ScionHealth is recruiting for an AVP, Revenue Cycle Operations, to join our team. We prefer a candidate in the Louisville, KY or Nashville, TN area.
Responsible for the strategic oversight of ScionHealth hospital revenue cycle operations. This includes but is not limited to RCM vendor management, business planning, budget/expense management and performance management.
An individual must perform each essential function satisfactorily with or without reasonable accommodation.
Â· Collaborate and partner with front-line operators and vendors to identify the opportunities for value capture through improvements in efficiency and effectiveness.
Â· Provide leadership and guidance in the execution and development of various projects for Scion Revenue Cycle.
Â· Assist with mergers, acquisitions, and divestitures of ScionHealth.
Â· Facilitate ScionHealth systems implementations, enhancements, and troubleshooting.
Â· Coordinate internal and external audit requests.
Â· Support and coach operators in the development of initiative sizing as well as resource prioritization; assist to strategize and develop solutions for barriers delaying or preventing realization of impact.
Â· Lead and participate in initiatives to develop new approaches to streamline existing processes, reorganize work, implement new technologies, and improve resource utilization, with a focus on best cost methods.
Â· Forecast and anticipate other operating expense needs (e.g., travel, training, and consulting). Assist with the preparation of annual operating and capital budgets.
Â· Work well with other leaders to communicate and share resources on critical projects. Seek opportunities to help othersâ€™ projects by sharing and reallocating team membersâ€™ priorities and assignments.
Â· Responsible for monitoring and responding to any legislative/regulatory billing changes.
Â· Consult and work directly with leadership across managed care, payers and with technology to advise on key processes and resource needs to improve operations, productivity, and collection rates.
Â· Individual must have a strong understanding of third-party reimbursement for acute care hospitals, hospital/provider/practice operations with multi-unit/state experience preferred.
Â· In-depth knowledge of rules/regulations of Medicare/Medicaid and other government payers as well as commercial insurers, regulatory compliance requirements, and other practice/facility management activities.
Â· Operations and/or strategy consulting experience with a focus on Revenue Cycle
Â· Excellent organizational, interpersonal, and verbal/written communication skills.
Â· Extensive knowledge of medical insurance billing and collections across Medicare, Medicaid and managed care including ICD-10 and HCPC coding and terminology.
Â· Extensive knowledge in collecting, analyzing, and reporting revenue cycle management data used to identify opportunities and strategies for improvement.
Â· Proven record of managing and coordinating concurrent projects, competing priorities, and critical deadlines.
Â· Ability to present and communicate with various audiences including Executive leadership team.
Â· Proficient in Microsoft Office (Outlook, Excel, Word, and PowerPoint)
Â· Bachelorâ€™s degree in Business, Accounting, Healthcare Management, or related fields required.
Â· CHFP, CRCE, CHIMS, or HFMA/AAHAM RCM certification preferred.
Â· A minimum of five (5) years management experience working within large revenue cycle operations, RCM Shared Services and/or Central Business Office.
Depending on a candidateâ€™s qualifications, this position may be filled at a different level.