VP, Revenue Cycle Management

Vynca; San Mateo (CA); On-site; USD 120,000 - 180,000; Full time

Job summary

An established industry player is seeking a Vice President of Revenue Cycle Management to lead a dynamic team in optimizing operations and ensuring compliance. This role involves overseeing day-to-day operations, implementing necessary controls, and collaborating with cross-functional teams to achieve strategic goals. The ideal candidate will have extensive experience in managing large-scale revenue practices, a strong understanding of billing processes, and exceptional leadership skills. Join this forward-thinking company to make a significant impact in transforming care for individuals with complex needs, while fostering a culture of excellence and compassion.

Qualifications

• 10+ years of leadership in revenue cycle management for large scale practices.
• Thorough understanding of billing practices and regulatory compliance.

Responsibilities

• Oversee operations of revenue cycle management department and ensure compliance.
• Lead and motivate the team to optimize revenue management processes.

Skills

Leadership

Revenue Cycle Management

Analytical Skills

Compliance Knowledge

People Management

Process Optimization

Education

Bachelor's Degree

Tools

Office Ally

Salesforce

Google Suite

Job description

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs.

We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day.

At Vynca, our mission is to provide comprehensive care for more quality days at home.

Vynca seeks an experienced and driven individual with domain knowledge in revenue cycle management and exceptional leadership skills. This person will be responsible for timely, accurate and compliant revenue management. This will entail developing processes, implementing oversight, and optimizing operations to scale with the projected business growth. The Vice President will work collaboratively with cross functional teams to ensure alignment and achievement of goals. This individual must have proven experience managing large scale practices of $30+ million.

What you'll do

• Oversee day-to-day operations of revenue cycle management department including insurance verification, revenue integrity and optimization, and timely claims submission and follow up
• Lead strategic focus of operational excellence through central oversight and management of revenue cycle practices to ensure standardization and performance
• Implement necessary internal controls to ensure revenue integrity and regulatory and policy compliance
• Lead and motivate the billing team to optimize revenue management with openness to ongoing efficiency and effectiveness through new processes and technology
• Coordinate efforts amongst cross functional teams including finance, compliance, sales, clinical delivery, business operations and IT to ensure alignment with RCM goals and metrics
• Build relationships with payers and providers to maximize reimbursement rates and minimize denials
• Maintain a comprehensive and working knowledge of applicable federal, state and local laws/regulations in order to ensure adherence in a manner that reflects honest ethical and professional behavior
• Communicate key issues, provides status updates and prepares financial and key metric reports for stakeholders
• Manage third-party RCM vendors
• Travel as necessary for monthly and/or quarterly leadership meetings

Your experience & qualifications

• Bachelor's Degree or equivalent experience
• 10+ years of leadership experience leading a $30+ million revenue cycle management department (contract management, billing, collections, denials & appeals, etc.)
• Thorough understanding of physician billing practices and procedures, including knowledge of federal, state, and local laws
• Understanding of third-party contracting terms including different care models (e.g., FFS, case rate, and value based) and the ability to implement compliant billing practices per contract
• Strong people management skills to inspire individual and team excellence while driving transformation and optimization of existing RCM operations
• Track record of innovation and automation leveraging technology
• Lead with a clear orientation towards compliance in all aspects of the RCM process
• Demonstrated excellent professional presentation and organizational skills, including the ability to manage an array of people, projects and deadlines
• Self motivated, detail oriented, strong analytical and critical thinking skills to drive results
• Desire to work in a fast-paced, dynamic, project-oriented and entrepreneurial environment
• Advanced skills in practice management systems and RCM solutions (e.g., clearinghouses), & specific product knowledge including Office Ally, Salesforce and Google Suite

Preferred Experience

• Oversight of large scale physician practice groups
• Multi-state, multi-payer expertise, especially CA and Pacific Northwest
• Comprehensive knowledge of current federal and state regulations
• Demonstrated ability to scale and optimize operations
• Work history in a fast paced, high-growth startup environment

Additional Information

• The hiring process for this role consists of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks.
• Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment.
• Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein.
• Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against COVID-19 and influenza. Requests for religious or medical accommodations will be considered but may not always be approved.
• Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.
• Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.