Description- VP of Revenue Cycle Management
Join the management team reporting directly to the CFO to lead the Revenue Cycle Management team for a growing network of affiliated dental ventures for an innovative and fast-growing company. An experienced CFO will mentor you with a track record of growing VC/PE-backed companies, including taking companies through a successful IPO. Peak Dental Services has been a multiple recipient of the Inc. 5000 fastest-growing company distinction and was recently recognized as one of Colorado’s top 20 CEOs and 1 of 3 finalists as Small Business Person of the Year by the Pikes Peak Small Business Development Center.
We desire a VP of Revenue Cycle Management with an entrepreneurial spirit who enjoys scaling up the Revenue Cycle Management function of a fast-growing healthcare company.
Competitive compensation offers best-in-class bonus opportunities and unrivaled opportunities for professional growth and promotions. Healthcare benefits, 401K matching, paid holidays, and other benefits are offered.
ESSENTIAL FUNCTIONS:
We are looking for an experienced leader to oversee the company's revenue cycle management function. This includes supporting the continued growth of the company's network of dental offices and integrating newly acquired dental offices.
Primary Responsibilities:
- Oversees the revenue cycle and receivables management operation, allowing revenue maximization. Ensures compliance with all pertinent company and regulatory requirements, policies, and guidelines.
- Responsible for Onshore and Offshore teams (40+FTEs) using best-in-class software regarding claims follow-up process, credentialing tracking, reconciling of bank transactions, and automated data warehouse, which pulls all practice management transactions daily from our cloud-based PMS system.
- Working directly with operations leaders with respect to our 60+ locations located in Colorado and Texas.
- Supports the Accounts Receivable Accounting team by providing guidance and subject matter expertise, as needed, to establish effective and efficient functioning of the reimbursement function.
- Acts as the key owner of revenue cycle performance and coordinates activity and communication with external vendors (e.g., payors), internal stakeholders, and teammates.
- Ensures all major third-party payer reimbursement issues are addressed and resolved appropriately and according to the established policies and procedures.
- Ensures management is informed regarding all major issues impacting the revenue cycle billing and collections.
- Ensures that accounts receivable trends are closely monitored and that the appropriate decisions and actions are taken promptly to remedy operational and collection problems.
- Ensures identified audit and compliance issues are addressed and corrected.
- Monitors revenue cycle performance metrics to drive continuous improvement efforts in all areas of the revenue cycle, providing regular updates to the CFO, COO, and CEO to ensure prompt attention to areas of concern.
- Monitors and manages the performance of front-end revenue cycle operations, including eligibility, claims submission, and outstanding balance collection.
- Provides KPI reporting on revenue cycle performance to all key leaders, including regional managers, dentists, and operations leaders.
- Coordinates with payor relations to provide payor issues and pertinent information to help drive corporate payor strategies.
- Other duties assigned.
Skills and Qualifications:
- Dental Service Organization experience preferred
- 8+ years of revenue cycle experience leading a central billing office
- Knowledge and experience in revenue accounting and revenue cycle best practices
- Analytical skills to interpret and report monthly revenue results
- Ability to present financial data and payor reimbursement information to dentists and executive management
- Strong ability to multi-task in a fast-paced environment
- Well-organized with the ability to prioritize
- Strong organizational, written, and oral communication skills
- Payor contracting knowledge
- Attention to detail and problem-solving ability
- Bachelor's degree in a health-related field or business administration; MBA or advanced degree desirable
- General knowledge of Adobe PDF Pro, Excel, Word, PowerPoint, Outlook, and PMS such as Denticon or any other practice management system.