Vice President, Revenue Cycle Management

Vice President, Revenue Cycle Management

The Vice President, Revenue Cycle Management will have primary oversight of Ardent's revenue cycle processes and revenue cycle management vendor partner. This role is accountable for the measurement and analytics of vendor performance to ensure service level agreements are met and operational effectiveness is maintained for the entire revenue cycle process including Front-End (Registration, Financial Counseling, Scheduling, Insurance Verification, Authorizations, Pre-Registration), Middle (HIM Operations, Coding and Coding Education, CDI Program Management, DRG Validation, Revenue Integrity Services) and Back-End (Billing/Claims Processing; Collections/AR Management, Cash Services/Credit Balances, Denials/Underpayments, Customer Service/Self Pay Flow, Correspondence, Dedicated Analytics).

Responsibilities

• Manages outsourced revenue cycle vendor relationship and serves as organization's point of contact and liaison, both internally and externally.
• Tracks and manages performance of vendor ensuring an optimal level of performance to meet targeted KPIs and reporting metrics.
• Facilitates necessary onsite or remote business reviews with key operational stakeholders.
• Maintains awareness of organizational objectives and monitor industry developments and trends that may affect organizational direction with vendor.
• Works proactively and collaboratively to maintain strong intercompany relationships.
• Provides support in all vendor implementations and process improvement efforts.

Qualifications

Education & Experience:

• Bachelor's degree
• 15+ years of leadership experience in Revenue Cycle Management.
• Experience in large, multi-facility organization.
• Multi-state experience, preferred.

Knowledge, Skills & Abilities:

• Deep understanding of denials management and payor behavior
• Denials management skills that include constant monitoring with ability to pivot and address issues in a proactive manner
• Proven track record that shows ability to assess and solve NR service line optimization opportunities
• Command of prior authorization workflows and demonstrated ability to influence change
• Skilled in scheduling optimization solutions
• Chargemaster optimization
• Payor Contract compliance
• Ability to create specific service line and payor goals in a manner that provides clear roadmaps to success for our leaders
• Comfortable presenting to large audiences