Vice President, Revenue Cycle Management

About the Role Vice President, Revenue Cycle Management is responsible for the establishment of the strategic vision, organization, and overall management, as well as administering policies for all Revenue Cycle operations. This person ensures all financial resources are maximized and optimized, and financial viability is maintained, while continually challenging and transforming Revenue Cycle operations and maintaining a customer‑focused operational model. The position is responsible for enhancing and maintaining a properly functioning system centralized patient financial services process. The role promotes a culture of innovation, accountability, and constant improvement throughout Revenue Cycle, while maintaining a dedication to the mission, vision, and values of U.S. Urology Partners. Responsibilities Oversee and support the daily operations of all revenue cycle functions, including billing, follow‑up and collections, cash posting, denial management, and credit balance reviews. Establish and maintain departmental policies and procedures and communicate relevant information to other departments. Establish controls and review mechanisms to ensure procedures are being followed correctly. Develop, redesign, and monitor key performance indicators such as payer mix, A/R, collection rates, adjustments, bad debt write‑off, estimated collections, appeal success rates, and other requested parameters. Serve as the subject‑matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS, ensuring compliance with relevant regulations, standards, and directives. Develop and maintain internal controls to target revenue recovery, identifying charge capture, coding, and reimbursement problems, then recommending/implementing solutions. Oversee the integration of acquired practices’ revenue cycle system into the organization’s legacy RCM application. Monitor A/R effectively, ensuring aging categories are within established goals and national benchmarks, and verify collection processes are followed. Maximize the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors. In conjunction with operations, review and enhance insurance verification, coding review, billing, collection, and payment posting processes for efficiency and best practices; recommend new processes to improve current workflow. Monitor daily productions of billings, denials, and appeals. Review, monitor, and recommend updates to the medical practices’ fee schedule to maintain levels that maximize reimbursement. Provide upper management with revenue cycle status reports, metrics, and presentations. Direct the selection, supervision, and evaluation of staff, ensuring timely performance evaluations and initiating disciplinary actions as warranted. Resolve grievances and other sensitive personnel matters. Oversee orientation and continuing education for all staff, ensuring mandatory and relevant training in a timely manner, and keep staff educated on new technology, goals, and contracts. Lead any other projects, goals, issues surrounding the revenue cycle, conflicts or concerns as directed by senior management. Qualifications Thorough knowledge of revenue cycle processes and standards related to billing, collections, and cash posting in a physician/medical group environment. Knowledge of patient registration, finance, and data processing. Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid, and managed care processes. Minimum of 10 years of experience in billing and collection activities in a health care/physician organization setting, with at least 5 years in a senior managerial capacity. Ability to work and communicate effectively with a diverse group of people including other department managers, staff, physicians, patients, and the public. Ability to read, analyze and interpret financial reports, contracts, and other legal documents. Strong analytical, problem‑solving skills, and ability to work independently to achieve results. Ability to originate, plan, adapt, and invent to accomplish tasks, and set and maintain priorities when dealing with multiple demands. Background in system integrations and conversions in a constantly changing environment. Dedication to the development of others and willingness to coach and mentor people to promote their personal and professional growth. Excellent customer service and communication skills; intermediate computer skills including email, word processing, and spreadsheets. Experience in working with many billing and collection systems and ability to identify strengths and weaknesses of systems and related processes. Benefits Beyond competitive compensation, a comprehensive benefits package includes medical, dental, and vision plans, HSA/FSA, 401(k) matching, an Employee Assistance Program (EAP), and more. About Us U.S. Urology Partners is one of the nation’s largest independent providers of urology and related specialty services, operating more than 50 offices throughout the East Coast and Midwest, including state‑of‑the‑art urology‑specific ambulatory surgery centers. We are an Equal Opportunity Employer; we do not discriminate on the basis of race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. #J-18808-Ljbffr