AVP, Revenue Cycle Operations

Company: RehabCare
Location: Louisville
Posted on: May 28, 2023

Job Description:

ScionHealth is recruiting for an AVP, Revenue Cycle Operations, to join our team. We prefer a candidate in the Louisville, KY or Nashville, TN area.
Summary :
Responsible for the strategic oversight of ScionHealth hospital revenue cycle operations. This includes but is not limited to RCM vendor management, business planning, budget/expense management and performance management.
Essential Functions :
An individual must perform each essential function satisfactorily with or without reasonable accommodation.

• Collaborate and partner with front-line operators and vendors to identify the opportunities for value capture through improvements in efficiency and effectiveness.
• Provide leadership and guidance in the execution and development of various projects for Scion Revenue Cycle.
• Assist with mergers, acquisitions, and divestitures of ScionHealth.
• Facilitate ScionHealth systems implementations, enhancements, and troubleshooting.
• Coordinate internal and external audit requests.
• Support and coach operators in the development of initiative sizing as well as resource prioritization; assist to strategize and develop solutions for barriers delaying or preventing realization of impact.
• Lead and participate in initiatives to develop new approaches to streamline existing processes, reorganize work, implement new technologies, and improve resource utilization, with a focus on best cost methods.
• Forecast and anticipate other operating expense needs (e.g., travel, training, and consulting). Assist with the preparation of annual operating and capital budgets.
• Work well with other leaders to communicate and share resources on critical projects. Seek opportunities to help others' projects by sharing and reallocating team members' priorities and assignments.
• Responsible for monitoring and responding to any legislative/regulatory billing changes.
• Consult and work directly with leadership across managed care, payers and with technology to advise on key processes and resource needs to improve operations, productivity, and collection rates. Knowledge/Skills/Abilities :
  • Individual must have a strong understanding of third-party reimbursement for acute care hospitals, hospital/provider/practice operations with multi-unit/state experience preferred.
  • In-depth knowledge of rules/regulations of Medicare/Medicaid and other government payers as well as commercial insurers, regulatory compliance requirements, and other practice/facility management activities.
  • Operations and/or strategy consulting experience with a focus on Revenue Cycle
  • Excellent organizational, interpersonal, and verbal/written communication skills.
  • Extensive knowledge of medical insurance billing and collections across Medicare, Medicaid and managed care including ICD-10 and HCPC coding and terminology.
  • Extensive knowledge in collecting, analyzing, and reporting revenue cycle management data used to identify opportunities and strategies for improvement.
  • Proven record of managing and coordinating concurrent projects, competing priorities, and critical deadlines.
  • Ability to present and communicate with various audiences including Executive leadership team.
  • Proficient in Microsoft Office (Outlook, Excel, Word, and PowerPoint) Qualifications
    Education :
    • Bachelor's degree in Business, Accounting, Healthcare Management, or related fields required. Licenses/Certification :
      • CHFP, CRCE, CHIMS, or HFMA/AAHAM RCM certification preferred. Experience :
        • A minimum of five (5) years management experience working within large revenue cycle operations, RCM Shared Services and/or Central Business Office.
          Depending on a candidate's qualifications, this position may be filled at a different level.

Keywords: RehabCare, Louisville , AVP, Revenue Cycle Operations, Other , Louisville, Kentucky