Vice President, Revenue Cycle Operations - Seasonal Contract
USF Health
The VP of Revenue Cycle (RCO) for USFTGP plays a key role in setting the strategic vision and long-term planning, aligning with organizational goals and best practice performance based on industry standards ensuring profitability. The VP reports directly to the SVP of Finance USFTGP for day-to-day operations needs but is also in a matrixed relationship to the FHSC System SVP of RCO. The VP of RCO will partner with TGH People and Talent; specifically, the Director for USFTGP; partner with the USFTGP Compliance Officer; partner with Internal Audit for TGH and USF. They will have accountability to the CFOs of TGH and USF Health, as the parent organizations for USFTGP. They will collaborate with the Vice President of TGMG and the CEO of UMSA. They will staff and attend numerous health system, USFTGP, and USF Health MCOM meetings.
The VP of RCO, accountable to the SVP of Finance USFTGP, is responsible for ensuring that their team follows state and federal regulations as well as internal policies and guidelines in accordance with USFTGP's compliance program with the highest level of rigor and accountability. Inherent in the position is the ability to work effectively with clinical providers and support staff as well as Department Administrators and clinic administration. The VP will be called upon frequently to educate and make strategic presentations to Board members, physicians, leaders, and team members. As such, a mature executive presence and skill set is vital to the success of this role. Essential Functions:- Responsible for oversight and leadership of the activities and functions for USFTGP Revenue Cycle department including front desk operations, financial clearance, registration, coding, revenue integrity, and accounts receivable follow up.
- Prepares and responsible for operating budgets to meet USFTGP goals and objectives.
- Partners with USFTGP and health system leadership on process improvement, training, technology innovation, analytics, compliance, and vendor management.
- Manage and oversee the development of technology solutions to improve efficiencies and reduce the delays in workflow processes.
- Conducts revenue cycle analysis, trending, support executive level reporting and analysis of department performance including key performance indicators, annual goals, and other operational metrics making continual assessments of operations performance and progress.
- Manages all aspects of change management as it relates to operational processes to drive process, metrics, staffing, and employee relations.
- Ensures policies and procedures are current and enforced, business practices are compliant, and a high level of patient and customer satisfaction is maintained across the organization.
- Serves as a revenue cycle expert and resource to all professional entities across health system and USFTGP Health leaders, including department chairs and administrators, is self-directed, and requires minimal supervision.
- Develop and execute a detailed plan to improve the revenue cycle for professional billing and to continually improve financial clearance accuracy, coding accuracy, reduce days in AR, increase cash collections, reduce bad debt, eliminate write-offs due to revenue process issues and improve patient satisfaction.
- Develop and ensure that all activities of the Professional Revenue Cycle are performed in accordance with state and federal regulations, mandated collection practices, all regulatory agencies, and are HIPAA compliant.
- Exercise creative approaches to problem solving. Deals with conflict and problematic situations in an open and tactful manner.
- Epic Professional Billing experience is required.
- Physician Revenue Cycle experience is required.
- Bachelor's Degree in Business Administration, Healthcare Administration or Related field
- Minimum of ten (10) years progressively responsible management experience working within the professional billing Revenue Cycle department, including Revenue Cycle leadership.
- Epic Professional Billing experience is required.
- Preference given to individuals with prior experience as Director of Revenue Cycle or above.
- Experience in large, multi-specialty, academic physician practice strongly preferred.
- Experience in a large integrated health system preferred.
- Proven ability to work collaboratively in group settings with various stakeholders, including executive leadership and physicians.
- Knowledge of healthcare reimbursement policies.
- Requires problem solving skills, critical thinking skills, and the ability to multi-task.
- Extensive working knowledge of Medicare and Medicaid regulations relevant to Revenue Cycle.
- Demonstrated strong written and verbal communication skills. Ability to listen actively and respond to employees, physicians, patients, and payer issues in a competent manner.
- Demonstrated ability to identify issues affecting cash flow and implement corrective actions in a timely manner.
- Works collaboratively with financial team to ensure receivables are fairly stated and reserves are adequate.
- Acts as the primary revenue integrity leader for the organization.
- Demonstrated ability to identify issues driving denials and initiate action to improve performance.
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