Vice President of Revenue Cycle

South-Texas-Radiology-Group,-P.a.; San Antonio (TX); Presencial; USD 180 000 - 240 000; Tempo integral

Resumo da oferta

South Texas Radiology Group in San Antonio seeks a Vice President of Revenue Cycle to lead and optimize the organization’s revenue cycle operations. The role covers professional hospital billing and imaging center global billing, with ownership of end-to-end processes and automation initiatives.

The VP will implement strategy, drive KPI performance, and collaborate with imaging centers, hospital partners, payers, and the vendor ecosystem.

Qualificações

• Bachelor's degree in Healthcare Administration or related field.
• Six+ years of senior-level revenue cycle management experience.
• Radiology billing experience preferred.

Responsabilidades

• Identify and implement technology solutions for automation and AI-assisted coding and claims tools.
• Develops and executes STRG's overall revenue cycle strategy to align with financial objectives.
• Manages day-to-day revenue cycle operations across billing, coding, claims, denials, and collections.
• Collaborates with affiliated imaging centers, hospital partners, payers, and system vendor.
• Maximizes revenue by optimizing collections and reducing inefficiencies and gaps.
• Tracks and reports monthly revenue KPIs by entity.
• Ensures adherence to state, federal, payer regulations and company policies.
• Stays informed about industry trends and regulatory changes affecting billing.
• Analyzes payer reimbursement and denial patterns for revenue enhancement.
• Partners with data and engineering teams to enable billing analytics.
• Partners with the Controller on cash posting and month-end close.
• Oversees coding and billing compliance for diagnostic and interventional radiology.
• Ensure payer contracts comply with policies and NCCI guidelines.
• Expert knowledge of radiology coding guidelines across modalities.
• Performs other duties as required.
• Supervisory: Director of Revenue Cycle and revenue cycle staff.

Conhecimentos

Leadership

Medicare reimbursement

Imagine Software

Revenue cycle software

Automation

Analytics

Team management

Communication skills

Formação académica

Bachelor’s degree in Healthcare Administration

RCC/CPC/CRCR certification

Ferramentas

Imagine Software

Billing systems

Descrição da oferta de emprego

Job Title: Vice President of Revenue Cycle

Department: Revenue Cycle

Reports To: Chief Executive Officer

FLSA Status: Exempt

Summary of Position:

The Vice President of Revenue Cycle leads the revenue cycle for South Texas Radiology Group (STRG), a 70+ radiologist independent practice in San Antonio. The role covers professional billing for hospital-based radiology and global billing for affiliated outpatient imaging centers, on the ImagineSoftware platform. The VP owns billing operations end to end, sets revenue cycle strategy, and leads the use of automation and data across the revenue cycle.

Job Responsibilities:

• Responsible for identifying and implementing technology solutions (including automation and AI-assisted coding and claims tools), analyzing performance metrics, and collaborating with other leaders to achieve financial goals
• Develops and executes the organization’s overall revenue cycle strategy to align with its financial objectives
• Manages day-to-day revenue cycle operations to ensure accuracy and efficiency in processes like billing, charge capture, coding, claims submission, denial management, collections and credit balance for both hospital-based professional billing and imaging center global billing
• Collaborates with and acts as liaison with affiliated imaging centers, hospital partners, payers, and the billing system vendor.
• Maximizes revenue by optimizing collections, reducing inefficiencies and gaps, and implementing cost-saving initiatives
• Tracks and reports monthly revenue KPIs, including days to bill, clean claim rate, denial rate, net collection rate, and A/R over 90 days, reported by entity
• Ensures strict adherence to State, Federal and Payer regulations, industry standards and company policies to mitigate penalties and legal risks
• Stays informed about industry trends and regulatory changes affecting billing and reimbursement
• Analyzes payer reimbursement and claim denial patterns to identify opportunities for revenue enhancement
• Analyzes revenue cycle processes and performance metrics to identify areas of improvement
• Partners with STRG's data and engineering team to make billing, payment, and denial data available for analysis alongside clinical and operational data
• Partners with the Controller on cash posting and month-end close
• Oversees coding and billing compliance for diagnostic radiology, interventional radiology, and advanced practice provider services
• Ensure payer compliance with all aspects of organization contracts, generally recognized coding policies and edits and NCCI guidelines.
• Expert knowledge of radiology coding guidelines across diagnostic and interventional radiology, including professional/technical component billing.
• Perform other duties as required

Supervisory Responsibilities:

Director of Revenue Cycle and revenue cycle staff

Experience / Skill Requirements:

• Strong communication and collaboration skills to interact with leadership and employees and ability to work well in a team environment
• Strong knowledge of Medicare, Medicaid and payer reimbursement structures
• Experience running a revenue cycle on Imagine Software strongly preferred
• Experience leading a large on-site billing team, including through a billing system conversion
• Hands-on management style: interest in analyzing organizational processes and recommending changes to optimize available resources.
• Complex problem solving and reasoned judgment and decision making are key
• Must be tech savvy, with working knowledge of Revenue Cycle Software, with a record of implementing automation in revenue cycle workflows

Education:

Bachelor’s degree in Healthcare Administration, Business, or related field. Six or more years of senior-level revenue cycle management experience. Radiology professional billing (hospital-based) and outpatient imaging center global billing experience strongly preferred. RCC, CPC, or CRCR certification preferred.