Vice President of Revenue Cycle

Austin Regional Clinic is one of Central Texas’ largest professional medical groups with 35+ locations and continues to grow. We value our employees and are committed to supporting their health and professional development. Job Details Title: Vice President of Revenue Cycle Purpose The Vice President of Revenue Cycle provides leadership and strategic direction to optimize revenue cycle operations, maximizing revenue and improving financial health while ensuring compliance. The role involves developing and implementing strategies, leading cross‑functional teams, optimizing processes from patient registration to collections, and ensuring the organization adheres to all relevant regulations. It also includes identifying and implementing technology solutions, analyzing performance metrics, and collaborating with other leaders to achieve financial goals. Essential Functions Develop and execute the organization’s overall revenue cycle strategy to align with its financial objectives. Collaborate with executive leaders, clinic operations leadership, and external stakeholders to align billing strategies with broader business objectives. Drive continuous improvement, provide performance feedback, and achieve strategic goals. Manage day‑to‑day Central Billing Office and Revenue Integrity operations to ensure accuracy and efficiency in processes such as patient registration, billing, charge capture, coding, claims submission, remittance processing, denial management, collections, and resolution of payment variances to secure maximum reimbursement. Provide ongoing support and training to staff to meet expectations for high‑quality patient service, payer relations, billing and regulatory compliance, and other established guidelines. Work to create transparent, patient‑friendly billing processes. Maximize revenue by optimizing collections, reducing inefficiencies and gaps, and implementing cost‑saving initiatives. Track and report monthly AR KPI’s. Monitor and enforce the terms of Service Agreements between ARC and third‑party payers, with special emphasis on the financial terms of those agreements. Ensure strict adherence to State, Federal and Payer regulations, industry standards, and company policies to mitigate penalties and legal risks. Stay informed about industry trends and regulatory changes affecting billing and reimbursement. Analyze payer reimbursement and claim denial patterns to identify opportunities for revenue enhancement. Analyze revenue cycle processes and performance metrics to identify areas of improvement. Evaluate and implement technology solutions to enhance performance. Lead collaboration with payers to resolve escalated issues, streamline processes, and ensure compliance with contract terms, reimbursement policies, and regulatory requirements. Collaborate with the organization’s financial service functions to ensure accurate and efficient recording of information and compliance with established financial controls. Participate in processes to review, analyze, and negotiate contracts with third‑party payers to promote optimal collections and efficient billing and collections processes. Oversee the Revenue Cycle annual capital and operating budgets, monitor expenses, and continually seek cost‑effective process improvement to enhance performance. Lead the development and implementation of revenue‑specific policies, procedures, and programs and monitor adherence to system‑wide policies/standardizations. Work closely with Epic Business Systems Analysts to maximize practice management system performance and other revenue cycle vendor performance, and test and implement new applications, releases and upgrades. Promote long‑term financial stability and sustainable growth to safeguard our ability to continue to offer high‑quality, coordinated care. Adhere to all company policies, including but not limited to OSHA, HIPAA, compliance and Code of Conduct. Maintain regular and dependable attendance. Follow the core competencies set forth by the Company. Other Duties And Responsibilities Perform other duties as assigned. Qualifications Education and Experience Bachelor’s degree in Healthcare Administration, Business, or related field. Six (6) or more years of senior‑level revenue cycle management experience in a physician medical group. Demonstrated competence in all areas of revenue cycle operations, including clinic business office and billing and collections in the healthcare industry. Preferred Master’s degree in a related field. Knowledge, Skills and Abilities Knowledge of and experience in the operational aspects of physician office practice. Knowledge of coding patient encounters with physicians and skill in applying that knowledge. Knowledge of Medicare regulations relating to claims preparation and processing. Knowledge of human resource fundamentals and underlying laws (FLSA, ADA, FMLA, etc.). Demonstrated analytical skills in healthcare reimbursement and ability to use data to drive process improvement. Demonstrated skill in effectively using practice management systems to improve revenue cycle functions. Ability to engage others, listen and adapt responses to meet others’ needs. Excellent computer and keyboarding skills, including familiarity with Windows and Microsoft Office. Excellent verbal and written communication and presentation skills. Ability to manage competing priorities. Ability to perform job duties in a professional manner at all times. Ability to understand, recall and communicate factual information. Ability to organize thoughts and ideas into understandable terminology. Ability to apply common sense in performing job responsibilities. Ability to align group’s priorities and activities to the company’s strategic goals. Ability to anticipate, communicate and encourage employee involvement in needed change initiatives. Ability to provide frequent feedback and coach all team members to grow and develop high‑impact skills. Ability to focus on win‑win communication when conflicts, problems or misunderstandings arise. Ability to apply standardized processes appropriately and continuously improve processes. Ability to adapt and contribute to meet growth and market needs of the company and own career. The ability to establish functional, collaborative and cooperative relationships with operational and administrative management. Ability to make decisions which have significant impact on the department’s credibility, operations and services. Knowledge of financial reporting concepts and preferred business practices. Skill in analyzing and interpreting financial records. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr SupportFinity™