Vice President, Revenue Cycle

The Christ Hospital Health Network; Norwood (OH); On-site; USD 180,000 - 240,000; Full time

Job summary

The Christ Hospital Health Network seeks a VP of Revenue Cycle to lead network-wide end-to-end Revenue Cycle Management, including patient access, registration, authorization, pre-service collections, HIM/coding, and patient financial services. The role aims to optimize reimbursement and maintain accurate patient information across the system.

The position will identify and execute critical process improvements to impact accounts receivable, cash flow, and net revenue, while driving strategy for

Qualifications

• Bachelor's Degree required in a related field.
• Master's degree preferred in Health Administration or Business Administration.
• Minimum ten years in revenue cycle leadership within a complex healthcare setting.

Responsibilities

• Develops strategy for insourcing/outsourcing services and reimbursement models.
• Leads end-to-end Revenue Cycle centralization across the network.
• Drives hybrid/value-based payment models and process redesign with technology.
• Oversees compliance, internal controls, and regulatory alignment.
• Monitors A/R aging, denials, refunds, and performance benchmarks.

Skills

Managed care contracting

Revenue cycle leadership

Denials management

HIM/Coding knowledge

Regulatory compliance

Financial and service line reporting

Cost reporting

Payment modeling

Cross-functional collaboration

Education

Bachelor's degree

Master's degree in Health Admin/Business Admin

Tools

HIM/Coding systems

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.

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 benchmark
• 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 & regulation
• RAC & Government audit
• 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.