Vice President - Revenue Cycle

Job Number 68535
Posted 2/21/2020
Account Northern Light Health Home Office
Department Revenue Cycle
Location |ME| Northern Light Health Home Office - One Cumberland Place, Ba, ME 04401
Schedule Regular Full-time
Shift Day
Hours 8:00 - 4:30
Job Details SUMMARY
Reporting to the VP of Finance of Eastern Maine Healthcare Systems, this position is responsible for providing leadership for all activities related to the management of Northern Light Health's largest asset, its revenue cycle. The Vice President of Revenue Cycle sets the strategic direction for all of Northern Light Health's hospitals, affiliates, and physician services for all Revenue Cycle functions. Revenue Cycle functional areas that report to this position include; Patient Access (on-site and centralized functions), Health Information Management, Patient Financial Services, Revenue Integrity, and Revenue Cycle Business Support, for assigned facilities, both with the hospitals and physician practices.


PRIMARY RESPONSIBILITIES / DUTIES

•Setting the strategic direction for the Northern Light Health Revenue Cycle function
•Managing the Revenue Cycle operations for all of Northern Light Health
•Meeting and exceeding the organization's cash requirements
•Managing the receivables in a prudent manner so as to optimize its net realizable value
•Providing world-class service to customers that continually exceeds their expectations and is in-line with Northern Light Health' mission and values
•Serve as the spokesperson for Northern Light Healthto internal and external organizations, including governmental agencies, board members, payor organizations and auditors
•Provide strategic vision, challenging assumptions and standards of business


Budget Responsibility
•Administers expense budget for departments
•Presents departmental budget recommendations to VP of Finance for approval
•Monitors budget performance and variance explanations
•Optimizes vendor relationships
•Plans for capital expenditures
•Evaluates current and new technology solutions


Authority / Decision Making Level
•Prioritizes and organizes work within division to meet changing priorities
•Approves account adjustments, refund requests, and bad debt placements for accounts over specified threshold; forwards all adjustments requests greater specified threshold to VP of Finance for approval
•Reviews and approves policies and procedures for the revenue cycle department for the hospitals as well as the related policies and procedures for the physician practices


Supervisory Responsibility
•Directs activities of staff Directors and Managers that oversee all aspects of the Revenue Cycle
•Provides leadership to direct reports and develops them into strategic thinkers and leaders across the organization
•Manages direct reports and has responsibility for hiring, firing, performance management and results of the assigned area
•Authorizes PEP requests for direct reports
•Approves initiation of disciplinary proceedings for staff, in consultation with Human Resources


Leadership
•Provides strategic vision and direction to effectively manage industry shifts, regulatory changes, and rising cost pressures relating to revenue cycle functions
•Evaluates, monitors and assists in developing the priorities and progress of the Revenue Cycle Department
•Provides senior leadership with information regarding receivable and/or departmental performance
•Through management and staff, implements improvements in work process that both improve the efficiency and effectiveness of the revenue cycle
•Leads redesign initiatives and other Northern Light Health-sponsored initiatives as requested
•Designs easily understood and impactful managerial reports for wide distribution
•Works with management staff, monitors payer and vendor activities and communications
•Stresses attention to detail and designs monitoring tools to ensure accuracy
•Identifies opportunities for improved efficiency through better processes and additional automation. Monitors impact of process-oriented changes on staffing requirements
•Coordinates and collaborates with key functions outside of Revenue Cycle to ensure strategic alignment with broader organizational goals and objectives
•Serves as an organizational sponsor for implementation of any software applications or technology enablers that improve the overall functionality of the Revenue Cycle. This may include installation of new bill editing software, insurance eligibility tools, coding tools, financial screening tools, an automated secondary billing application, automated payment and rejection posting routines, or enhancements to the mainframe applications
•Functions effectively in a Matrix Management environment


People
•Leads strategically through empowering staff and developing direct reports
•Demonstrates leadership and commitment to staff and colleagues by accepting accountability for outcomes, sharing timely information, building effective relationships and communicating clearly and directly
•Ensures adequate training is being provided to staff to educate on the following skills: current working knowledge of payer requirements; sufficient healthcare knowledge necessary to perform job requirements; knowledge of state, local and federal policy requirements for functions performed; and relevant knowledge of information technologies
•Leads and coordinates ongoing staff evaluation, retention, training and management of policies and procedures
•Manages and oversees staff performance through performance planning, coaching and performance appraisals


Process
•Demonstrates leadership and commitment to staff and colleagues by accepting accountability for outcomes, sharing timely information, building effective relationships and communicating clearly and directly
•Develops, implements, and manages efficient and effective operational policies, processes and performance monitoring across all functions of the Revenue Cycle Department
•Ensures Revenue Cycle staff across all functions comply with established policies, processes, and quality assurance programs
•Works with various Revenue Cycle stakeholders, state agencies, government agencies and third-party payers to ensure timely and appropriate resolution of acute care accounts receivable
•Responsible for ensuring two-way communication with Revenue Cycle and hospital leadership
•Provides ongoing feedback loop communication to clinical areas, front-end, mid-cycle, and back-end Revenue Cycle functional areas
•Develops, implements, and manages efficient and effective operational policies, processes and performance monitoring across all Revenue Cycle functions
•Routinely coordinates payor trend analysis to ensure optimal processing and reimbursement, identify issues, communicate findings to Revenue Cycle stakeholders, define solutions and initiate resolution
•Works closely with Managed Care Contracting group to resolve payer disputes and advise on contract terms


Performance Monitoring
•Measures and reports ongoing financial and operational performance of the Revenue Cycle department. Recognizes areas of excellence and oversee the development and implement action plans related to functional areas where performance is not meeting expectations
•Manages/communicates the department dashboard and design action plans as issues are identified within the unit
•Ensures that key performance metrics are met on a monthly basis

QUALIFICATIONS


Education and Experience


- Master's degree and at least (10) years' experience in revenue cycle within a large health system
OR bachelor's degree and (14) years' experience OR associate's degree and (18) years' experience OR high school diploma and (22) years' experience. Degree in business, finance or healthcare administration preferred.


- At least six (6) years of revenue cycle experience in a management capacity.


- Experience in a redesign project.

- Experienced in using team building to positively influence the work environment.


Knowledge
•Significant understanding of healthcare business and finance principles related to all functions of the Revenue Cycle
•Demonstrated knowledge of healthcare management, registration, billing and collection processes
•Demonstrated knowledge of payer reimbursement regulations and coding requirements
•Strong organizational skills, working effectively in a multi-task environment
•Demonstrated proficiency in written and verbal communication skills
•Demonstrated ability in leadership
•Ability to relate cooperatively and constructively with clients, co-workers, administration, other clinic departments, providers, community agencies, and other health team members
•Ability to work in a fast paced environment and remain flexible under stressful situations

Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.

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