University Cancer & Blood Center Looking for Vice President, Revenue Cycle Management at Athens, GA Full Time

Vice President, Revenue Cycle Management

The team at University Cancer and Blood Center (UCBC) is on a mission to improve the lives of everyone living with cancer. This ambitious and important goal is what motivates the selfless, collaborative, courageous and exceptional people who make up our growing organization.

This is an exciting time to join UCBC. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.

Role & Reporting:

The Vice President, Revenue Cycle Management will report to UCBC’s Chief Financial Officer. This position is available in Athens, GA or can possibly be remote for the right candidate.

Position Summary:

The Vice President, Revenue Cycle Management is responsible for partnering and working closely with our CFO to define our revenue cycle management (RCM) strategy, oversee third party RCM vendors, and ensure maximum collection efficiency while creating a culture of accountability and service to our patients. This position will be an operational subject matter expert for RCM workflows and must be able to communicate to corporate and local leadership strategies for collection efficiency while managing a large RCM team (> 50 teammates) that is part of a fast growing practice.

Responsibilities:

• Functions as a change agent; leads the enterprise-wide development and implementation of revenue cycle strategies that are optimal and consistent with best practice processes in healthcare.
• Provides support and information to the clinical staff with regards to health information with the goals of optimizing revenue and promoting billing compliance.
• 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.
• Maintains a collaborative, supporting relationship with management across the agency and encourages direct reports to ensure integration of client processes that will achieve optimal patient and financial outcomes.
• Directly participates in completion of various financial forecasts, including cost center salary and direct expenses, month-end financial reporting, receivables, cost center productivity and strategic plans for the department.
• Ensures compliance with relevant regulations, standards and directives from regulatory agencies and third-party payers.
• Manage a large RCM team of greater than fifty teammates in a multi-specialty provider environment.
• Identify process improvement opportunities by developing a firm understanding of workflows, best practices, and current bottlenecks.
• Co-develop with third party vendors RCM implementation plans at UCBC.
• Lead UCBC’s integrations efforts for RCM while working with the OneOncology RCM team to drive standardization and efficiency within the RCM organization.
• Oversee daily operations of all practice RCM efforts in coordination with third party vendors and the local teams.
• Work effectively with the Operations team to improve front office and RCM operations.
• Develop RCM KPIs that focus on collection abilities and benchmarking.
• Partner with finance and operations teams to evaluate collection capabilities and adherence to payer contracts.
• Partner with the National Payer Relations team to analyze Payer Contracts and implement them effectively.
• Demonstrated proficiency with financial reports, modeling, and performance presentations.
• Focus on client and patient satisfaction through internal and external communications.
• Demonstrated leadership and ability to adapt to complex workflows and priorities.
• Build and maintain an effective Denial Management Program that will effectively minimize denials while accelerating practice collections.
• Develop and manage RCM KPIs that include, but are not limited to:
• Days to Bill
• Denial Rates
• Clean Claim Rates
• Percent of A/R > 90/120
• Bad Debt
• Authorization Denial Rates
• Eligibility Denial Rates
• Time of Service Collections
• Credit Balances
• Missing Charges
• DSO
• Net Collection Rates
• Unapplied Cash
• Cost to Collect
• Accountable for complete, timely and accurate delivery of recurring tasks and month end reporting functions.
• Performs other duties as assigned

Qualifications/Competencies:

• • 10+ years in relevant healthcare operations with Senior Level RCM experience
  • Bachelor’s degree required with a Master’s Degree Preferred
  • Strong verbal and written communication skills required.
  • Must be detail oriented and organized.
  • Flatiron OncoEMR proficiency desired but not required
  • Unlimited Systems or Centricity proficiency desired but not required
  • High integrity, including maintenance of confidential information.
  • Based on business need, the ability to work a flexible schedule, including some evenings and weekends.
  • Demonstrated ability to manage large teams and create a culture of high performance and accountability.
  • Ability to operate in a high growth environment.