Vice President of Revenue Cycle and Billing

Job Summary:
This position is responsible for the strategic alignment, oversight, and management of the entire revenue cycle process. This position will establish effective claims management processes and controls to ensure the accuracy and timeliness of claim submissions, collections efforts and denial management. Additionally, this role will inspire a collaborative teamwork approach to continue to proactively identify, develop, and execute critical process improvement initiatives to drive best practice performance and favorably impact accounts receivable, cash acceleration and net revenue.

This position will also be responsible for producing/maintaining various key performance indicators and leading quarterly meetings with program management to review performance results.

Supervisory Responsibilities:
Responsible for managing and leading a team of revenue cycle and billing professionals.

Essential Duties and Responsibilities:
Implements and manages efficient and effective operational policies, processes, and best practices within the functions of the revenue cycle.
Reinforces regulatory requirements associated with governmental, managed care and commercial payers.
Assist in identification of new technologies that will improve departmental operations.
Oversees and manages all Billing activities, including but not limited to claim processing, voids, state-paid vouchers.
Act as a liaison with internal and external business partners and departments.
Assists with audit support, as necessary.
Be a subject matter expert on Care Coordination Organization billing regulations. Both NYS OPWDD regulations and Medicaid regulations.
Coordinate efforts with Program leadership and Quality/Compliance.
Compile and present necessary reports/key performance indicators.
Required to attend all Finance team meetings as directed, whether in person or via a video conferencing platform.
Maintains confidentiality.
Performs other duties, as assigned.
Must possess a valid Drivers License from New York, or a contiguous state (i.e., Connecticut, New Jersey, Pennsylvania, and Vermont) OR must have the ability to take ample public transportation to attend meetings in person in the community and in the office as needed.

Education and Experience:
Bachelors degree in business administration or related field is required.
Ten years of experience working with a health care revenue cycle is required.
Five years of management experience leading a team.
Previous experience working with government healthcare reimbursement contracts, claim submission requirements and compliance for all payers is required.
Up to date on all Federal and State regulations related to billing and/or insurance.
Ability to prioritize and manage multiple tasks simultaneously, under tight deadlines, with multiple interruptions and to effectively anticipate and respond to issues as needed in a dynamic work environment.
Absolute sense of integrity and personal commitment to serving people with I/DD and their families.
Excellent interpersonal and communication skills.
Ability to work autonomously.
Demonstrate professionalism, respect, and ability to work in a team environment.