Vice President of Revenue Cycle Management

South Carolina Pediatric Alliance is looking for an experienced Vice President of Revenue Cycle Management to join our esteemed team of professionals. The Vice President of Revenue Cycle Management oversees the planning, leadership, and direction of all functions involved in capturing, managing, and collecting patient service revenue across the South Carolina Pediatric Alliance network. The VP of Revenue Cycle Management also provides leadership, strategic direction, oversight, coordination, and standardization of the physician revenue cycle. Collaborates with clinical departments and the Billing Systems Administrator to ensure accurate and timely charge capture while maximizing net cash collected by the physician division. The VP of Revenue Cycle Management manages third-party outsourcing relationships, fostering clear communication, accountability, and consistent results. Fosters a team-based approach to achieve timely project completion with high-quality results.

Key Responsibilities

• In-depth knowledge of pediatric healthcare revenue cycle processes and best practices, including billing, coding, reimbursement, and denials management.
• Proven experience in leading revenue cycle teams and implementing strategic initiatives to optimize financial performance and maximize revenue.
• Strong analytical and problem-solving abilities to identify trends, drive process improvements, and achieve key performance indicators (KPIs) related to cash collections, days in accounts receivable, and revenue cycle efficiency.
• Excellent communication and interpersonal skills to collaborate with internal stakeholders, including CFOs, finance teams, and senior executives, as well as external partners such as payers and vendors.
• Provides ongoing support to professional staff to meet expectations for high-quality billing, coding, regulatory compliance, and other established guidelines.
• Establish, document, and implement appropriate financial 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.
• Partners with clinical operations, the CEO, owners, and board members to drive revenue cycle improvement initiatives, reducing days in accounts receivable, increasing cash collections, and minimizing denials and write-offs.
• Monitors revenue cycle operations to ensure 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.
• Oversees the preparation and maintenance of revenue cycle activity reports, including statistics and productivity feedback for management and staff.

Experience

• In-depth knowledge of healthcare revenue cycle processes and best practices, including billing, coding, reimbursement, and denials management.
• Proven experience in successfully leading revenue cycle teams and implementing strategic initiatives to optimize financial performance and maximize revenue.
• Strong analytical and problem-solving abilities to identify trends, drive process improvements, and achieve key performance indicators (KPIs) related to cash collections, days in accounts receivable, and revenue cycle efficiency.
• Excellent communication and interpersonal skills to collaborate with internal stakeholders, including CFOs, finance teams, and senior executives, as well as external partners such as payers and vendors.

Education

• Master’s degree in accounting, business administration, or healthcare administration.
• 5 years of management experience.
• 5 years of experience in healthcare finance.
• Excellent written and verbal communication skills.
• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Knowledge, Skills, and Abilities

• Record of success managing complex projects with multiple, diverse stakeholders.
• Strong analytical skills and data-driven approach.
• Strong data management capabilities, including the ability to acquire, transform, and summarize data to create operational insights.
• Experience working in an organization of size and complexity comparable to South Carolina Pediatric Alliance.

Key Leadership Competencies

• History of successful team development, empowering high performance through visionary leadership, delegation, and operational excellence.
• Demonstrates poise and self-control, establishes credibility, addresses conflict diplomatically and instills a sense of trust and confidence in others.
• A mentor and leader of people who motivates others toward team orientation, open communication, and trust, drives accountability while supporting staff.
• A role model of personal and professional integrity and a visible leader.
• Demonstrates aptitude for resolving conflict and problem solving.
• A strong communicator and diplomat who is able to inspire and effectively communicate with wide and diverse audiences at all levels of the organization and externally.
• An ability to inspire and align staff, both those within the department and those with whom the department interacts.

South Carolina Pediatric Alliance is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability, or any other characteristic covered by applicable law.

Job Type: Full-time

Pay: $73,437.00 - $81,042.00 per year

Ability to Commute:

• Columbia, SC 29229 (Preferred)

Ability to Relocate:

• Columbia, SC 29229: Relocate before starting work (Preferred)

Work Location: In person

Salary : $73,437 - $81,042