*LOCAL CANDIDATES ONLY*

The Vice President of Revenue Cycle Management provides cross-functional leadership that facilitates an effective operation of the entire end-to-end revenue cycle process. Responsible for oversight of the revenue management cycle to optimize reimbursement and ensure achievement of the company’s financial targets.

Primary Job Duties

• Provides leadership, management, and ensures accountability among the billing and credentialing team members.
• Monitors and evaluates current reimbursement/payment rules and ensures that regulatory changes impacting medical billing are anticipated and communicated to the clinical/medical staff, and departmental billing personnel and vendors.
• Maintain and organize payor contracts (including value-based agreements) to ensure compliance with contractual requirements and to maximize reimbursement.
• Provides expertise in fee for service client billing & collections around the related aspects of the revenue cycle, & the development of supporting policies & procedures.
• Develops tools, streamlining functions and creates processes/reports, which will enhance our efficiencies as an agency and the reputation of our agency in the community.
• Advises and trains clinical and medical departments regarding required state and federal rules and regulations as it relates to providing approved, quality services to our clients.
• Provides direction and leadership to achieve the organization’s philosophy, values, mission, and goals.
• Works closely with the Executive and Leadership Teams to develop and carry out major plans, coordinate operations of all divisions to accomplish organization-wide goals, and ensure that operations and services are provide quality and profitable results.
• Provide provider training in coding and facilitate regular audits of charts to ensure proper contractual and statutory compliance.
• Oversee Reporting and Data Analytics to provide the Executive and Leadership Teams with optimal information to manage the organization.

Minimum Qualifications:

• Bachelor’s degree required. Healthcare Master’s or MBA highly preferred.
• 10+ years of industry related experience with 10+ years minimum experience in a billing leadership role required
• Previous healthcare experience required; working with physicians and medical group staff required.
• Previous experience in managing healthcare departments and teams required.
• Experience with population health or health plan negotiation experience preferred
• Experience managing a team to achieve individual and shared goals.
• Quantitatively and financially focused; must know how to read and manage a balance sheet and explain financial data.
• Experience in creating and managing departmental budgets.
• Must comply with HIPAA rules and regulations.
• Detailed understanding of billing technical elements such as standard forms and data, coordination of benefit and third-party liability billing and collection, electronic billing, data edit programs, and reimbursement methodologies.
• High level of understanding of computer systems.
• Excellent communication and negotiation skills.
• Demonstrated leadership skills and ability to work independently.
• Ability to unify and motivate teams to accomplish goals and objectives.

Strongly preferred qualifications:

• Insurance contracting/ negotiation a plus
• Keen understanding of ACO and other arrangements

Physical Requirements

• Prolonged periods sitting at a desk and working on a computer
• Prolonged periods of standing and bending
• Must be able to lift up to 15 pounds at times

Compensation Package

At BASS Medical Group, we understand that a comprehensive, high quality, and affordable health benefits program is now more essential than ever. The overall well-being of our employees is at the forefront of our focus. With this in mind, we offer our eligible employees a generous benefits program.

Health & Welfare Benefits: Medical through Anthem Blue Cross PPO, Low-Cost Dental and Vision, Medical FSA & HSA.

Retirement Savings & Income Security: Basic Life & AD&D Insurance, Long Term Disability, 401K plan with an employer contribution, Access to Financial Advisors, Identity Theft Program.

Work/Life Balance Benefits: Paid Time Off and Company Paid holidays, Life Assistance Program, Commuter & Parking Benefits, Secure Travel Services, Healthy Rewards Program, Will Preparation Program, Additional perks to include discounts for Cellular phone and Gym memberships.

Voluntary Benefits: Optional Life & AD&D Insurance, Aflac Supplemental Insurance, Pet Insurance

• Employees actual pay rate will depend on a host of factors including, without limitation, job location, specialty, skillset, education, and experience. The pay scale/ranges shown are representative of the pay rates for the job title reflected above, but an employees actual pay rate will be determined on a case-by-case basis.