Vice President of Revenue Cycle Management jobs in United States
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Moab Healthcare · 1 month ago

Vice President of Revenue Cycle Management

Moab Healthcare is seeking a Vice President of Revenue Cycle Management to provide executive leadership and strategic direction for all revenue cycle functions. The role focuses on optimizing the revenue cycle processes to ensure financial sustainability while supporting high-quality patient care and enhancing the patient financial experience.

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Responsibilities

Develop and execute the organization’s revenue cycle strategy to support financial goals, regulatory compliance, and operational efficiency
Lead, mentor, and develop RCM leaders and teams across patient access, HIM/coding, CDI, billing, and collections
Drive continuous improvement initiatives, leveraging technology, automation, and best practices
Oversee all revenue cycle operations to ensure accurate, compliant, and timely billing and reimbursement
Ensure effective processes for insurance verification, authorization, scheduling, registration, and financial counseling
Monitor and optimize key performance indicators (KPIs), such as DNFB, AR days, clean claim rate, denial rate, and cash collections
Partner with the CFO and finance teams to forecast revenue, analyze financial trends, and identify opportunities to improve cash flow
Develop and manage the revenue cycle budget
Lead initiatives to reduce denials, improve charge capture, and enhance payer performance
Ensure compliance with federal, state, and payer regulations, including CMS, HIPAA, and hospital accreditation standards
Oversee audit readiness, including documentation, coding accuracy, and internal controls
Drive quality and consistency in patient financial communications and processes
Collaborate with IT to evaluate and optimize RCM systems, workflow tools, and automation solutions
Champion digital transformation to improve patient experience, staff efficiency, and revenue integrity
Work closely with clinical leaders, finance, legal, IT, and operational departments to ensure cohesive workflows and accurate revenue capture
Partner with managed care contracting teams to support payer negotiations and reimbursement strategies

Qualification

Revenue Cycle ManagementHealthcare AdministrationStrategic PlanningFinancial Performance AnalysisCompliance KnowledgeTeam LeadershipChange ManagementTechnology SolutionsCommunication SkillsRelationship Building

Required

Bachelor's degree in Business, Finance, Healthcare Administration, or related field required
10+ years of progressive leadership in healthcare revenue cycle management, including at least 5 years in a senior or executive role
Deep knowledge of hospital and physician billing, coding, compliance, and payer regulations
Demonstrated success leading large teams and improving financial performance in a complex healthcare environment
Strong strategic planning and organizational leadership skills
Expertise in revenue cycle KPIs, analytics, and benchmarking
Excellent communication and relationship-building skills
Ability to lead change, manage complexity, and leverage technology solutions
High integrity and commitment to patient-centered financial practices

Preferred

Master's degree (MBA, MHA, MPH, etc.) strongly preferred

Company

Moab Healthcare

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Moab Healthcare provides professional and experienced staff that is dedicated to all things sterlite processing.

Funding

Current Stage
Growth Stage

Leadership Team

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James Boyette
Co-Founder/Owner
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Steve Flowers, RN
Co-Founder
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Company data provided by crunchbase