VP, Revenue Cycle

Fresenius Medical Care North America; Plano (TX); Remote; USD 90,000 - 150,000; Full time

Job summary

An established industry player is seeking a strategic leader for their Revenue Cycle team. This pivotal role involves overseeing all front-end services of the patient revenue cycle, ensuring compliance with regulatory requirements, and driving operational efficiency. You will engage with various stakeholders, manage a diverse team, and implement cost containment strategies. The ideal candidate will have extensive experience in medical reimbursement and regulatory compliance, along with strong leadership and communication skills. Join this forward-thinking organization and make a significant impact on the healthcare landscape.

Qualifications

• 10+ years of medical reimbursement experience with supervisory skills.
• Strong knowledge of regulatory compliance and financial forecasting.

Responsibilities

• Oversee patient intake, billing, and accounts receivable functions.
• Ensure compliance with Medicare/Medicaid regulations and internal policies.

Skills

Medical Reimbursement

Supervisory Experience

Regulatory Compliance

Financial Forecasting

Communication Skills

Education

Bachelor’s Degree

Tools

MS Office

Automated Revenue Management Systems

Job description

Position location: You will be able to work from your home location within the United States.

Position specific details: As a key member of the Revenue Cycle leadership team, this role will have direct oversight and responsibility for all processes related to the front-end services of the patient revenue cycle. This includes insurance verification, electronic intake, and authorization. This role is fundamental to the start of the revenue cycle lifecycle and our interaction with patients. It will interface with key stakeholders in Admissions, Managed Care, and Insurance Coordinators. The VP of Revenue Cycle will oversee associates domestically and with global partners to ensure all initial Revenue Cycle processes are executed in adherence to company goals. Domestic and international travel are required.

PURPOSE AND SCOPE:
Supports US Vascular/Fresenius Vascular and FMCNA’s mission, vision, core values, and customer service philosophy. Adheres to the FMCNA Compliance Program, including all regulatory and policy requirements. Oversees all A/R functions for USV/FVC facilities to ensure timely collections and proper administration of bad debt write-offs. Implements cost containment strategies as appropriate. Responsible for ensuring compliance with state and federal regulatory requirements, reimbursement, and coding evaluation from payers for vascular access services. Oversees compliance with FMCNA policies and governmental reporting requirements. Manages payer contracting and intake processes at all Access Site locations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Reimbursement
  • Monitors daily functions of Patient Intake, Billing, Cash Posting, and Accounts Receivable departments.
• Ensures internal controls, timeliness, accuracy, and adherence to policies.
• Ensures correct billing and revenue recognition.
• Monitors daily deposits for accuracy.
• Oversees monthly close processes and provides reports.
• Ensures proper intake information and follow-up on unpaid claims.
• Addresses billing concerns and ensures compliance with Medicare/Medicaid regulations.
• Maintains billing software setup and security.
• Reviews AR trends, collection issues, and maximizes cash flow.
• Develops staff training and operational performance improvements.

Financial Forecasting

Reviews and establishes revenue projections for new sites.

Monitors payer fee schedule changes and updates.

Maintains Medicare projection tools.

Other responsibilities include new site implementation, payer contracting, project management, and ensuring compliance and operational efficiency across the revenue cycle.

PHYSICAL DEMANDS AND WORKING CONDITIONS:
Primarily desk work and interaction with internal/external customers. Travel may be required, up to 50%.

SUPERVISION: FVC Director of Revenue Cycle, Manager of Revenue Cycle, and all Revenue Cycle staff.

EDUCATION: Bachelor’s Degree required; Business focus preferred.

EXPERIENCE AND REQUIRED SKILLS:

• Minimum of ten years medical reimbursement experience with eight years supervisory experience.
• Minimum of eight years in medical regulatory and compliance.
• Proficient with MS Office, especially Excel.
• Experience with automated revenue management systems.
• Multi-location management experience required.
• Strong communication skills, self-starter attitude.