Responsible for overseeing all revenue cycle functions throughout the organization and all the goals of optimizing revenue and promoting billing compliance. The Vice President, Revenue Cycle is a key leader within the organization and is responsible for the planning, direction and management of the operational activities of the revenue cycle in support of the mission, goals and objectives of Mercy Iowa City. Mercy Iowa City revenue cycle includes at minimum: Admissions, Appointment Center & Scheduling, Prior Authorization, Financial Counseling, Outpatient and E.D. Registration, Coding (Hospital and Professional), Clinical Documentation Improvement (CDI) Program, Charge Capture and Charge Master, Claims Filing, Cash Posting, Bank Deposits and Reconciliation, Customer Service, Insurance Follow-up, Patient Collections, Patient Estimates, and Revenue Integrity. Responsible for delivering leadership and strategic direction to support a compliant and accurate revenue cycle; overseeing the continuous improvement of revenue cycle processes; identifying operating issues and developing and implementing strategies to improve and manage the company's receivables to drive seamless cash collections.
Responsibilities: - Plans, directs and manages operational activities of the revenue cycle in support of the mission, goals, and objectives of Mercy Iowa City.
- Directly supervises or through others day-to-day activities of revenue cycle staff, as well as provide management oversight of the revenue cycle staff in other locations across the health system to ensure that billing and collection processes are compliant and collections are optimized.
- Understands the job functions of all Revenue Cycle staff, is aware of process flow across departments, and involves them, as appropriate, when recommended actions may impact their work functions.
- Designs, operationalizes, and monitors key revenue cycle performance metrics at the system level.
- Functions as a change agent; leads the development and implementation of revenue cycle strategies that are optimal and consistent with best practice processes.
- Promotes a service-oriented culture and assures satisfaction with the quality and amount of support provided for departmental functions, initiatives, and projects.
- Assesses and responds to current and future internal and external healthcare trends in order to establish and ensure the necessary direction for the revenue cycle activities.
- Continually seeks ways and means for improving delivery and support of the revenue cycle.
- Monitors and researches regulatory changes and proposes actions to respond to changing legislation/regulations
- Provides education, training and direction to providers, clinical support staff and billing and collections staff.
- Assists in the coordination of internal quality review and payer audits including prioritization, scheduling, review of findings and root cause analysis.
Requirements: - Ten (10) years related experience in a healthcare setting. Performance improvement projects specific to revenue cycle and/or clinical Experience with Change Management planning and execution. Demonstrated performance in strategic/operational analysis and planning, analytical techniques.
- Knowledge of medical insurance billing and collections including Medicare, Medicaid, Managed Care Products (HMO, PPO, etc.) and other third party guarantor voucher process. Must be detail-oriented. Possess excellent communication skills (verbal and written). Demonstrated ability to effectively lead and manage staff. Knowledge of McKesson Star, Meditech, Or Epic required.
Minimum Requirements Education - Bachelor's degree in finance, accounting, or related field. Experience in the field may be a substitute for a formal degree.
Credentials
- Preferred: Certified Revenue Cycle Representative (CRCR) Qualification Source:
