VP of Revenue Cycle Management at Elevance Health managing specialty pharmacy billing and collections team. Driving strategies for compliance and operational effectiveness in revenue management.
Responsibilities
Direct and oversee all operations related to Revenue Cycle Management, including billing, collections, handling patient inquiries, managing payor audits, and overseeing patient copay accounts.
Develop and implement strategies for Revenue Cycle Management to support and drive overarching organizational business goals.
Manage structures and processes to achieve company objectives related to accounts receivable, write-offs, cash collection, cash posting, and net billing revenue.
Ensure compliance with state and federal regulations, as well as adherence to Medicare and private insurance guidelines.
Lead and oversee the department responsible for the system maintenance of existing revenue cycle applications.
Provide oversight for system implementations, conversions, and upgrades related to revenue cycle applications.
Requirements
Bachelor’s degree in Accounting, Finance, or Business Administration (BA/BS) is required.
Minimum of 10 years of experience in healthcare revenue cycle management and/or patient financial services.
Master of Business Administration (MBA) is preferred.
Strong strategic planning and organizational skills.
Excellent leadership and team management abilities.
In-depth knowledge of healthcare regulations and compliance standards.
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