Job PurposeThe Vice President, Transformation Services will be responsible for leading and implementing initiatives that enhance revenue cycle performance, optimize operational efficiency, and improve financial outcomes.
Duties and Responsibilities
Lead and drive revenue cycle transformation initiatives to maximize efficiency and effectiveness of full end-to-end revenue cycle operations and services for clients
Provide strategic guidance and support to external and internal stakeholders on revenue cycle optimization initiatives and activities
Prepare comprehensive reports, presentations and documentation as required to monitor, evaluate and communicate the effectiveness of revenue cycle initiatives
Act as a subject matter expert on revenue cycle practices and operations, addressing inquiries from clients and team members
Responsible for tightly monitoring analytics to report progress on any detected trends in payments, denials and procedural problems to the client and developing recommendations regarding the execution of corrective actions
Stay abreast of healthcare industry trends, regulations, and managed care contracts, and provide recommendations to clients regarding payment trends, denials, and process improvements
Maintain a positive and professional demeanor with clients and team members
Always maintain confidentiality of sensitive clients and Med-Metrix proprietary information
Ensure compliance with organizational and departmental policies and procedures
Analyze and resolve complex problems efficiently, ensuring timely and accurate resolutions
Establish realistic and measurable goals and priorities aligned with organizational objectives
Effectively communicate with various stakeholders, including patients, colleagues, insurance companies, hospital staff, and clients
Demonstrate familiarity with insurance company practices pertaining to reimbursement processes
Collaborate with the Business Development team during the sales process, providing revenue cycle expertise and support
Oversee the timely disablement of remote client access for terminated or transferred employees, when applicable
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred
10+ experience in a leadership role within revenue cycle services, preferably in a healthcare hospital-based healthcare setting
Strong understanding of revenue cycle management principles and practices, with a demonstrated ability to deliver high-quality services to clients
Possess knowledge of state and federal governmental, legal, and regulatory provisions related to front-end, middle and backend revenue cycle operations
Excellent leadership skills, including the ability to motivate, mentor, and develop a high-performing team
Proficiency in revenue cycle management systems, electronic health records (EHR), and client management tools
Ability to adapt to a fast-paced and changing environment, managing multiple priorities and deadlines effectively
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
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 oriented
Excellent written and verbal communication skills required
Working Conditions
Occasional travel and flexibility to work outside of normal business hours as needed
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
Work Environment: The noise level in the work environment is usually minimal
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
Originally posted on Himalayas