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Vice President, Revenue Cycle Management

Med-Metrix

Vice President, Revenue Cycle ManagementThe Vice President, Revenue Cycle Management will support the physician division while overseeing the A/R team responsible for collecting outstanding insurance balances, appealing denied claims, and resolving A/R for our clients. The Vice President, Revenue Cycle Management will have a major impact on the ongoing partnership with clients by demonstrating finesse with client relationships, thorough knowledge of client needs and Revenue Cycle operational expertise.Duties and ResponsibilitiesProvide assistance/resolution to external and internal client inquiriesPrepare reports or logs as requiredAct as a technical expert in regards to financial class responsibility, to answer questions raised by clients and team membersMaintain a current working knowledge of all healthcare related issues and regulationsReport any detected trends in payments or denials, as well as procedural problems, to the client and make recommendations regarding the correction of these trends and/or problemsLearn and comply with organizational and departmental policies and proceduresAnalyze and solve problems quickly and thoroughlyEstablish realistic goals and priorities concurrent with organizational objectivesProvide support to the Business Development team during the sales processResponsible for ensuring that remote client access to is disabled for terminated or transferred employees when applicable in a timely fashionOther duties as assignedUse, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standardsUnderstand and comply with Information Security and HIPAA policies and procedures at all timesLimit viewing of PHI to the absolute minimum as necessary to perform assigned dutiesQualificationsBS in Accounting or Finance, MBA and/or CPA highly desirable10+ years in progressively responsible financial leadership roles, preferably in acute care setting or comparable Revenue Cycle companyAnalytical and problem solving skills, the ability to understand complex reimbursement structures and the ability to apply contractual and governmental regulations to billing processesKnowledge of governmental, legal and regulatory provisions related to collection activityKnowledge of insurance company practices regarding reimbursementProficiency in Microsoft Office SuiteStrong interpersonal skills, ability to communicate well at all levels of the organizationStrong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analysesHigh level of integrity and dependability with a strong sense of urgency and results orientedExcellent written and verbal communication skills requiredWorking ConditionsMust possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposesPhysical 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. Med-Metrix

Vacancy posted 1 day ago
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