Vice President, Revenue Cycle

The Christ Hospital Health Network; Cincinnati (OH); On-site; USD 180,000 - 320,000; Full time

Job summary

The Christ Hospital Health Network is seeking a VP, Revenue Cycle to direct network-wide end-to-end Revenue Cycle Management, covering patient access, registration, authorizations, pre-service collections, HIM/coding, patient financial services and physician billing.

The role focuses on optimizing reimbursement, improving accounts receivable performance, and driving critical process improvements across the organization, including hybrid and value-based care models.

Qualifications

• Bachelor's degree is required.
• Ten years or more of revenue cycle leadership experience in a complex healthcare setting.

Responsibilities

• Develops strategy for end-to-end Revenue Cycle management across the network.
• Monitors A/R aging and denials; drives process improvements and performance.
• Ensures regulatory compliance and internal controls across revenue cycle functions.
• Leads contracts, reimbursement models, and value-based care initiatives.
• Oversees policy, governance, and risk management for revenue cycle operations.

Skills

Revenue cycle leadership

Denials management

HIM knowledge

Financial reporting

Contracting strategies

Regulatory compliance

Education

Bachelor's Degree

Master's in Health Admin / MBA

Job description

Job Description

The VP, Revenue Cycle is responsible for network-wide end-to-end Revenue Cycle Management as it relates to patient access, registration, authorization, pre-service collections, HIM/coding functions, patient financial services including customer service, and physician billing/coding/customer service with the goal of optimizing reimbursement and maintaining patient information.

Job Description

The VP, Revenue Cycle is responsible for network-wide end-to-end Revenue Cycle Management as it relates to patient access, registration, authorization, pre-service collections, HIM/coding functions, patient financial services including customer service, and physician billing/coding/customer service with the goal of optimizing reimbursement and maintaining patient information.

This position will proactively identify, develop, and execute critical process improvement initiatives to drive best practice performance and favorably impact accounts receivable, cash acceleration, and net revenue.

Responsibilities

Strategy

• Develops strategy and oversees programmatic implementation efforts around: insourcing/outsourcing services; tools and technology deployed; managed care contracting, including various reimbursement models such as value-based care, at risk, and pay for performance payment vehicles.
• Leads strategy and development of the end-to-end Revenue Cycle centralization for TCHHN.
• Leads Revenue Cycle work/efforts surrounding evaluation of implications of new business models and ventures.
• Drives and enables hybrid reimbursement models, including value-based care and reimbursement, along with process redesign to support new clinical models along with technology integration across all domains.
• Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers.

Program Oversight

• Monitors A/R effectively and ensure aging categories are within established goals and national benchmarks
• Ensures effective management of denials by Director of Reimbursement and Manager of HSC and JHMH
• Ensures goals and objectives including productivity goals are established and monitored.
• Ensures a process is established for reviewing and approving refunds.
• Establishes and oversee effective utilization review process.

Compliance/Risk

• Oversees Revenue Cycle policy and procedures, to ensure compliant alignment with regulatory and legal requirements.
• Provides necessary governance with optimal integration and operational control of disparate Revenue Cycle functions and systems to optimize revenue cycle management performance.
• Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems then recommending/implanting solutions.
• Serves as the subject-matter expert on regulatory, compliance, and legal requirements associated with medical billing and CMS. Ensures compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.

Qualifications

KNOWLEDGE AND SKILLS

EDUCATION

• Bachelor's Degree required
• Master's degree in Health Administration, Business Administration, or related field preferred

YEARS OF EXPERIENCE

• Required - Minimum of ten (10) years or relevant revenue cycle leadership experience with a proven track record of progressively responsible positions in a complex healthcare related organization. Broad understanding and experience within acute care hospital, behavioral health, physician practice operations, and other ancillary healthcare services.

REQUIRED SKILLS AND KNOWLEDGE

• Strong working knowledge of managed care contracting strategies, billing and collection processes and functions, patient access,
• Denials Management,
• Health Information Management,
• cost reporting,
• payment modeling,
• State/Medicaid rules & regulations
• RAC & Government audits
• financial and service line reporting experience
• general revenue cycle management strategies
• industry best practices.

LICENSES REGISTRATIONS &/or CERTIFICATIONS

Other Credentials Required or Preferred: NONE

About Us

For more than 130 years, The Christ Hospital been the beacon for exceptional healthcare in the Greater Cincinnati community. We're industry pioneers, always pushing the boundaries and reimagining the future of healthcare.

Our culture promotes collaboration, diversity and innovation. Together, as a team, we work tirelessly to enhance healthcare quality, accessibility and safety.