided by crunchbase