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Plutus Health

Chief Revenue Officer (CRO)

Addison, TX · On-site

The Fractional Chief Revenue Officer (CRO) will be responsible for overseeing all revenue-generating activities within Plutus Health Inc. This C-suite executive will develop and implement strategies ...

Starfish

COMSEC CRO

Eglin, FL · On-site

Torch Technologies has an exciting opportunity for a Junior Communications Security (COMSEC) Responsible Officer (CRO) for the Tenants Contract, supporting the Air Force Division at the Air Force ...

PJM

VP, Chief Risk Officer

Audubon, PA · On-site

The CRO will be a a member of the Executive Team and will work closely with the Chief Executive Officer, Chief Financial Officer and General Counsel to coordinate PJM's enterprise risk management ...

CoBank

Chief Risk Officer

Greenwood Village, CO · On-site

The CRO serves as the principal risk advisor to the CEO and the Board of Directors, ensuring that material risks are identified, measured, monitored, controlled, and reported in a manner consistent ...

Superpower

Head of CRO & Lifecycle

San Francisco, CA · On-site

About the role As Head of CRO & Lifecycle, you will lead the website, landing pages, offers, quiz ... Balaji Srinivasan (ex-Coinbase CTO and angel, ex-General Partner at a16z) * Arielle Zuckerberg ...

ShortList Recruitment Limited

\n \n \n \n Chief Risk Officer \n \n Santa Fe, NM \- Relocation assistance available \n \n Up to $300,000 \n \n \n \n \n ShortList is looking for a Chief Risk Officer to join the executive leadership ...

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Chief Revenue Officer (CRO) - Administration - Full Time

Richmond, TX • On-site

OakBend Medical Center
Health Care and Social Assistance • 1 - 5K employees
Learn more about OakBend Medical Centerexternal

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Re-posted 19 days ago

Job description

Responsibilities

The Chief Revenue Officer (CRO) is responsible for the strategic oversight and management of the entire revenue cycle process within the hospital, from billing to collections. This role demands an intimate knowledge of payor requirements and contracts, denials and appeals, and key business office KPIs such as clean claim rate, days in AR, Denial Rate, etc. The CRO will develop and execute strategies to enhance revenue cycle efficiency, minimize denials, and ensure optimal financial performance.

KEY RESPONSIBILITIES

Revenue Cycle Management:

  • Oversee all aspects of the hospital’s revenue cycle, including billing, coding, charge capture, and collections.
  • Develop and implement strategies to improve revenue cycle efficiency and effectiveness, ensuring the achievement of key financial goals.
  • Monitor and analyze revenue cycle performance metrics, including clean claim rate, days in AR, net collection rate, etc.

Payor Requirements & Compliance:

  • Maintain a thorough understanding of payor contracts, regulations, and reimbursement policies.
  • Ensure compliance with all federal, state, and local regulations related to billing, coding, and reimbursement.
  • Collaborate with payors to resolve issues, negotiate terms, and optimize reimbursement rates.

Denials Management:

  • Develop and implement a comprehensive denials management program to reduce denial rates and recover lost revenue.
  • Analyze denial trends to identify root causes and implement corrective actions.
  • Lead a team responsible for the timely review, correction, and resubmission of denied claims.

Appeals Process:

  • Oversee the appeals process, ensuring timely and effective resolution of denied claims.
  • Work closely with the clinical and coding teams to gather necessary documentation for successful appeals.
  • Track and report on the success rate of appeals, making improvements to the process as needed.

Team Leadership & Development:

  • Lead, mentor, and develop a team of revenue cycle professionals, including billing, collections, and denials management staff.
  • Promote a culture of collaboration and accountability, focusing on continuous improvement. Work closely with cross-functional partners to achieve shared goals.
  • Conduct regular performance reviews, offering continuous feedback, training, and development opportunities to enhance team capabilities

Strategic Planning & Reporting:

  • Work with executive leadership to develop and execute revenue cycle strategies that align with the organization's financial goals.
  • Prepare and present regular reports on revenue cycle performance, including trends in denials and appeals, to senior management.
  • Identify and implement best practices and emerging technologies to enhance revenue cycle efficiency and effectiveness.
Qualifications

MINIMUM EDUCATION:

Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field; Master’s degree preferred.

MINIMUM WORK EXPERIENCE:

Minimum of 7-10 years of experience in healthcare revenue cycle management, with at least 5 years in a leadership role.

REQUIRED LICENSES/CERTIFICATIONS:

None.

REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES:

Knowledge and expertise in hospital managed‑care contracting, billing and collection for services provided. Intimate knowledge of payor requirements, including Medicare, Medicaid, and commercial insurance. Proven expertise in denials management and the appeals process. Excellent communication, negotiation, and leadership skills.

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