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medmix · 1 day ago

Vice President, Revenue Cycle Management

Parsippany-Troy Hills, NJ, USA

Full-time

Onsite

Director/Executive

10+ years exp

medmix is seeking a Vice President, Revenue Cycle Management to oversee the A/R team responsible for collecting outstanding insurance balances and resolving A/R for clients. This role involves managing client relationships and ensuring operational expertise in Revenue Cycle management.

Health CareManufacturingMedicalMedical Device

Responsibilities

Provide assistance/resolution to external and internal client inquiries

Prepare reports or logs as required

Act as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team members

Maintain a current working knowledge of all healthcare related issues and regulations

Responsible for reporting any detected trends in payments or denials, as well as procedural problems, to the client. Recommendations regarding the correction of these trends and/or problems should also be reported

Maintain a professional attitude

Learn and comply with organizational and departmental policies and procedures

Analyze and solve problems quickly and thoroughly

Establish realistic goals and priorities concurrent with organizational objectives

Provide support to the Business Development team during the sales process

Responsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashion

Understand and comply with Information Security and HIPAA policies and procedures at all times and ensure all direct reports are trained and in compliance of said policies and procedures at all times

Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards and enforce such for all direct reports

Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties for your respective team

Report any security or HIPAA violations or concerns for your team to the HIPAA Officers in a timely fashion

Qualification

Financial leadershipRevenue Cycle expertiseAnalytical skillsRegulationsInsurance reimbursement knowledgeCustomer service skillsInterpersonal skillsProblem solving skillsCommunication skills

Required

BS in Accounting or Finance

10+ years in progressively responsible financial leadership roles, preferably in acute care setting or comparable Revenue Cycle company

Analytical and problem solving skills, the ability to understand complex reimbursement structures and the ability to apply contractual and governmental regulations to billing processes

Knowledge of governmental, legal and regulatory provisions related to collection activity

Knowledge of insurance company practices regarding reimbursement

Strong interpersonal skills, ability to communicate and manage well at all levels of the organization and with staff at remote locations essential

Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses

High level of integrity and dependability with a strong sense of urgency and results-orientation

Excellent written and verbal communication skills required

Gracious and welcoming personality for customer service interaction

Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes