ASSISTANT VICE PRESIDENT REVENUE CYCLE OPERATIONS

The University of Texas Rio Grande Valley; Edinburg (TX); On-site; USD 150,000 - 230,000; Full time

Job summary

The University of Texas Rio Grande Valley seeks an accomplished Revenue Cycle Leader to oversee patient access, credentialing, enrollment, payer relations, and the overall revenue cycle operations. You will drive strategic planning, performance improvement, and regulatory compliance across multiple departments to maximize reimbursement and ensure high-quality patient experience.

Responsibilities include budgeting, KPI development, and cross-functional collaboration with finance, IT, and clinical

Qualifications

• Bachelor’s degree in Business, Healthcare Administration or related field required.
• Seven (7) years of management experience in revenue cycle or related field preferred.

Responsibilities

• Provides operational leadership, strategic direction, and oversight of revenue cycle, credentialing, provider enrollment, payer relations, patient experience and patient access operations.
• Leads revenue cycle strategic plan objectives and executes through departmental leadership across multiple functional areas.
• Ensures compliance with revenue cycle policies and regulatory requirements; monitors outsourced billing/coding and denial management.
• Develops revenue cycle budgets and annual strategic plan with measurable KPIs; drives continuous process improvements.
• Oversees onboarding and efficiency of provider enrollment/credentialing; supports opportunities to maximize revenue and reimbursements.
• Directs monthly/quarterly/annual reporting on revenue cycle performance and KPIs; collaborates with budget/finance and IT.

Education

Bachelor’s degree in Business, Healthcare Administration or related field

Master’s in Business Administration

Job description

Responsible for providing operational leadership, strategic direction, and oversight of revenue cycle, credentialing, provider enrollment, payer relations, patient experience and patient access operations for UT Health RGV.

• Leads the revenue cycle strategic plan objectives and operational goal setting and execution through departmental leadership including Patient Access, Financial Counseling, Financial Clearance, Self-Pay Eligibility & Disability, Hospital & Physician Coding, Integrated Hospital and Physician Claims and Self-Pay Collections, Revenue Cycle Enhancement, Credentialing, Provider Enrollment, Payer relations, Revenue Cycle Training and performance monitoring.
• Oversees the implementation of Revenue Cycle Management practices/policies and procedures because of new laws and regulations that impact the Revenue Cycle ensuring industry compliance.
• Manages revenue cycle standards and establishes a process of oversight to monitor and verify all outsourced billing /coding, denial management, posting, customer service and reporting.
• Develops revenue cycle budgets, financial plans, projections, and an annual strategic plan complete with measurable goals, objectives and key performance indicators for measuring success.
• Leads the implementation of best practice revenue cycle standards to be followed by all UT Health RGV physician practices.
• Ensures oversight of timely onboarding and efficiency of provider enrollment and credentialing processes.
• Supports improvement projects that maximum revenue and reimbursements to UTHRGV.
• Directs the monitoring of program performance and develops processes to increase effectiveness and recognize and celebrate achievements; has an orientation towards continuous process improvements especially leveraging new technologies for all assigned areas.
• Identifies new technology, tools and key initiatives in Patient Access and Payer Relations/Provider Enrollment that will reduce cost and/or improve yield across the full spectrum of the revenue cycle.
• Oversees and leads all administrative and fiscal components for patient access points including outpatient, and ancillary registration, scheduling, pre-registration, along with related initiatives.
• Provides technical expertise to proactively drive and implement best practices across the revenue cycle.
• Leads the continuous review and improvement of the vendor-based revenue cycle system utilizing proven best practices for revenue cycle and patient access management.
• Leads the Health Care Call Center and drives innovation to leverage technology to improve patient access and the patient experience while accessing care; including the digital front door.
• Collaborates, coordinates, and communicates across departments especially with budget and finance on revenue cycle accounting, ambulatory operations, information technology, decision support, marketing and other support departments.
• Ensures timely and accurate completion of monthly, quarterly and annual physician revenue cycle reports; contractual and bad debt reserve analysis; AR management, monthly reporting on entity, departmental and provider KPIs.
• Represents the needs, issues and opportunities of the Revenue Cycle & Patient Access operations team to the executive leadership teams.
• Provides revenue cycle and patient access support and set up for practice acquisitions and new provider hires.
• Develops revenue cycle leadership bench strength and creates appropriate succession plans to ensure that seamless transitions within revenue cycle management are in place.
• Provides leadership and direction in the planning, design, and coordination of programs and processes within the patient access and financial experience
• Assists in the preparation of ad hoc revenue cycle reporting for executive team to analyze current strategic direction and evaluate new business opportunities.
• Oversees revenue cycle benchmarking by comparing business processes and performance metrics to best practices in the market, and implements improvements to gain efficiency, lower cost, and higher quality
• Educates practice management on best practices related to revenue cycle and patient access by, reviewing/understanding practice KPI’s and various operational revenue cycle activities.
• Provides revenue cycle leadership on committees and special projects as assigned.
• Performs other duties as assigned.

Required Education:
Bachelor’s degree in Business, Healthcare Administration or related field from an accredited university.

Preferred Education:
Master’s in Business Administration from an accredited University.

Required Experience:
Seven (7) years of management experience in revenue cycle or closely related field within a large medical group or hospital/health system.

Preferred Experience:
Experience obtained in a complex academic medical center environment.