Vice President of Revenue Cycle Management Denver, Colorado, United States

Vice President of Revenue Cycle Management

About Our Company

Apply below after reading through all the details and supporting information regarding this job opportunity.

CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs.

Our platform helps our physician partners thrive in today’s fee-for-service environment and prepare for success in value-based care.

In February 2024, we partnered with WindRose Health Investors as well as top physician services and payor executives to grow our team and invest in our next phase of growth.

CardioOne offers a magnificent work environment, good working conditions, and competitive pay. We offer medical, dental, vision, and a 401k plan with a match to benefit eligible employees.

We offer PTO (Personal Time Off) and sick time to full-time employees. We take pride in creating a culture of employee engagement that translates into an exemplary patient experience.

Join us in our mission to positively impact US cardiology.

About The Role

The Vice President of Revenue Cycle Management leads all functions that contribute to the capture, management, and collection of patient service revenue for CardioOne practice partner clinics.

You will provide oversight and direction of all revenue cycle services and ensure that all processes are appropriately managed in accordance with CardioOne standards and federal and state regulatory requirements.

Additionally, you will act as a resource and develop optimum professional relationships with operating leaders to instruct, share ideas, and implement actions for the effective management of patient revenues and billing.

As the Vice President of RCM, you will provide ongoing support to professional staff to meet the expectations established for high-quality customer service, payer relations, billing and regulatory compliance, and other established guidelines.

In this key role, you’ll showcase your RCM expertise, strategic planning acumen, penchant for accuracy, and problem-solving skills.

You will work remotely and report directly to the Chief Financial Officer.

What you’ll do :

Establish, document, and implement appropriate financial clearance / prior authorization, coding, billing, collections, and cash posting policies, controls, and procedures;

maintain up-to-date expertise and knowledge of healthcare billing laws, rules, regulations, and developments necessary for the organization to make informed business decisions.

Establish oversight and review of revenue cycle systems to identify process and quality improvements using new functionality and new technology to transform the way revenue cycle departments operate;

lead efforts to streamline and simplify the financial clearance, billing, contractual allowance, follow-up, cash posting, financial counseling, and refund processes.

• Partner with clinical operations and other key stakeholders to drive shared revenue cycle improvement initiatives that continually reduce days in accounts receivable, increase cash collections, reduce bad debt write-offs, and minimize denials and write-offs due to revenue cycle process issues.
• Monitor revenue cycle operations for compliance with established policies, regulations, procedures, and standards.
• Develop and implement recommendations that will increase the efficiency and productivity of revenue cycle processes and enhance the patient financial experience.
• Oversee activity relating to delinquent accounts, collection agencies, special adjustments, and / or write-offs and identify opportunities to partner with and improve processes related to bad debt and adjustments.
• Direct the preparation and maintenance of reports on revenue cycle activities; maintain statistics from the units' work activities and provide regular productivity reporting and feedback to management and staff.
• Manage internal revenue cycle personnel and CardioOne’s outsourced 3rd party RCM vendors, ensuring appropriate staffing levels based on business needs;

ensure staff and 3rd party vendors are meeting quality of work and productivity goals; ensure accurate and timely reporting of key performance indicators.

Establish long term and short-term operational plans for revenue cycle operations that address financial performance, customer service, information technology, human capital, and regulatory requirements;

collaborate with other departments to optimize revenue cycle operations.

Plan, develop, and implement new systematic approaches to optimize accurate practice partner revenue and cash flow.

What you’ll need :

• 10-15 years’ experience in Revenue Cycle Management within a healthcare setting.
• Minimum 3-5 years experience in physician practice revenue cycle leadership is strongly preferred.
• Bachelor’s degree required; Master’s in Health Administration or MBA preferred.
• Demonstrated deep knowledge of the revenue cycle life cycle.
• Strong analytic skills and a data-driven approach.
• Strong data management capabilities, including the ability to acquire, transform, and summarize data to create operational insight.
• Strong experience working with cardiology practices is preferred.
• Experience managing and leading teams in revenue cycle operations.
• Strong knowledge of health insurance plans, the authorization process, and requirements to convert a referral into an authorization are required.
• In-depth understanding of healthcare finance, reimbursement methodologies, and revenue cycle processes.
• Ability to solve for today’s need and build for tomorrow as CardioOne continues to scale in size and scope.
• Athena EMR experience strongly preferred.

Who you are :

Communicate Effectively : You are able to communicate effectively with all stakeholders, including but not limited to physicians, other clinicians, practice operations, internal CardioOne leadership and colleagues, payors, 3rd party vendors, and more.

Capable of modifying the message, verbally and in writing, to meet the audience needs. Able to communicate in a linear and crisp manner, simplifying complexity.

Action Oriented : You readily take action on challenges, without unnecessary planning. Identifies and seizes new opportunities.

You display a can-do attitude in good and bad times. Steps up to handle tough issues. You’re a go-getter, and we’re here to support you.

Manages Complexity : You ask the right questions to accurately analyze situations and uncover root causes to difficult issues.

Through acquiring data from multiple and diverse sources, you are able to make sense of complex, high-quantity, and sometimes contradictory information to solve problems.

Work Location :

Additional Information :

Full time base salary of $170,000 to $190,000 plus medical, dental, and vision benefits. This role will include an incentive bonus of 20%.

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