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Chief Revenue Cycle Management Officer

Community Care Network Of Va
Henrico, VA
  • Expired: over a month ago. Applications are no longer accepted.
Job Description


Cenevia is a health business services organization committed to eliminating operational burdens so its healthcare delivery champions can focus on providing high-quality and cost-effective health outcomes. Since 1996, Cenevia has been a trusted support system, training partner and business process expert for health providers, including Federally Qualified Health Centers (FQHC), private practices, hospitals, managed care organizations, and provider networks. 

Cenevia provides integrated, network-based services and programs to healthcare clients to help them run their businesses better so that they can focus on patient care.  

SUMMARY/OBJECTIVE:

The Chief Revenue Cycle Management Officer is responsible for providing strategic direction and oversight of Central Billing Office operations for Cenevia.  The Chief Revenue Cycle Management Officer will continuously pursue and champion revenue cycle improvements and workflow optimization.  This role requires strong leadership experience to drive the Central Billing Office team toward positive health business services outcomes for Cenevia’s clients and should possess exemplary communication skills. This position will report to the Chief Executive Officer and is exempt from the overtime and minimum wage provisions of the Fair Labor Standards Act.

ESSENTIAL FUNCTIONS:

Core duties and responsibilities include the following. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned. 

  • Consistently drives best practices in Revenue Cycle Management operations in order to achieve improved administrative processes and efficiencies in order to increase cash flow, reduced accounts receivable days outstanding, and enhanced billing accuracy to minimize payer rejections or denials.
  • Drives operational improvements that will reduce administrative costs in the Revenue Cycle operations.
  • Communicates and collaborates with leadership in an effort to improve efficiencies and streamline processes.
  • Implements Central Business Office policies, standard operating procedures, and training programs and complies with regulatory guidelines.
  • Leads Central Billing Office operations team to achieve positive operational Revenue Cycle Management outcomes.
  • Provides revenue projections and communicates this information regularly with leadership. 
  • Reviews information from revenue cycle KPI’s analytics and reporting to identify and resolve issues that are impacting operational results. 
  • Implements operational performance improvement plans as appropriate and financial oversight for Central Business Office operations. Leads implementational changes in systems and operational processes to achieve industry-leading results. 
  • Synthesizes numerous analyses, translates into specific actions, and gains buy-in to execute.
  • Develops, implements, monitors, and evaluates quality assurance activities, ensuring compliance with standards, laws, regulations, and procedures.
  • Forecasts revenue projections based on staffing, department operation models, billable services, and payer reimbursements.
  • Provides leadership with financial reports, metrics, and presentations.
  • Oversees and coordinates revenue enhancement initiatives and business operations across all aspects of the revenue cycle for clients.
  • Develops and maintains pricing strategies and fee schedules as well as maintains compliance areas for billing by validating compliance with governmental programs that may impact revenue cycle operations.
  • Maintains knowledge of governmental and private payer payment methodologies and analyzes, troubleshoots, and measures performance for processes affecting the revenue cycle.
  • Gains leadership and client buy-in for intricate projects and initiatives and drives project and change management.
  • Partners with clients as a liaison for software configurations and best practices.   
  • Ensures departmental compliance with company policies, contracts, processes and performs recurring audits to ensure same.
  • Exercises initiative, judgment, discretion and decision-making to achieve organizational objectives.
  • Maintains confidentiality in all matters that include Patient Health Information and Employee Data.

 

QUALIFICATIONS:

  • Bachelor's degree (B.A.) from four-year college or university; or five to ten years related experience and/or training; or equivalent combination of education and experience.
     

OTHER SKILLS AND ABILIITIES:

  • Strong experience managing a central billing operation with experience in and professional/practice operations.
  • Strong leadership experience with experience leading and developing large teams of people.
  • Demonstrated experience with process analysis and improvement.
  • Strong problem-solving skills with the ability to diagnose problems and identify solutions.
  • Strong communication and interpersonal skills.
  • Strong ability to work with staff to improve department morale.
  • Demonstrated ability to prioritize in a high sense of urgency environment.
  • Experience with the implementation and/or upgrade of new billing systems.
  • Demonstrated experience effectively leading staff through change.
  • Demonstrated experience developing and maintaining effective working relationships across the organization. 

COMPETENCIES:

To perform the job successfully, an individual should demonstrate the following competencies: 

  • Business Acumen - Understands business implications of decisions; displays orientation to profitability; demonstrates knowledge of market and competition; aligns work with strategic goals.
  • Client Focus - Anticipating, understanding, and fulfilling customer needs and expectations by providing excellent direct and indirect service.
  • Communication - Conveying and receiving information and ideas efficiently and effectively through a variety of organizational mediums.
  • Initiative - Seeking new/additional responsibilities, projects, tasks; Acting independently in new/routine situations.
  • Managing People - Includes staff in planning, decision-making, facilitating and process improvement; takes responsibility for subordinates' activities; makes self available to staff; provides regular performance feedback; develops subordinates' skills and encourages growth; solicits and applies customer feedback (internal and external); fosters quality focus in others; improves processes, products and services.; continually works to improve supervisory skills.
     

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. 

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate. 

Cenevia is an equal opportunity employer.

At Cenevia, we believe diversity brings strength and adaptability by drawing on a broad range of talents, experiences and perspectives, and affords an inclusive workplace and culture where all people, regardless of gender, race, ethnicity, sexual orientation, or background, feel a sense of belonging. 

This position is primarily remote, and employee must have suitable and secure technology to be eligible for consideration – e.g., secure Wi-Fi, telephone, dedicated workspace.  Additionally, employee is required to participate and be seen in meetings via video conference as part of this role.

Community Care Network Of Va

Address

Henrico, VA
23233 USA

Industry

Finance and Insurance

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