Quick Med Claims (QMC) is a nationally recognized leader in emergency medical transportation billing and reimbursement. QMC is committed to providing services in a manner that ensures compliance with all applicable billing and reimbursement regulations while maximizing the capture of allowable reimbursement for each client. The commitment to adherence to both principles make QMC the partner of choice for emergency medical transportation providers.
This Position is 100% Remote.
Job Purpose/Summary
The Vice President of Post Billing Operations (VPPBO) provides overall strategic direction and operational leadership by overseeing all core functions of the Post Billing Operations Division, including Posting, Patient Services, and Process Design & Optimization. The VPPBO is responsible for developing and adjusting operational plans that result in QMC reaching its established performance KPIs.
The VPPBO provides direction to all Post Billing Operations team leaders and establishes a quality culture that promotes consistent process improvements that drive industry-leading performance results.
As a senior leader of Operations, the VPPBO must demonstrate strategic and innovative thinking, strong leadership and communication skills to promote effective collaboration among all levels of the organization. The VPPBO plays a critical role of ensuring quality and efficiency targets are being met so that QMC achieve its vision to be the trusted partner of choice that 100% of our clients would recommend to a friend or colleague.
Essential Duties & Responsibilities
- Sets the tone of the Post Billing Operations Division by promoting the The QMC Way culture and consistently representing QMC’s core values and workplace policies
- Responsible for making critical decisions that support standard policies and procedures within the Post Billing Ops Division
- Remains current and abreast of relevant areas of expertise, including industry and competitive trends, compliance and regulatory requirements, and company-wide strategic targets and initiatives
- Provides day to day leadership and support to Post Billing Ops Division leaders and ensures they each possess a strong working knowledge of their team’s core KPIs
- Ensures effective feedback and communication loops are in place via team huddles and other communication methods
- Engages with others division leaders, including HR and IT, to evaluate and manage staffing resources and technology infrastructure to support Operational productivity, quality and growth goals.
- Reviews productivity and quality KPI reports to evaluate performance against established targets and consistently uses data to make informed decisions and operational adjustments
- Demonstrates curiosity and promotes a leadership culture that proactively reviews trends and errors to determine root cause and resolution
- Meets regularly (weekly or biweekly) with direct reports to review key department updates, including productivity and quality performance, staffing levels, new clients, special projects and other important division updates
- Serves as a senior leader of the Senior Ops Leadership team and works closely with other company leaders to implement core training initiatives and process improvement projects
- Conducts regular check-ins and “on-the-job” observations with Team Members at all levels within the Post Billing Ops Division to ensure core processes and best practices are being followed
- Engages with the Training and Process Design teams to develop ongoing and enhanced training and process workflows to improve productivity and quality
- Ensures quality of SOPs and other critical documentation necessary for quality execution of all Post Billing Ops processes
- Continuously seeks professional development and training opportunities to stay abreast of emerging technologies, RCM best practices in the EMS community, especially related to the core functions performed within the Post Billing Operations Division
- Conducts annual performance reviews for direct reports and develops performance improvement plans as needed
- Partners closely with the Executive Leadership Team to drive the company’s strategic vision and successfully execute its strategic plan
Other Responsibilities
- Adhere to all QMC HIPAA privacy policies and procedures. This includes always maintaining the confidentiality and security of sensitive patient information.
- Ensures consistent adherence to company attendance policies.
- Motivated self-starter, independent thinker capable of working both independently and within a collaborative team environment
- High-energy, positive leader who can motive, support and guide others
- Ability to work in fast-paced environment with minimal supervision
- Ability to communicate with a wide variety of audiences across all levels of the organization
- Problem solver with solid analytical skills
- Effective communicator with strong written and verbal skills
- Ability to establish and enhance workflow processes to enhance speed and efficiency without compromising quality
- Ability to set, communicate and manage productivity goals and enhance productivity and reporting via AI, BI and other technology applications
- Ability to identify problems and escalate issues appropriately when needed
- Strong working knowledge of the complete RCM process
- Strong working knowledge of health insurance verification and solid understanding of all major payor groups (Government, Commercial, Auto, etc.)
- Ability to evaluate and prepare CBAs on various applications to improve process efficiencies
- Relationship developer --- proven track record of cultivating and valuing long-term relationships with clients and colleagues
Minimum Qualifications
Education:
- BA/BS Preferred or ten plus years equivalent experiences working in a professional work environment
Experience:
- 10+ years of Revenue Cycle Management or equivalent experience preferred
- Experience leading and inspiring large operational teams
Licenses, Certifications & Clearances (Preferred Not Required):
- Certified Ambulance Coder (CAC)
- QMC Biller Certified