Vice President, Revenue Cycle

Vice President, Revenue Cycle

The Vice President, Revenue Cycle is responsible for the management of the Springfield Clinic's accounts receivable to optimize reimbursement in a compliant fashion. Scope of responsibility includes Patient Accounting functions such as billing, collections, account follow-up, denials, cash management/application, revenue integrity and charge capture and prior authorizations; and Health Information Management functions such as coding, document management, release of information, coding auditing and education and EHR record integrity. Serves as a change agent in a constantly changing and growing multi-specialty practice and drives process and systems supporting the change and growth. Provides subject matter expertise related to the development of a compliant, comprehensive, professional revenue cycle division. Is accountable for protecting the Clinic's accounts receivable asset by ensuring that contemporary processes and systems are utilized that promote strong cash collections, minimize bad debt and provide an excellent patient experience.

Job Relationships

Reports to the CFO

Essential Standard Job Functions

• Drive modernization of billing platforms and front-end digital tools.
• Serve as a key partner to the CFO and executive team in aligning revenue cycle strategy with company-wide financial goals.
• Support payer contracting strategy and Value-Based Payment (VBP) readiness efforts.
• Leads and directs the Revenue Cycle Division's activities through reporting Directors with guidance from the CFO. Establishes operational goals, objectives and budgets. Responsibilities include the planning of optimal operating policies and procedures required to deliver quality services and enhance operational processes and workflows. Collaborates closely with physicians and operations leadership to align revenue cycle processes with organizational workflows.
• Designs and oversees an industry-leading revenue cycle operational model that ensures fiscal responsibility and high physician and customer satisfaction, organizational efficiency, and strong financial performance while assuring accurate and complete data collection, streamlined financial clearance functions prior to service and sound cash collections processes.
• Demonstrate success leading enterprise-wide revenue cycle transformation, workforce optimization, and technology modernization.
• Monitors ongoing performance of the revenue cycle through the development, production and distribution of performance metrics. Facilitates performance improvement/process redesign as needed.
• Oversees all contracted/outsourced services. Builds and maintains strong relationships with external vendors to ensure service quality, cost-effectiveness and alignment with revenue cycle goals. Effectively negotiates contracted arrangements and manages performance from all vendors.
• Communicates regularly and effectively with subordinates and superiors regarding the status and condition of the revenue cycle operations; raises issues/concerns timely and appropriately.
• Communicates, collaborates, organizes, prioritizes, leads, facilitates, coaches and problem solves with reporting directors and peers to ensure that division and system goals, objectives and operational budgets are met.
• Ensures compliance with relevant regulations, standards and directives from regulatory agencies, governmental bodies and third parties. Responsible for responding to any legislation/regulatory billing changes.
• Develops, implements and maintains compliant policies and practices for all departments within the revenue cycle division.
• Comply with Springfield Clinic incident reporting policy and procedures.
• Adhere to all OSHA and Springfield Clinic training and accomplishments as required by policy.
• Provide excellent customer services and adhere to Springfield Clinic's Code of Conduct and Ethics Standards
• Perform other job duties as assigned.

Non-Essential Standard Job Functions

• Demonstrates positive energy when interacting with internal and external colleagues
• Excellent communicator and team builder with the ability to drive alignment and cultural buy-in across clinical, financial and operational teams
• Action and results oriented; pro-active
• High ethical integrity
• Financial acumen
• Data driven
• Quick study
• Strategic and systems thinker
• Leads by example
• Interest and aptitude in understanding the importance of emerging healthcare issues
• Presents complex or difficult messages clearly, understandably and persuasively
• Self-starter who has passion and drive about contributing
• Creative yet practical; thinks outside of the box
• Able to manage conflict and negotiate adeptly with individuals and groups
• Solid current knowledge and high intellectual curiosity regarding best practices, business process re-engineering, information technology and business planning
• Confident, decisive and proactive in dealing with peers
• Strong people management and leadership skills
• Extremely organized, disciplined, hands-on and process-oriented leader who is not afraid of digging into details when necessary
• Highly engaged, focused and execution oriented
• Actively seeks out and supports collaborative thinking and problem solving with others in the organization

Department Specific Job Functions

• Record of successfully executing on strategic initiatives
• Proven ability to make sound business decisions regarding human resources, budgets and deadlines consistent with the requirements of the business
• Demonstrated ability to build successful and impactful teams and make positive team-centered contributions
• Is able to get work done through others; sets and communicates goals and initiatives; measures accomplishments; holds people accountable; provides constructive feedback and develops team; effectively delegates
• Embraces challenges; comfortably and professionally confronts conflict; has crucial conversations when necessary
• Focuses on action and outcomes/deliverables
• Adept at learning and understanding organizational culture adapting to it and influencing it at the same time
• Is able to build diverse networks; quick to find common ground
• Is a person of high character; is consistent and acts in line with a clear and visible set of values; communicates with honesty and respect
• Maintains an open-door policy and approachability for all levels of staff whether within the revenue cycle division or outside of the division

Education/Experience

• Bachelor's degree in Healthcare Administration, Finance, Accounting, Business Management, or a related field is required. Master's degree in Business Administration or Healthcare Administration is preferred.
• Minimum of 10 years of experience in a progressively responsible healthcare revenue cycle and/or patient financial services role is required, of which five of those years are in an executive/vice-president position. Experience with billing and collections at a multi-specialty medical group preferred

Salary

Approximate starting base salary of $250K with bonus incentive opportunity. Actual compensation will be determined based on qualifications, experience, and internal equity.

PHI/Privacy Level

HIPAA 1