Senior Vice President , Revenue Cycle Management

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Located in: Evesham, New Jersey 08053 The Senior Vice President of Revenue Cycle Management is responsible for overseeing the strategic execution and performance of end-to-end revenue cycle functions. The SVP is responsible for day-to-day operational oversight of RCM in Consensus Medical Group and MSO and oversees and manages the following areas of Revenue Cycle Management: Revenue Optimization, AR Management, Training, Unpostables, Refunds, and Overpayments. The RCM operations of Consensus Health include practice oversight, global partnership operations, and local market resources. This coordinated effort is inclusive of all practice operations from scheduling through claim and payment reconciliation. The SVP of RCM is responsible for reviewing and enacting policies, procedures and processes related to revenue cycle functions and they hold teams accountable to key performance metrics. The successful candidate will provide leadership to staff; communicate and model mission, vision, and values of Consensus Health. Duties and Responsibilities The duties include, but are not limited to: Promotes optimal use of all revenue cycle information systems. Actively seeks out and implements process improvement opportunities. Ensures all applicable state and federal laws and regulations are followed. Leads and manages staff performance and facilitates appropriate staff training and resources, including outsourced staffing Place high emphasis on developing a consistent and coordinated billing model that can sustain or improve financial performance within an evolving landscape. Possess strong leadership skills and demonstrates capability to inspire staff to pursue excellence in goals and productivity, capable of coaching and improving staff in need of professional develop. Places high priority on overall team performance. Fosters open lines of communication and strong relationships with Medical Group stakeholders. Works with Population Health team to ensure we are satisfying VBC metrics in line with risk contracts as it relates to Revenue Cycle Oversees the optimization efforts in Medical Group practices in conjunction with the Operations team Responsible for the successful management of the following areas of Revenue Cycle Management: Refund processing, Revenue Optimization, AR Management, Training, Unpostables, Refunds, Coding and Overpayments. Lead annual budget planning exercise for these functions. Must have knowledge in global/outsourced partnership arrangements Lead presentations in front of potential new provider groups, conferences, and engage other experts to share best practices. Manage metrics and goals related to finance, revenue cycle, implementation, productivity Identify areas of opportunity improvements through reviewing financial & clinical metrics, and designing MOR(Monthly Operating Review) meetings with key stakeholders Analyzes department performance against established internal and national best practice benchmarks. Provides advice and support to senior management regarding matters related to all aspects of revenue management. Responsible for the P&L for RCM. Partners with Finance to develop the annual budget, and is accountable for departmental adherence to budget and/or other fiscal goals. Responsible for staffing include hiring, termination, coaching, staff development and training. Oversees vendor relationships and develops strategies for maximizing resource utilization. Partners with Implementation Leadership to provide assessments of potential new clients through a rapid RCM consulting-like engagement. Establishes optimal staffing ratio and services to be provided if partnership ensues. Provides advice and support to senior management regarding matters related to all aspects of revenue management and Credentialing. Serves as the subject matter expert on all issues regarding payer reimbursement, accurate claim processing, claim submission, collections and other general revenue cycle management. Responsible for improving global partners team performance and cost reduction/ efficiency initiatives to help Consensus Health scale operations. May perform other duties as assigned. Qualifications or Education, Training and Experience Bachelor's degree required; Master's degree preferred Minimum 8-10 years' experience in healthcare management Experience working in a physician practice, medical group or health system required athenaNet experience preferred Detail oriented Working knowledge of Microsoft Office Word and Excel Knowledge and Skills/Expected Competencies Intermediate knowledge of Microsoft Office. Requires intermediate organizational skills to complete financial applications, insurance verification, billing, and collection processes within acceptable time frames. Requires communication skills to clearly and concisely communicate verbally and in writing with peers, management, payers, physicians, ancillary departments, etc. Ability to evaluate own workflows and Medical Group processes and

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