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Assistant Vice President, Reimbursement in Akron, Ohio, US at TeamHealth

Date Posted: 3/26/2020

Job Snapshot

Job Description

JOB DESCRIPTION OVERVIEW:

The Assistant Vice President of Revenue Cycle is an executive level position and is a key member of HCFS.  The Assistant Vice President has the overall responsibility for management of Patient Accounts, A/R Management, Over Provisions, Denials/Appeals, and Eligibility Departments.  The Assistant Vice President of Revenue Cycle plans, organizes, directs, and controls the organizational elements necessary to insure that corporate goals and standards are achieved. This includes management oversight of all areas from point of receipt to accurate adjudication of patient accounts, process execution to meet cash/collection targets, and leadership and development of staff.  It is expected that this position will interact daily with billing center management, Vice President and other TeamHealth billing center Vice Presidents and Assistant Vice Presidents throughout the country.  Also, the AVP may regularly visit other TeamHealth billing centers locations to achieve results and identify areas of opportunity.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Accomplishes above-average achievements while exceeding financial metric targets within defined budgets.
  • Analyze internal revenue cycle reports and productivity measures to identify issues and effect appropriate change to optimize reimbursement.
  • Establish professional relationship with seasoned management team and be instrumental in the professional development and ensure succession opportunities exist for all staff within the respective areas of responsibility.
  • Participate in strategic planning and execution of the billing center and TeamHealth initiatives.
  • Coordination with other billing center Senior leadership staff and peers to recognize and resolve issues impacting revenue cycle.
  • Account receivable management to include posting of payments, processing improper paid claims, denial processing, and follow-up of unpaid claims.
  • Staffing and production ratios.
  • Communication and escalation of issues negatively effecting revenue.
  • Human Resources and Compliance matters works closely with the HCFS senior management and business unit leaders to respond to operational needs.
  • Maintain current knowledge of, and complies with established policies and procedures including patient confidentiality/patient rights/government, insurance, and other payor regulations.
  • Maintain open and effective communication with Team Health region and division leadership related to billing performance.

 

Job Requirements

QUALIFICATIONS / EXPERIENCE:

  • Bachelor’s Degree in business or related field required;
  • Minimum five (5) plus years of billing and reimbursement experience, preferably in emergency medicine, hospital medical, anesthesia;
  • Minimum five (5) years at Director or Manager level within billing and revenue cycle in a large scale operation;
  • Multi-state experience with revenue cycle;
  • Excellent computer skills including strong proficiency in spreadsheet applications required;
  • Excellent communication skills, analytical skills and problem resolution skills required;
  • Strategic leader required.

PHYSICAL / ENVIRONMENTAL DEMANDS:

Set in a pleasant, high-volume, fast-paced office environment.  Ability to meet closing deadlines and production standards is required. 

  • Job is performed in a well-lighted, climate controlled modern office setting.
  • Prolonged sitting at a workstation using a computer.
  • Moderate phone use.
  • Moderate bending and standing.
  • Moderate stress level.
  • Occasional lifting and carrying of up to 25 pounds.
  • Involves extensive computer use.

This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.

DISCLAIMER:

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.

 

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