Job Description

In collaboration with the client senior leadership team, the Vice President of Revenue Cycle provides strategic direction and oversight of ambulatory and acute revenue cycle operations across the health system. The Vice President will report to Huron’s SVP of RC Operations and be the lead executive to effectively collaborate and communicate with the client executive team and finance committee. The role will be aligned with the client Chief Financial Officer. The scope of the role includes overall leadership for the entire revenue cycle, overseeing a team of 38 Huron leaders and approximately 350 staff and supervisors. She/he will have direct management responsibility for the following functions across ambulatory and hospital locations: Registration (Hospital Only), Pre-Registration (Hospital Only), Patient Estimates (Hospital Only), Insurance Verification (Hospital Only), Pre-authorization Verification (Hospital Only), Financial Counseling, Coding, HIM, Revenue Integrity, Billing, Follow-up Collections, Cash Posting, Correspondence, Refunds, Self-Pay, Customer Service, Bad Debt, Revenue Cycle Training, Denial Prevention, Revenue Cycle Systems, and Vendor Management. The successful candidate will be responsible for successfully leading and sustaining performance improvement initiatives that position the client for ongoing success and industry performance. Develops long-range strategic plans for systems and processes that further advance revenue cycle performance and operational efficiency. Leads the implementation of strategic and operational plans for assigned functions that addresses operations, financial performance, customer service, IT, human capital, and regulatory requirements across the client. Ensures the overall revenue cycle strategy aligns with/supports business objectives and is focused enterprise-wide to maximize cash collections and manage cost performance. Leads the effort to build revenue cycle business literacy across the organization. Builds effective, collaborative relationships with key stakeholders across departments (e.g., Human Resources, Finance, and clinical departments). Collaborates with financial and information technology contributors to develop and operationalize a strategic roadmap. Provides leadership support to result in effective, efficient, standardized, and compliant practices across the client. Organizes routine educational “in services” including regular meetings to support effective operations and the sharing of best practices. Develops and is the lead contributor on culture building and employee engagement at all levels. Creates strategies to continuously improve engagement and performance of the client leadership team. Provides Leadership spotlight updates in the client President’s Council, Transformation Steering Committee/Workgroups, Finance Committee, and Board meetings. Maintains strong understanding of revenue cycle metrics and leads team in building plans to support operational departments to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements. Investigates and resolves complex problems and coordinates efforts to provide innovative strategies and solutions. Assesses new technology, performs vendor assessments, creates ROI analyses, and recommends new technology. Manages Revenue Cycle department budget and collaborates with the core client financial team. Establishes and maintains strong working relationships with Revenue Cycle leaders, key stakeholders, and fosters a strong working relationship with key strategic partners. Maintains strong understanding of system functionality and leads team in identifying and implementing functionality that improves revenue cycle performance, streamlines workflow, and reduces costs. Demonstrates a thorough understanding of the continuum of the revenue cycle. Continually improves operations through technology and process improvement. Effectively collaborates with IT and project management leaders for the successful planning and execution of revenue cycle-related applications/systems. Leads the organization to continuously improve its revenue cycle performance continuum through data and metrics. Develops options, communicates, and builds support for recommendations to allow the organization to meet changing environment/regulatory requirements. Performs evaluation, process redesign, and implementation of health care business office functions including admissions/registration to facilitate accurate/timely billing, collections, and denials management. Leads development and implementation of consistent policies, procedures, and productivity standards to improve operations system-wide. Tracks and monitors Transformation Workgroup progress for Revenue Cycle based initiatives. Maintains strong customer relationships with key strategic partners. Ensures appropriate functional strategic partners are engaged throughout the process. Monitors and provides regular reporting to senior management on key performance metrics (e.g., actual versus expected results for financial targets, budgets, compliance, quality, customer service, and productivity/efficiency). Brings developing issues and recommended actions to the attention of senior leadership and the client President’s Council/Finance Committee. Ensures the quality of system deliverables, the quality of the work delivered by assigned functions and compliance with formal service agreements. Directs and/or oversees analysis of issues to identify developing issues/changes/potential risks with the potential to impact the client. Collaborates with the client to develop strategies and recommendations to mitigate risk (Ex. Internal Audit action plans). Develops, maintains, and ensures compliance with standardized policies, processes, programs throughout the organization. Provides oversight to ensure required reports are filed on time and meet the highest levels of accuracy, compliance, and effectiveness. Develops a high performing team as measured through the achievement of benchmark process outcomes, audit and compliance results, financial goals, and employee satisfaction. Stays current with government regulations regarding billing requirements. Drafts goals, objectives, and budgets for assigned areas, and monitors/manages to ensure achievement once approved. Ensures all HIPAA privacy and security standards are adhered to/followed. Conforms to the established policies/procedures/processes/Standards of Behavior and ensures assigned staff do so as well. The successful candidate will have significant (15-20 years plus) revenue cycle experience with progressive leadership responsibilities for the management of hospital operations, and in particular, the financial/revenue cycle operations of a large health system. In addition, she/he will ideally have experience managing all aspects of revenue cycle operations from initial patient contact, to coding operations, through successful collection/reporting outcomes. Demonstrated track record of aligning the core values of the organization and proven negotiating skills. Revenue cycle-related healthcare provider-based design and optimization, consulting, and project management. Reviewing and managing contracts, managing contractor/vendor relationships, establishing service level agreements, and monitoring delivery of services provided.

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