Affordable Care
VP Revenue Cycle Management
Affordable Care, Morrisville, North Carolina, United States, 27560
**Overview****Position Summary:**The VP of RCM reports to the SVP of Insuranceer and is responsible for leading the full RCM team, which includes claims submission, overturning denials/rejections, reconciliation bank records with EOB and ensure AR is managed. This role is the primary contact for all 3 rd party insurance initiatives for internal ACI departments and the practices. Manages an internal team of 25+ and outsourced vendors.**Responsibilities****Position Duties and Responsibilities** :+ Manage and lead a team of employees, including developing a high performing team and assessing performance.+ Ensure effective and timely contract administration and support.+ Ensure KPIs for internal teams output for claims, % received, denials/rejections, and AR+ Ensure SLAs for vendors are met and managed.+ Monitor all process flows and provide feedback to improve processes and results.+ Develop and maintain training modules on plan administration (patient eligibility, claims processing, posting payments, managing AR, outsourcing variations, etc.). Institute and monitor auditing mechanisms to ensure success.+ Participate in cross-functional projects as the insurance service expert+ Respond to practice team questions regarding RCM and AR.+ Develop and maintain revenue cycle metric reports, managing to established benchmarks.+ Perform other duties as new opportunities arise and/or as assigned. Demonstrate a strong work ethic, high sense of urgency and the passionate desire to drive results.**Qualifications****Qualifications**+ Ability to interpret and effectively communicate all aspects of RCM.+ Excellent verbal and written communication skills.+ Proven track record for managing RCM functions+ Excellent problem-solving skills.+ Well organized, accurate, and thorough.+ Adaptable; readily adjusts work schedule to adhere to changes in the work environment and is able to manage competing demands.+ Adept at prioritizing, planning work activities, and developing reasonable action plans.+ Proficiency in all Microsoft Office products.**Education and Experience Requirements:**+ Bachelors degree required.+ Minimum 8 to 10 years of RCM management.**Computer Skills:**+ Proficiency in a Microsoft Windows environment.+ Proficiency with dental or medical software.**Core Competencies:** To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position.+ Exemplary leadership skills.+ High level of customer service orientation.+ Ability to assess development needs of affiliated auxiliary practice staff.+ Knowledgeable in creating and presenting training course material.+ Must possess strong skills in the areas of interpersonal communication, analysis, critical thinking, attention to detail, multi-tasking, and oral & written communication.+ Excellent verbal and written communication skills.+ Ability to work independently and collaboratively within a team environment.Sorry the Share function is not working properly at this moment. Please refresh the page or try again later.**Need help finding the right job?**We can recommend jobs specifically for you!**Job ID** _2024-28059_**Category** _Other_