Vice President of Revenue Cycle Management

Vice President of Revenue Cycle Management

General Job Summary: The Vice President of Revenue Cycle Management provides strategic leadership for the organization's entire revenue cycle process. Key responsibilities include reducing claim denials, improving billing and collection processes, managing financial risks, ensuring regulatory compliance, and leading RCM teams to achieve operational and financial goals

• Provide leadership for all aspects of the healthcare revenue cycle to ensure accuracy and financial integrity.
• Implement strategies and best practices to streamline workflows, reduce claim denials, and improve cash flow.
• Monitor key performance indicators (KPIs), manage budgets, and drive initiatives to enhance the organization's overall financial health.
• Develop and implement processes to identify the root causes of claim denials and minimize their impact on revenue.
• Ensure adherence to industry standards, federal and state healthcare regulations, and billing guidelines.
• Guide and develop teams of billing specialists, credentialing specialists, coding experts, and other RCM professionals to achieve operational excellence.
• Collaborate with internal leaders, clinical staff, and external entities, including payers and regulatory agencies.
• O ther day-to-day activities as assigned by the CFO.

Position Qualifications:

• Bachelor’s or Master’s degree .
• Extensive experience in healthcare revenue cycle management, with a minimum of 5 to 10 years of progressive leadership experience.
• Deep understanding of medical coding, denial management, payer relationships, and financial regulations.
• Strong analytical and problem-solving skills to address complex challenges within the revenue cycle.
• Proven ability to lead, mentor, or manager high-performing teams.

Physical Requirements:

• Ability to quickly respond to changing conditions and situations.
• Ability to concentrate on details.
• Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
• Must be able to lift and support weight of 35 pounds.
• Use of computer for long periods of time.