VP, Billing and Revenue Management Position Available In Duval, Florida

VP, Billing and Revenue Management
locations
Jacksonville, FL – ZC0FL – Corporate Florida
time type
Full time
posted on
Posted 11 Days Ago
job requisition id

JR104096

The rewards at Healogics are immense, starting with the important work we do to change patients’ lives. We also understand that meaningful work is hard work, and we aremitted to supporting andpensating our employees for the tremendous service they provide.
Think you are a great fit? Learn more about this role :
Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. With an aging society, obesity and diabetes on the rise, and an uptick in surgical procedures, the number of patients with non-healing wounds that would benefit from expert care is dramatically increasing. As a result, thepany is working to provide our differentiated, quality oues to as many patients that would benefit through our out-patient clinic partnerships.
The Vice President, Billing & Revenue Management is responsible for integrating and aligning the revenue cycle, payor contracting, credentialing and enrollment strategies with Healogics’ strategic objectives, including operations processes and government reimbursement trends and projections. This role leads revenue management across theanization, including the teams and functional areas of revenue cycle management, payor contracting, credentialing and enrollment. This position serves as the focal point for education on revenue management, acts as a knowledge resource, and works closely with leaders to ensure coordination of activities and strategic plans with specific focus on Process Excellence in each of these critical areas across the enterprise. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accreditinganizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.

Essential Functions/Responsibilities:

STRATEGIC BILLING SERVICES MANAGEMENT

Develop, implement, and manage efficient and effective operational policies, processes, and performance monitoring across all reimbursement service-related functions
Develop and implement billing data quality management plans, including resources, systems, and timetables, to ensure successful execution of theanization’s financial,mercial, and operational goals
Develop and manage systems to measure billing performance against established objectives
Establish and implement necessarymunication strategy for the improvement and awareness of quality issues across functions
Responsible for directing all billing functions including billing, collections, denials, payment review, cash posting, refunds, and customer service
Responsible for planning, developing, and implementing strategies and procedures to optimize and ensure an efficient billing function
Partners with managed care in developing payer partner strategies and resolving payer/provider disputes
Responsible for ensuringpliance with state and Joint Commission regulations
Partner with operational and finance teams to understand an evolving business model and create billing processes that maximize timely revenue recognition and minimize customer disputes
Drive resolution andmunication of issues within teams, as well as across functions, to ensure a timely and accurate billing close

STRATEGIC REVENUE MANAGEMENT

Creates Process Excellence in all Revenue Management functions through the development and execution ofanizational wide strategies for payer contracting, revenue cycle management, credentialing and enrolment
Develops strategies with a focus on effective and efficient operations, leveraging of best practices, standardization of systems, driving continuous improvement, innovation, and quality
Develops and implements policies and procedures, short and long-term goals, objectives and plans to optimize all Revenue Management functions
Monitors, tracks, and evaluates federal and state legislative matters, proposed and passed federal and state legislation effecting payors and provide guidance, input and direction as to how best manage and administer such legislation impacting theanization
Partners with finance, legal,pliance and operations teams to align Revenue Management functions to meetanizational objectives

PAYOR CONTRACTING

Develops and executes theanizational wide strategy for payor contracting and implementation of associated strategies and initiatives.
Develops strategies with a focus on maximization of profitable growth, effective and efficient operations, leveraging of best practices, standardization of systems, driving continuous improvement, innovation, and quality.
Serves as the focal point for education on payor contracting issues, acts as a managed care knowledge resource, and works closely with leaders to ensure coordination of managed care activities and strategic plans with specific focus on service line expansion,mercial growth and new business development.
Assesses current managed care strategies and contracts relative to the marketplace and ensure that successful contracts are (re)negotiated using developed and maintained systems for contract evaluation, implementation and ongoing performance monitoring.
Design processes used to collaborate with payers to understand their strategies, rmendanizations for close alignment, and design narrow networks

REVENUE CYCLE

Serves as the focal point for education, knowledge and understanding of all billing, coding, and reimbursement regulations related to the wound care and hyperbaric business.
Plans and directs effective day-to-day operations of the Revenue Cycle Management team, drives targeted service levels, turnaround times, and satisfaction/quality standards.
Works to understand and optimize current revenue cycle support to each Center and provider

TEAM LEADERSHIP

Creates a culture of One Healogics through the development and management of teams passionate about driving wound care healing and prevention forward by managing a provider support service that provides quality care to all who would benefit
Demonstrates Process Excellence in all activities and holds leadership to a consistent execution of key processes, protocols, and procedures across all centers, achieving the agreed upon plans and objectives established
Creates a Patient First approach to all provider activities by ensuring all activities are done according to policy andpliantly
Speaks Up by providing timely and constructive coaching to direct reports, creating a high-performance culture
Provides oversight to the revenue cycle management team, payor contracting team, and the credentialing and enrolment teams to ensure accurate, effective methods are implemented and followed.
Performs other duties as required.

Required Education, Experience and Credentials:

Bachelor’s Degree in Finance or Health Care Administration, Master’s Degree preferred
Minimum of ten (10) years of progressively more responsible experience in leading billing and data reconciliation teams in healthcare leadership capacity in a mid to large size for profit healthcareanization
Minimum of five (5) years of senior level management experience in healthcare leadership.
Experience billing on behalf of a hospital as third-party billing agent preferred
Track record of success in establishing positive and effective relationships at all levels and functions within theanization.
Experience in high growth, fast paced businesses withplex business models
Experience in healthcare Revenue Management

Required Knowledge, Skills and Abilities:

Excellent written, verbal, and interpersonalmunication skills
Experience with leadingpany-wide initiatives a must, includinganization wide collaboration
Demonstrated ability to successfully lead multifunctional teams
Ability to solve practical problems and deal with a variety of concrete variables in situations w only limited standardization exists
Demonstrated experience in building high performing billing and reconciliation teams
Ability to problem-solve while directing multiple projects
Demonstrated project management skills
Strong people leader with the ability to engage people of disparate personalities and reach a mutually desired oue.
A quantitative orientation that is focused on accountability and results.
Ability to work within a multi-disciplinary model and serve multiple constituents while balancing and reconciling business priorities.
Ability to analyze financial and productivity implications of process changes
Ability to ensure economic feasibility and operational excellence in all functions within their scope
High caliber business acumen
Inquisitive and intellectually curious with strong critical thinking and analytical skills.
Strong consultative and influencing skills
Come Heal With Us!
Healogics is driving wound healing and prevention forward to help heal more wounds and change more lives. Ourpassionate wound specialists have touched the lives of more than 2.5 million people, preserving dignity and restoring hope. The impact of healing wounds through innovative care resonates with our wound care doctors, nurses and other specialists who witness lives changed and build strong relationships with patients and their families.