Oreva Inc – Non IT
Location
Illinois | United States
Job description
Title: VP Of Revenue Recovery (Remote)
POSITION SUMMARY:
The Vice President of Revenue Recovery will own the execution of Revenue Recovery efforts for our clients. This role will provide overall vision, strategy, and roadmap to deliver on the goals of the business. The ideal candidate will have deep healthcare Revenue Cycle Management expertise. The VP of Revenue Recovery Services should have strong cross-functional collaboration & communication skills and who are equally at home optimizing existing solutions as they are with innovative ideas. The role calls for a strong emphasis on working with internal operational teams to put in place modern automation-based solutions, data analytics capabilities, and best-practice work-flows.
This executive role, reporting to the President, manages the department responsible for insurance collection efforts for our client hospitals and physician groups that have Revenue Recovery Services. Insurance collection efforts include - but is not limited to - working zero balance, zero payments, denials, ED Triage claims, underpayments for all Payers, and A/R follow up.
RESPONSIBILITIES:
As part of the Executive team, manages the P&L for the Revenue Recovery Services department
Works in close partnership with the Revenue Recovery Directors, and all divisions.
Responds to inquiries from executive leadership related to project-specific performance, trends, and opportunities
Participates in client and prospective client activities such as: educational webinars, virtual sales demos, annual client reviews, and educational articles
Works with Revenue Recovery Services management teams to identify and refine workflows to align with best practice and efficiency initiatives
Collaborates with Revenue Recovery Services management to provide ongoing revenue cycle and health care industry training and development
Promotes a culture of high performance and continuous improvement that values learning and a commitment to productivity and quality
Provides subject matter expertise and recommends actions to take in resolution of business needs
Supports and participates in the development and implementation of strategies, processes, and procedures designed to improve the overall effectiveness of Revenue Recovery Services activities.
Maintains knowledge of federal, state, and private regulations for coding, reimbursement and data collection and reporting as required by Center for Medicare and Medicaid Services (CMS), and other regulatory organizations and payers and ensures staff are compliant with the regulations
Stays connected to Revenue Cycle Management industry technology advancement; works internally to vet, implement, and refine technology strategies;
Collects and maintains industry KPIs and benchmarks related to revenue cycle performance
Assumes all other duties and responsibilities as necessary
QUALIFICATIONS:
Bachelor's degree in related field is preferred
Extensive knowledge and understanding of all audit and reimbursement systems, Code Procedures, business software and computers, CPT coding, insurance billing and collection procedures
Solid understanding of Medicare, Medicaid, and managed care processes
Ability to read, analyze, and interpret financial reports, contracts, and other legal documents
5+ years healthcare revenue cycle office experience and recent experience as a Director/VP required
Ability to consistently engage and build relationships with internal and external partners
Excellent written and oral communications skills required to represent.
Advanced computer skills including knowledge of patient accounting systems, Microsoft Office Suite with proficiency in Excel
Self-motivated and resourceful with the ability to multitask and meet deadlines under time pressures
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