• Establish targets, policies, and internal controls that will drive improvements and efficiencies in overall service revenue capture and collections.
• Build the revenue cycle operations team, including strategy/vision, structure, and centralization efforts, develop key metrics, establishes goals, and reports on overall performance.
• Identify improvement opportunities throughout CPH, such as automation/technology, training capability, patient experience and workflow improvements.
• Streamline billing and collections policies and procedures across the organization, both within the billing and collections department.
• Create strong relationships with payors to improve the credentialing process and confirm that claims are properly adjudicated.
• Lead and manage staff performance and facilitates appropriate training and resources.
• 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 development.
• Develops policies and procedures for collecting on patient balances and educate team on the execution of those policies and procedures.
• Ensure compliance with regulatory requirements and responsiveness to changes in requirements.
• Implement improvement plans to operationalize revenue cycle initiatives and strategies to deliver consistent, strong financial performance.
• Work directly with practice leaders, vendors, and third-party payers to build and execute on key processes to improve performance, productivity, and collection rates.
• Review and design processes surrounding registration, billing, compliance, collections, denial management, and other functions to ensure revenue cycle is following best practices.
• Strategic planning to deliver scalable, evolving solution to meet developing demands.
• Coordinate efforts amongst cross functional teams including operations, finance, compliance, coding, and IT to ensure alignment with CPH goals and metrics.
• Utilizes tools and data effectively to identify areas of opportunity with coding, documentation, reimbursement, and accounts receivable.
• Builds relations with vendors and providers to maximize reimbursement rates and minimize denials.
• Understand and stay abreast of payer requirements and changes in the industry and communicates those changes as well as the financial impact to leadership.
• Promotes teamwork by fostering a positive, transparent, and focused working environment.
• Work, create and engage with a diverse high performing team to help resolve challenges.
• Review and assist with payer negotiations and ensures carriers are administrating claims based on contract terms.
• Quantify and communicates payor issues, as well as developing a strategic plan to approach issues.
• Consistently exhibits behavior and communication skills that demonstrate superior customer service, including quality, care, and concern with each internal and external customer.
• Compiles weekly and monthly financial metrics to share with leadership, as to identify and implement improvement plans.
• Perform any, and all other duties as assigned

• Bachelor’s degree required; Master’s degree preferred
• Minimum of 10 years’ experience in healthcare management
• Minimum of 7 years ‘experience leading revenue cycle management
• Experience working in a physician practice, medical group, or health system required
• Able to think and act strategically, but also able and willing to pivot and assist with team-level work and projects as necessary
• Excellent interpersonal skills, including interacting effectively and professionally with individuals at all levels, both internal and external
• Able to manage multiple tasks/projects simultaneously within rigid time frames
• Proven leadership skills
• Excellent verbal and communication skills
• Highly organized
• Self-motivated with strong organizational skills and superior attention to detail

• Competitive pay
• Medical, dental, and vision insurance
• 401k with Company match
• Generous paid time off
• Paid Holidays
• Tuition Reimbursement
• Advancement and career development opportunities

Covid-19 and Influenza Vaccinations are a requirement for employment at CarePoint Health. If you are not currently vaccinated, you will be required to receive the vaccination prior to hire date if you are offered employment unless you request and receive an approved medical or religious exemption from CarePoint.

CarePoint Health is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.