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CORE JOB SUMMARY
The Vice President, Revenue Cycle leads the overall strategy, optimization and implementation guidance of revenue cycle operations for UHealth’s acute care and outpatient facilities, as well as, medical practices. Key areas of responsibility include scheduling, registration, insurance verification, financial counseling, charge master, charge capture, HIM/Coding, clinical documentation improvement, patient financial services, provision of charity, and overall collection of patient service revenues across the revenue cycle. The Vice President will also make decisions related to investments and changes in net revenue enhancement tactics, software applications, outsourcing vendors, recovery projects, and other interventions to collect the net revenue associated with patient services delivered.
CORE JOB FUNCTIONS
1. Develops, leads and improves revenue cycle workforce, processes, policies and procedures, and technologies to ensure they are developing, building and complying with a clearly defined, effective revenue management approach consistent with the overall mission and strategic plan of UHealth.
2. Oversees the management and continuous improvement of the operational standards to positively impact the overall collection, financial yield, cost of collection, accounts receivable days, and the service experience throughout UHealth. Leads and or coordinates efforts to reduce denials, eliminate waste, and improve service experience.
3. Creates, chairs and facilitates assigned Financial/Revenue Cycle Committees and other taskforces, such as, Financial Assistance/Charity Policy Committee, Denials Audit Strategy ("RAC") Council. Works closely with other Finance leaders across the organization to address local and system-wide revenue cycle opportunities.
4. Oversees Financial Assistance (Charity), Financial Clearance, and Collection policies as well as the allocation of write-offs, related controls, and the procedures and tactics to maintain optimal levels of bad debt and charity.
5. Provides regular reports to the Chief Financial Officer, and members of the Executive Leadership Team, in written and presentation formats. Acts as a single point of accountability for UHealth’s revenue cycle performance and improvement opportunities.
6. Monitors and measures the quantitative performance of each function within the Revenue Cycle, addressing unfavorable trends and areas of risks. Develops a relevant performance reporting suite of metrics, and related structure of performance review meetings to establish an accountable environment.
7. Researches, develops, and applies proven financial, workforce, and process management principles and methods to optimize the revenue cycle. Monitors the local and national emerging and best practices associated with Revenue Management. Reviews and evaluates the effectiveness and efficiency of revenue cycle operations and recommends and guides modifications as conditions change.
8. Enhances the patient and physician service delivery aspects of the revenue cycle, including monitoring patient satisfaction survey data and other data points to refine the procedures which impact the delivery of service and customer satisfaction. Works with leaders on issues and improvement opportunities for brand, growth and margin improvement.
9. Completes or contributes to the completion of various financial forecasts and plans, including annual budgets, annual capital needs, month-end financial reporting, receivables levels (days in AR and aging), cost center productivity, and input to long-range strategic plans.
10. Monitors revenue cycle external contracts/relationships, performance and service levels, including functions outsourced, core and bolt-on technologies, specialty recovery vendors and collection agencies.
11. Ensures internal control oversight and compliance with laws and regulations, safeguarding of assets, compliance with University policies and procedures, reliability of internal and external reporting, and efficiency and effectiveness of operations. Creates an effective control environment, conducts risk assessment, implements and monitors controls.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
Education:
Master’s Degree in relevant field preferred.
Certification and Licensing:
Not applicable
Experience:
Minimum 10 years of relevant experience
Knowledge, Skills and Attitudes:
• Commitment to the University’s core values
• Proficiency in computer software (i.e. Microsoft Office)
• Ability to communicate effectively in both oral and written form
• Ability to recognize, analyze and solve a variety of problems
• Ability to manage a budget and work within the constraints of that budget
• Ability to direct, manage, implement and evaluate department operations
• Ability to establish department goals and objectives that support the strategic plan
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full timeEmployee Type:
StaffPay Grade:
150