Associated Medical Professionals of NY, PLLC · 6 days ago
Vice President, Revenue Cycle Management
Nashville, TN
Full-time
Onsite
Director/Executive
10+ years expU.S. Urology Partners is one of the nation’s largest independent providers of urology and related specialty services. The Vice President, Revenue Cycle Management is responsible for establishing the strategic vision and managing all Revenue Cycle operations to ensure financial viability and optimize resources.
Health CareHospital
Responsibilities
Oversee and support the daily operations of all revenue cycle functions, including but not limited to billing, follow-up and collections, cash posting, denial management, and credit balance reviews
Establish and maintain departmental policies and procedures. Communicate relevant information to other departments. Establish controls and review mechanisms to ensure procedures are being followed correctly
Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters
Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers
Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implanting solutions
Oversees the integration of acquired practices’ revenue cycle system into organization’s legacy RCM application
Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks and verifies collection processes are being followed
Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors
In conjunction with operations, reviews and enhances insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices; ensure systems are fully functional and maximized and recommend new processes to improve current workflow
Monitors daily productions of billings, denials, and appeals
Reviews, monitors and recommends updates to the medical practices’ fee schedule to maintain fees at levels that maximize reimbursement
Ensures compliance with relevant federal, state, and payor-specific billing requirements
Regularly provides upper management with revenue cycle status including reports, metrics, and presentation
Direct the selection, supervision and evaluation of staff. Ensure performance evaluations are conducted in a timely manner according to organization policy and initiate disciplinary actions as warranted. Resolve grievances and other sensitive personnel matters
Oversee orientation and continuing education for all staff. Ensure mandatory and relevant training is provided to staff in a timely manner
Ensure staff is educated on new technology, goals, and contracts
Any and all other projects, goals, issues surrounding the revenue cycle, conflicts or concerns as directed or indicated by senior management
Qualification
Required
Thorough knowledge of revenue cycle processes and standards related to billing, collections, and cash posting in a physician / medical group environment
General knowledge of patient registration, finance, and data processing
Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid and managed care processes
A minimum of 10 years of experience of billing and collection activities in a health care / physician organization setting, of which at least 5 of which has been in a senior managerial capacity
Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public
Ability to read, analyze and interpret financial reports, contracts, and other legal documents
Outstanding ability to work independently to achieve results
Ability to set and maintain priorities when dealing with multiple demands and interruptions
Strong analytical and problem-solving skills
Background in system integrations in conversions in an acquisitive, constantly changing environment
Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth
Excellent customer service and communication skills
Intermediate computer skills including email, word processing and spreadsheets
Experience in working with numerous billing and collection systems, and ability to identify strengths and weakness of systems and related processes
Benefits
Comprehensive medical, dental and vision plans
HSA / FSA
401(k) matching
Employee Assistance Program (EAP)
Company
Associated Medical Professionals of NY, PLLC
A.M.P. is a group of urologists and oncologist professionals that have been practicing in Auburn, New Hartford, and Syracuse for many years.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Christopher Pieczonka
Chief Executive Officer
Robert Creaven, M.H.A. CMPE
Chief Operating Officer
Recent News
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