Vice President of Revenue Cycle

Rudish Health; BLOOMINGTON (MN); Hybrid; USD 150,000 - 190,000; Full time

Job summary

HealthPartners in Bloomington, MN seeks a Revenue Cycle Leader responsible for aligning system-wide goals with Triple Aim strategies and standardizing policies and procedures across revenue cycle functions.

The role defines performance expectations for pre-authorization, registration, reimbursement, denial prevention, coding, and cash posting, while partnering with clinical and financial teams to optimize revenue and reduce write-offs.

Job description

This leader is accountable for meeting system-wide Revenue Cycle goals aligned with the business and Triple Aim strategies, building on integrated revenue cycle functions to develop a best practices platform with standardized policies, processes, and procedures consistent with System Services work.

• Defines, establishes and communicates revenue cycle performance expectations, including, but not limited to prior authorization, registration and admission, point of service collections, financial counseling/charity, charge master, charge capture, clinical documentation improvement, coding, claim processing, cash posting, denials management, collections, customer service, and all other aspects of revenue management.
• Monitors and analyzes financial operations and key performance indicators such as accounts receivable, cash collections, denials and controllable loss to ensure optimal performance.
• Directs denial management strategy and initiatives with a focus on prevention. Collaborates with revenue cycle, clinical and financial teams to evaluate and address root causes of payment delays and payor denials to optimize revenue recovery and reduce avoidable write-offs.
• Partners closely with Managed Care leadership to ensure alignment on payor strategy and financial/operational impacts. Interacts with HealthPartners health plan leadership to resolve any operational issues including denials. Works in conjunction with other clinical, finance and technology areas to ensure coordinated activities with respect to all HealthPartners Care Group revenue cycle needs.

Company: <p>HealthPartners</p>