Overview
Chief Revenue Cycle Officer (CRCO) reports to the CFO and provides strategic leadership and oversight of HMFP’s professional revenue cycle operations. The CRCO is part of the executive team and collaborates closely with the Chief Administrative Officers and Senior Executive Team to drive enterprise‑wide revenue performance. The role develops and executes a comprehensive revenue cycle strategy—including charge capture, coding, billing, collections, denial management, reconciliation, and optimization—ensuring compliance with Medicare, Medicaid, and third‑party payer regulations while maximizing revenue opportunity and minimizing risk. The CRCO oversees revenue integrity efforts, manages the billing platform, and leads relationships with 3rd‑party vendors that provide revenue‑cycle services.
Primary Responsibilities
Strategy
- Develop a strategic plan for HMFP’s revenue cycle that supports organizational goals and enhances the patient experience.
- Guide implementation of strategic initiatives by aligning with stakeholders on tactics and implementation approach.
- Build collaborative relationships to develop and operationalize a strategic roadmap.
- Drive transformation initiatives using technology, process automation, and workforce/vendor optimization.
- Create oversight and governance to align on KPIs, service‑level expectations, and process accountability.
Leadership
- Provide leadership and governance to achieve efficient, standardized, and compliant practices across HMFP.
- Own billing‑platform governance, configuration, and workflows; lead a team managing system configurations, work queues, claim edits, user roles, and workflows.
- Oversee market‑growth opportunities in revenue‑cycle partnerships.
- Maintain strong relationships with clinical and administrative leadership, BILH/BIDMC revenue‑cycle leaders, and key strategic partners.
- Work with BILH/BILPN on delegated functions impacting patient access, scheduling, registration, financial clearance, liability estimates, and collections.
- Analyze revenue‑cycle metrics and lead planning to achieve best‑practice performance.
- Champion continuous improvement and innovation to enhance revenue‑cycle efficiency.
Overall Management
- Foster a high‑performing team measured by benchmark process performance, audit compliance results, financial goals, and employee satisfaction.
- Develop and implement enterprise‑wide approaches to maximize revenue, improve financial performance, generate cash flow, and enhance operational efficiency.
- Collaborate with finance, operations, IT, and compliance leaders to integrate revenue‑cycle strategies with broader goals.
- Develop and enforce standardized policies and best practices for efficiency, accuracy, and regulatory performance.
- Work with ACFO, Strategic Finance & Analytics to adopt a metric‑driven balanced scorecard.
- Develop and manage the HMFP Revenue Cycle department budget and staffing.
- Improve patient satisfaction with the billing process, and advise on acquisition and implementation of innovative technologies.
- Monitor and report key performance metrics to Senior Leadership.
- Maintain expertise in reimbursement methodologies and regulatory changes.
- Oversee the execution of an Enterprise Revenue Cycle aligned with strategic priorities.
Qualifications / Skills and Knowledge
- Bachelor’s degree (required); Master’s in business or healthcare administration (preferred).
- 5+ years of recent senior leadership experience in healthcare.
- 10+ years of related work experience with knowledge of health care revenue cycle, professional billing, reimbursement, and AR management.
- Experience in a physician organization or similar academic medical center preferred.
- Experience managing outsourced RCM vendors preferred.
- Prior experience with Epic Resolute professional billing platform preferred.
- Deep understanding of billing workflows, payer rules, and Epic/RCM technologies.
- Strong interpersonal, verbal, written communication, problem‑solving, and decision‑making skills.
- Ability to manage multiple initiatives and prioritize against aggressive deadlines.
- Strong mentoring and coaching experience for a diverse team.
- Team‑focused communication with physicians and executive leadership.
Compensation and Benefits
Pay Range: $267,000 – $307,000. Base pay may be modified from time to time. In addition to base compensation, the role may be eligible for performance‑based incentives, including bonuses for productivity and quality. HMFP offers a comprehensive benefits program that includes health, dental, vision, life, and disability insurance, and a retirement plan with employer contributions.
Equal Opportunity Employer
HMFP is an equal opportunity employer. HMFP respects diversity and accordingly does not discriminate on the basis of race, traits historically associated with race, including but not limited to hair texture, hair type, hair length, protective hairstyles, color, creed, religion, national origin, ancestry, citizenship status, age, disability, pregnancy, sex, gender, marital status, sexual orientation, gender identity, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws.