revenue cycle consultant

Aegis Sciences Corporation

<div><p>The<b> Revenue Cycle Business Analyst</b> is responsible for analyzing and optimizing the financial processes within a laboratory organization, including patient registration, coding, billing, and collections, by reviewing data to identify trends, areas for improvement, and implementing strategies to maximize revenue while ensuring compliance with regulations, ultimately improving the overall revenue operations experience.</p><p><b>
Essential Duties &amp; Responsibilities:</b></p><p>
AR Management:</p><ul><li>
Analyzing denied claims, identifying reasons for denials, and taking corrective actions to minimize future denials</li><li>
Review medical codes and billing information for accuracy and compliance with billing guidelines to minimize claim rejections and denials</li><li>
Ensure adherence to healthcare regulations and coding guidelines, including HIPAA and ICD-10 coding standards</li><li>
Develop and implement strategies to address identified issues, including workflow changes, training programs, and system updates to enhance revenue cycle efficiency</li><li>
Provide other Revenue Cycle Business Analysts and Specialists one-on-one training/cross training for reviewing and interpreting medical records and internal documentation to enhance appeal strategies</li><li>
Make informed decisions based on knowledge of Payer policy and knowledge, state and federal guidelines and thorough review of internal documents including the translation of testing protocols and billing and how that impacts the adjudication of a claim to achieve a positive outcome</li></ul><p>
Payer Relations:</p><ul><li>
Collaborate with payers, managed care, clinical and legal to resolve outstanding claims and address billing issues</li></ul><p>
Reporting:</p><ul><li>
Analyze large volumes of revenue cycle data, including patient demographics, insurance verification, claim submissions, denial trends, and payment history to identify patterns and areas for improvement</li><li>
Develop and maintain key performance indicators (KPIs) like days sales outstanding (DSO), denial rates, clean claim submission rates, and collection efficiency to track revenue cycle performance</li><li>
Analyze and synthesize complex information to identify key issues, develop clear summaries, and define actionable next steps; collaborate across teams to ensure alignment, drive resolution, and maintain momentum on strategic initiatives</li></ul><p><b>
Successful Candidates Must Possess:</b></p><ul><li>
High school diploma or GED required; Degree in Business, Finance or related discipline preferred</li><li>
With a high school diploma, a minimum of four (4) years of experience in denials management and other areas of Healthcare Revenue Cycle Functions required; with a Bachelor&rsquo;s degree, a minimum of two (2) years of experience in denials management and other areas of Healthcare Revenue Cycle Functions required; with a Master&rsquo;s degree, a minimum of one (1) year of experience in years of experience in denials management and other areas of Healthcare Revenue Cycle Functions required</li><li>
Experience using reporting tools and advanced excel skills required</li><li>
Knowledge of insurance including Medicare, Medicaid, Blue Cross Blue Shield and Third-Party Payers required</li><li>
Ability to utilize critical thinking skills while performing reimbursement/denial analysis</li></ul><p></p><p><br>
Aegis Sciences Corporation is an Equal Opportunity Employer</p></div><p></p>

Revenue Cycle Business Analyst

Cencora

<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p>Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><h1 class="jobSectionHeader"><b>
Job Details
</b></h1></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p></p><p>The Business Coach is responsible for building and maintaining a strong advisor/coaching relationship with health system customers using Pharmacy Revenue Insights (PRI). This role ensures customers achieve measurable improvement in pharmacy revenue cycle performance by translating PRI analytics into actionable workplans, enabling end users through training and troubleshooting, proactively mining customer data for missed reimbursement opportunities, and tracking outcomes and ROI over time. The PRI Business Coach serves as the primary customer-facing PRI subject matter expert, partners closely with Sales and internal analytics/technology teams, and drives adoption and operationalization of PRI workflows across outpatient infusion/clinic settings and applicable inpatient use cases.</p><p></p><p><b>
Responsibilities:</b></p><p></p><ul><li><p>
Build and sustain trusted advisor relationships with assigned PRI customers; serve as primary day-to-day point of contact for PRI enablement, adoption, and value realization.</p></li><li><p>
Lead customer onboarding and ongoing enablement, including user training, workflow education, role-based training plans, and office-hours-style support.</p></li><li><p>
Provide troubleshooting support for PRI users, including issue intake, triage, documentation, escalation to internal teams, and closed-loop resolution communication back to customer stakeholders.</p></li><li><p>
Proactively mine PRI workflow outputs to identify revenue opportunities and reimbursement risks, including but not limited to:</p><ul><li><p>
Net recovery/revenue performance by medication and location</p></li><li><p>
Unaccounted drug waste billing opportunities and potential build/workflow issues</p></li><li><p>
Charge capture variances (buy vs administer vs bill) and likely root causes</p></li><li><p>
Payment adjustment drivers and resubmission/appeal candidates</p></li><li><p>
Billable dose outliers and unit billing risk indicators</p></li><li><p>
Payer reimbursement variability and product-by-payer insights</p></li><li><p>
Site-of-care opportunities and NTAP process/capture checks</p></li></ul></li><li><p>
Facilitate recurring customer touchpoints (e.g., weekly/biweekly/monthly) to review findings, prioritize worklists, assign owners, and track progress against agreed goals.</p></li><li><p>
Translate PRI findings into clear, actionable recommendations and documented action plans, including identification of operational owners (Revenue Integrity, Pharmacy, Billing, Coding, IT/EHR build teams, Infusion operations) and suggested remediation steps.</p></li><li><p>
Track performance and ROI for PRI customers, including baseline establishment, measurement period tracking, opportunity pipeline tracking, and realized outcomes reporting; communicate results in a concise executive-ready format.</p></li><li><p>
Collaborate with internal analytics and product/technology teams to refine requirements, validate logic/questions, improve reporting, and support customer-requested enhancements; manage customer expectations regarding feasibility and timelines.</p></li><li><p>
Partner with Sales and Account Management as the PRI product advocate and pharmacy revenue cycle SME, including participation in QBRs, renewal support, value business reviews, and (as needed) product demonstrations.</p></li><li><p>
Maintain working knowledge of industry reimbursement and pharmacy revenue cycle trends impacting reimbursable drugs in clinics/infusion settings, including payer policies, modifier usage (e.g., JW/JZ and 340B modifiers), and common denial/adjustment themes.</p></li><li><p>
Adhere to standards and procedures for customer documentation, project/status reporting, issue tracking, and meeting notes/action logs.</p></li><li><p>
Support special projects related to PRI adoption, performance reporting, customer success playbooks, and cross-functional initiatives.</p></li><li><p>
Must be willing to travel and work from a home office environment. Travel minimal (typically &lt;10%), subject to customer needs and internal meetings.</p></li></ul><p></p><p><b>
Required Skills and Qualifications:</b></p><ul><li><p>
Requires a minimum of four (4) years of progressively responsible related experience, including training in fields such as healthcare administration, business administration, revenue cycle, pharmacy operations, health informatics, analytics, or similar vocations generally obtained through a four-year Bachelor&rsquo;s Degree program, technical vocational training, or an equivalent combination of experience and education.</p></li><li><p>
