ZoomCare · 2 days ago
Vice President of Revenue Cycle Management
United States
Full-time
Remote
Director/Executive
10+ years exp
Maximize your interview chancesHealth CareMedical
Insider Connection @ZoomCare
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Provide leadership, management and direction across the entire revenue cycle process.
Develop and implement strategic initiatives to optimize revenue and reduce claim denials.
Collaborate with a variety of stakeholders to ensure compliance with billing and reimbursement guidelines.
Lead the development of vision, strategy and tactics that optimize revenue cycle performance in the current fee-for-service model and in the developing value based payment program; metrics of success include collections yield, first pass yield, denial rate and days in accounts receivable.
Assess and respond to current and future internal and external healthcare trends to optimize the revenue cycle and overall business performance.
Work with leaders to maximize teamwork and results across the revenue cycle including patient intake, scheduling, benefits verification, authorizations, billing, coding, collections and reimbursement.
Develop and maintain cascading dashboards of key performance indicators (KPIs) to track efficiency in claims submission, denial management, and collections with transparency across the organization’s leadership team.
Ensure that all revenue cycle activities comply with federal, state, and payer-specific regulations, including HIPAA and other healthcare laws.
Establish, document and implement appropriate policies, controls and procedures.
Maintain up-to-date expertise and knowledge of healthcare billing laws, rules, regulations and other developments as necessary to maintain compliance, improve efficiency and inform decisions and strategy.
Implement and monitor internal controls to safeguard compliance and integrity of revenue cycle processes.
Collaborate with key stakeholders on cross-functional initiatives targeting RCM improvement opportunities such as claim denials.
Identify and remove root cause issues for sustained improvement.
Recruit, train, and mentor revenue cycle professionals, fostering a culture of outstanding customer service and high-performance while developing future leaders across the revenue cycle.
Collaborate with various stakeholders, such as healthcare providers, insurance companies, and regulatory agencies, to ensure compliance with billing and reimbursement guidelines.
Conduct regular performance evaluations providing timely feedback and ensuring alignment with organizational objectives.
Remain up to date on the latest industry regulations and best practices, and make necessary adjustments to workflows and systems.
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field
10+ years of progressive experience in healthcare revenue cycle management, with at least 5+ years in a leadership role
Extensive experience in ambulatory/provider billing, coding, collections, claims processing, and denial management in a healthcare setting
Working knowledge of applicable State and Federal regulatory requirements, including HIPAA, Fraud and Abuse, Medicare, Medicaid, and other payer requirements
Deep understanding of healthcare regulations, coding standards (e.g., ICD-10, CPT), and payer-specific guidelines
Knowledge of financial planning, budgeting, and forecasting principles as they apply to healthcare revenue management
Strong leadership and team management skills, with experience building and developing high-performing teams
Effective communication and collaboration skills to work with clinical, financial, and administrative teams
Excellent problem-solving abilities and analytical skills, with the capacity to think strategically and manage operational details
Preferred
Master’s degree in Business Administration, Healthcare Administration, or a related field
At least two years of experience working with Athena
Benefits
Medical, Dental, Vision benefits
401K with employer match
Paid Time Off
Paid Holidays
Paid Parental Leave
Sabbatical Program
Company
ZoomCare
Founded in 2006 by two doctors and a belief that everyone deserves better healthcare, we opened the first ZoomCare clinic outside of Portland, Oregon, on the second floor of a building in a mall.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Endeavour Capital
2014-07-08Private Equity
Leadership Team
Jeff Fee
Chief Executive Officer
Heather Hardy
Chief Growth Officer
Recent News
Business Journals
2024-04-16
2023-04-13
2023-04-08
Company data provided by crunchbase
