Vice President of Revenue Cycle

Aware Recovery Care, Inc.; Wallingford (CT); Remote; USD 140,000 - 155,000; Full time

Job summary

A healthcare organization is seeking a Vice President of Revenue Cycle to oversee and optimize revenue cycle operations, manage payer relationships, and improve financial performance. This role requires extensive experience in revenue cycle management specifically focused on substance use disorder (SUD) treatment. The position is fully remote and offers a salary range of $140k to $155k, along with a comprehensive benefits package.

Benefits

Health, vision and dental insurance

Paid Time Off (PTO) plan

Retirement plan with employer match

Professional development opportunities

Qualifications

• 10+ years of experience in revenue cycle management, preferably in the SUD field.
• Experience managing RCM within a multi-site, multi-state healthcare setting.
• Expertise in healthcare billing and reimbursement processes, coding systems, and regulations.

Responsibilities

• Oversee revenue cycle management including billing, coding, and cash collections.
• Monitor KPIs related to revenue cycle performance and take action to improve results.
• Serve as a point of contact for payer organizations regarding claims adjudication.

Skills

Financial acumen

Analytical skills

Negotiation skills

Communication skills

Leadership capabilities

Education

Bachelor's degree in healthcare administration, business administration, or related field

Master's degree

Tools

Healthcare revenue cycle management software

Electronic health records (EHR)

Billing systems

Job description

Overview

The Vice President of Revenue Cycle is a senior position responsible for overseeing and optimizing the revenue cycle operations, credentialing process, and managing relationships with payers within an organization. This role involves oversight of all billing and collections, quality reporting, credentialing needs, as well as integrations with future practices, process improvement, and successful payer relations. The VP of Revenue Cycle plays a critical role in maximizing revenue, minimizing denials, improving cash flow, and fostering positive relationships with insurance companies and other payers. This position requires deep experience in substance use disorder (SUD) treatment billing and reimbursement.

Responsibilities

• Provide direct oversight of revenue cycle management including payer enrollment, charge capture, coding, billing, cash reconciliation and collections of accounts receivable from payers and patients.
• Design and execute scalable strategies to improve revenue capture across diverse treatment programs including ambulatory detox, Medication Assisted Treatment, therapy services and NP visits.
• Develop and implement strategies to optimize revenue cycle processes, including patient registration, coding, billing, claims processing, payment posting, and collections.
• Monitor key performance indicators (KPIs) related to revenue cycle performance, such as days in accounts receivable, denial rates, and cash collections, and take appropriate actions to improve results.
• Direct the evaluation of payer and patient accounts to identify and resolve billing and processing problems in a timely manner.
• Identify and address revenue leakage points, minimize denials, and ensure timely and accurate reimbursement.

Payer Relations

• Serve as a point of contact for payer organizations for all issues relating to claims adjudication and maintaining positive relationships.
• Track regulatory, market trends and payer policies that impact SUD reimbursement and prepare adaptive strategies to proactively address potential impacts on the organization's revenue cycle.

Financial Analysis and Reporting

• Analyze revenue cycle data, financial reports, and payer performance metrics to identify trends, opportunities, and areas for improvement.
• Develop a revenue cycle dashboard with KPIs that is available and presented to executive leadership, highlighting revenue cycle performance, payer contract outcomes, and financial insights.

Process Improvement / Compliance and Regulatory Oversight

• Lead continuous process improvement initiatives to streamline revenue cycle operations, enhance efficiency, and reduce costs.
• Collaborate with cross-functional teams, including billing, coding, IT, finance, and operations, to implement best practices and leverage technology solutions.
• Ensure compliance with applicable laws, regulations, and industry standards related to revenue cycle management and payer relations.
• Develop and maintain effective internal controls and audit procedures to mitigate risks and safeguard financial integrity.

Team Leadership

• Recruit, develop, and mentor a high-performing RCM team with expertise in SUD reimbursement and collection.
• Maintain tight collaboration and coordination between RCM, credentialing and payor contracting.
• Provide guidance, support, and ongoing training to team members, promoting a culture of accountability, collaboration, and professional growth.

Position Highlights

• This is a full-time role with an annual salary of $140k to $155k with potential for an MIP bonus (Management Incentive Program).
• The position is fully remote, but the applicant must reside in one of the following states: AR, CT, FL, GA, IN, KY, MA, ME, MI, MN, NH, NJ, NY, OH, PA, RI, TX, VA.

Minimum Qualifications

Education: Bachelor\'s degree in healthcare administration, business administration, or related field (Master\'s degree preferred).

Experience: Extensive experience (10+ years) in revenue cycle management, preferably in the SUD field. Must have experience managing RCM within a multi-site, multi-state healthcare setting with a minimum of 10 years of RCM/leadership experience.

Miscellaneous Skills:

• Demonstrated expertise of healthcare billing and reimbursement processes, coding systems (e.g., ICD-10, CPT), and regulatory requirements (e.g., HIPAA, Medicare/Medicaid).
• Strong financial acumen and analytical skills, with the ability to interpret complex data and financial reports.
• Proven track record of driving revenue cycle improvement initiatives and achieving measurable results.
• Excellent negotiation and communication skills, with the ability to build and maintain relationships with payers, executive leadership, and internal stakeholders.
• Familiarity with healthcare revenue cycle management software, electronic health records (EHR), and billing systems.
• Demonstrated leadership capabilities, including team management, strategic planning, and change management.

Benefits Highlights

• Coverage: Health, vision and dental through Anthem Blue Cross Blue Shield, FSA, HSA with employer match, along with STD, LTD, life insurance, EAP, and more.
• Balance: Competitive accrued Paid Time Off (PTO) plan, 10 paid Holidays, 2 paid Floating Holidays, Paid Safe and Sick Leave.
• Development: Certification/continuing education eligibility, leadership development and 1 paid day off per year for professional development.
• Retirement: 401(k) retirement plan with Voya.
• Culture: Great Place to Work certified, dedication to diversity, equity and inclusion, and a growing working environment.
• Aware Recovery Care is an equal opportunity employer.

NO PHONE CALLS PLEASE

Job Details

• Seniority level: Not Applicable
• Employment type: Contract
• Job function: Finance and Sales
• Industries: Mental Health Care

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