Position Summary:

The Vice President of Revenue Cycle Management reports to the SVP of Insurance and is responsible for leading the full RCM team, which includes claims submission, overturning denials/rejections, reconciliation bank records with EOB and ensures AR is managed. This role is the primary contact for all 3^rd party insurance initiatives for internal Affordable Care departments and the practices.  Manages an internal team of 25+ and outsourced vendors.

Position Duties and Responsibilities:

• Manage and lead a team of employees, including developing a high performing team and assessing performance. 
• Ensure effective and timely contract administration and support.
• Ensure KPIs for internal teams output for claims, % received, denials/rejections, and AR
• Ensure SLAs for vendors are met and managed. 
• Monitor all process flows and provide feedback to improve processes and results.
• Develop and maintain training modules on plan administration (patient eligibility, claims processing, posting payments, managing AR, outsourcing variations, etc.).  Institute and monitor auditing mechanisms to ensure success.
• Participate in cross-functional projects as the insurance service expert
• Respond to practice team questions regarding RCM and AR.
• Develop and maintain revenue cycle metric reports, managing to established benchmarks.
• Perform other duties as new opportunities arise and/or as assigned.  Demonstrate a strong work ethic, high sense of urgency and the passionate desire to drive results.

Qualifications

• Ability to interpret and effectively communicate all aspects of RCM.
• Excellent verbal and written communication skills.
• Proven track record for managing RCM functions
• Excellent problem-solving skills.
• Well organized, accurate, and thorough.
• Adaptable; readily adjusts work schedule to adhere to changes in the work environment and is able to manage competing demands.
• Adept at prioritizing, planning work activities, and developing reasonable action plans.
• Proficiency in all Microsoft Office products.

Education and Experience Requirements:

• Bachelor’s degree required.
• Minimum 8 to 10 years of RCM management.

Computer Skills:                                                        

• Proficiency in a Microsoft Windows environment.
• Proficiency with dental or medical software. 

Core Competencies: To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position. 

• Exemplary leadership skills.
• High level of customer service orientation.
• Ability to assess development needs of affiliated auxiliary practice staff.
• Knowledgeable in creating and presenting training course material.
• Must possess strong skills in the areas of interpersonal communication, analysis, critical thinking, attention to detail, multi-tasking, and oral & written communication.

• Excellent verbal and written communication skills.
• Ability to work independently and collaboratively within a team environment.