VICE PRESIDENT OF REVENUE CYCLE

Posting Details

• Posted: April 15, 2025
• Full-Time
• On-site
• Locations
  

Showing 1 location

BOSM Summit OAMSO

Beacon Orthopaedics & Sports Med - Summit Woods

500 E Business Way

Suite A

Cincinnati, OH 45241, USA

BOSM Summit OAMSO

Beacon Orthopaedics & Sports Med - Summit Woods

500 E Business Way

Suite A

Cincinnati, OH 45241, USA

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Job Details

Description

Position Summary:

• Based in Cincinnati, OH
• Reports to CFO
  
  

The Vice President, Revenue Cycle will have overall responsibility for leading the company’s Revenue Cycle function, both strategically and operationally. This includes systems and personnel oversight of all contracting, credentialing, billing, and collections processes. These processes are executed through a combination of both internal resources and an outsourced solution. The Vice President will develop a solid understanding of performance criteria to identify operational gaps adversely impacting financial performance. The VP will define and deliver a comprehensive Revenue Cycle management strategy to increase and enhance capabilities across the clinics and ASCs functions. The VP will provide strategic recommendations for resolutions to any issues related to financial performance, technology and the overall RCM process. Working closely with and reporting to the CFO, the VP will be responsible for giving oversight and direction on strategy, standards, and opportunities for shared services and economies of scale.

The OrthoAlliance team is entrepreneurial and growth-oriented, with a strong commitment to excellence in the patient journey. The VP will design and implement a revenue cycle management strategy that supports the company’s mission and vision, using an entrepreneurial mindset and innovative strategies to streamline processes and prepare to sustain even more growth. The strategy must capitalize on the ability to anticipate future market trends accurately and quickly. This will require ongoing analysis of current and future solutions to ensure alignment with strategic planning objectives.

Position Responsibilities/Standards

General

• Attend department, clinic or company meetings as required
• Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns
• Consistently work in a positive and cooperative manner with fellow staff members.
• Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
• Attend required annual in-service programs.
• Demonstrate knowledge and understanding of all company policies and procedures.
  
  

Core Values

• Communication: Verbal and written communications are effective in soliciting and conveying information. Information is clear, concise and timely.
• OrthoAlliance Policies: Consistently adheres to OrthoAlliance Policies and Procedures (i.e.: including but not limited to appropriate cell phone and computer usage, dress code, etc.). Also follows all OSHA and HIPAA regulations.
• Patient Care/Customer Service: Responds to patients and coworkers in a friendly and professional manner. Anticipates patient needs, patients always come first.
• Dependability: Consistent pattern of good attendance and punctuality. Employees can be relied upon to meet work schedule and complete duties.
  
  

Leadership and Communications

• Create a clear strategic vision for revenue cycle that supports business
• Experience building and / or leading large scale revenue cycle organization
• Work collaboratively with leaders, communicate the Revenue Cycle vision strategy across all levels of the organization, and build consensus around key initiatives and
• A demonstrated ability to build a great team – recruit, hire and motivate a high performing staff that values velocity, accuracy, transparency and
• Foster a culture of innovation, transparency and accountability in Revenue Cycle, and promote a “business-first” mentality at all levels of the Rev Cycle organization.
• A team leader and player who favors collaborative approaches when working with all
• Possesses exceptional interpersonal and communication skills, both oral and written; able to articulate ideas to both technical and non-technical.
  
  

Transformation of Revenue Cycle Infrastructure and Strategy

• Knowledge of emerging technologies, and the ability to apply these as needed to accomplish key business and growth goals.
• Experience leading complex, major change initiatives; demonstrated skills in change management and understanding of end-to-end RCM processes
• Prepares and monitors Revenue Cycle operational budgets that meet prevailing objectives and constraints to ensure strict adherence with financial guidelines and requirements.
• Develop and execute an analytics program that will allow company business leaders to make data-based decisions.
• Implement the most appropriate and effective Revenue Cycle organizational design to support and engage with the business.
• Ensure the highest level of transparency and collaboration between the Revenue Cycle organization and its business partners.
  
  

Revenue Cycle Operations

• Experience developing and implementing cost effective Revenue Cycle strategies with a focus on integration with hospital systems, providers, and payor networks.
• Experience working with Gross billing and/or Contract billing systems, preferably a mix of both.
• Experience managing third party vendors for some / all revenue cycle processes
• Oversee the enhancement and standardization of work-flow processes to achieve consistency in maintaining critical success factors.
• Establish KPIs and objective performance metrics for managing Revenue Cycle effectiveness and for measuring the impact of IT; establish processes to ensure that KPIs are met.
• Establish and enforce Revenue Cycle policies, processes, development standards and methodologies.
• Proactive management of financial performance, delivering recommendations and results based upon financial metrics.
• Experience developing projections and reports; producing and analyzing periodic reports that assist in monthly, quarterly and yearly forecasts for senior management and investor stakeholders.
• Proven ability to improve the effectiveness of collection efforts and insurance billings.
• Monitor the industry for developments in Revenue Cycle operations; evaluate and implement relevant new tools and service management frameworks.
• Monitor key billing/collection statistics and compare national/regional/local benchmarks including, but not limited to, net collections, days in A/R, etc.
• Lead critical RCM implementation projects involving multidisciplinary teams (clinical, business and IT) – ensure that the project is on time, on budget, and delivered with the highest quality.
  
  

Education/Experience Required

• Bachelor’s Degree required. MBA or Masters’ degree preferred
• At least 10 years of leadership in RCM, with significant healthcare and IT/or clinical practice emphasis, with progressive experience directly managing complex IT, revenue cycle and operational projects in a healthcare
• Knowledge of RCM and Practice Management technology offers; significant experience with commonly used clinical and financial systems and transaction processing
• Solid understanding of internal billing revenue cycle operations; detailed knowledge of gross billing system management as well as accounts receivable billing
• Detailed revenue cycle management skills for report interpretation and application to common sense operations.
• Success in leading complex implementations and ongoing projects that involve multi-site practices and
• Excellent oral and written communication skills, blended with strong results oriented.
  
  

Physical Requirements

Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and/or feel objects. Must be able to climb, pull, push and kneel. Maximum unassisted lift = 25 lbs. Average lift less than 10 lbs. Must be able to work extended hours as necessary.

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10 years:

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