Minimum of three (3) years in a customer-facing role (e.g., customer success, account management, consulting, revenue cycle operations, pharmacy operations consulting, implementation/support), with demonstrated ability to build and maintain strong customer relationships.</p></li><li><p>
Demonstrated knowledge of healthcare reimbursement and pharmacy revenue cycle concepts, preferably related to hospital outpatient infusion/clinic administered drugs (e.g., charge capture, billing units, denials/adjustments, modifier use, payment variance analysis).</p></li><li><p>
Experience supporting analytics or SaaS tools in a production customer environment, including training, troubleshooting, and issue escalation management.</p></li><li><p>
Strong analytical skills with the ability to interpret claims/payment/charge capture concepts and translate data outputs into prioritized, actionable workplans.</p></li><li><p>
Excellent communication and interpersonal skills, with the ability to engage effectively with customer stakeholders at multiple levels, including operational users and executive sponsors.</p></li><li><p>
Strong problem-solving skills and ability to manage multiple priorities across a portfolio of customers in a fast-paced environment.</p></li><li><p>
Excellent organizational skills, including ability to run effective recurring meetings, maintain action logs, and drive accountability to completion.</p></li><li><p>
Strong consultative skills and comfort influencing without authority; able to recommend best practices and facilitate cross-functional alignment.</p></li><li><p>
Proficient in Microsoft Office applications (Excel, PowerPoint, Word, Outlook, Teams); comfort working with dashboards, tables, and performance reporting.</p></li><li><p>
Ability to work independently from a home office environment while collaborating effectively across internal teams.</p></li></ul><p></p><p><b>
Preferred Qualifications (nice to have):</b></p><ul><li><p>
Experience with hospital revenue integrity, billing/claims (835/837 concepts), infusion operations, chargemaster/charge capture processes, or pharmacy billing support.</p></li><li><p>
Familiarity with Epic and/or Cerner financial account constructs (e.g., HAR/FIN) and common infusion revenue cycle workflows.</p></li><li><p>
Experience with 340B program operations and/or modifier practices (e.g., JG/TB/UD) and understanding of payer variability.</p></li><li><p>
Prior experience delivering QBRs/value realization reporting and supporting renewals through outcome storytelling.</p></li></ul><p></p><p>
#LI-DL1</p><p></p><h1 class="jobSectionHeader"><b>
What Cencora offers</b></h1><p></p><p>
We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members&rsquo; ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit https://www.virtualfairhub.com/cencora</p><p></p>
Full time<p></p><div><div><div><div><div><div><div><h1 class="jobSectionHeader"><b>
Salary Range*</b></h1></div></div></div></div></div></div></div><p></p>
$100,700 - 155,100<p></p><ul><li>This Salary Range reflects a National Average for this job. The actual range may vary based on your locale. Ranges in Colorado/California/Washington/New York/Hawaii/Vermont/Minnesota/Massachusetts/Illinois State-specific locations may be up to 10% lower than the minimum salary range, and 12% higher than the maximum salary range.</li></ul><p></p><h1 class="jobSectionHeader"><b>
Equal Employment Opportunity</b></h1><p>
Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.</p><p></p><p>
The company&rsquo;s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.</p><p></p><p>
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned</p><p>
.</p><h1 class="jobSectionHeader"><b>
Affiliated Companies:</b></h1>
Affiliated Companies: Value Apothecaries Inc</div>

Business Coach

Behavioral Health Services California

<div><p><b>Job Summary:</b></p><p>
Research and follow up on billing and payment Denials, Helds and other irregularities in a Behavioral Health Setting</p><p>
</p><p><b>Duties/Responsibilities:</b></p><ul><li>
Ongoing process improvement analysis: and implementation of system improvements. Includes all activities within the scope of the Billing &amp; Accounting Departments including charge/ data entry, insurance follow up, and billing and collection of client balances.</li><li>
Adheres to Billing and Accounting regulations, company policy, HIPPA, 42CFR, CMS, DHCS, DPH/SAPC, DMH guidelines and statutes and contract requirements.</li><li>
Assist in identifying, analyzing and addressing challenges and / or breakdowns in the revenue cycle process.</li><li>
Perform ongoing trend analysis of payer rejections and denials. Assist in performing proactive audits on all recommended A/R write offs.</li><li>
Collaborate closely with other departments to contribute to cash reconciliation activities and to assist in the assessment of accounts receivable collectability and validation, including the writing off of bad debts.</li><li>
Assist with the review of contracted rates and reimbursements.</li><li>
Assist in the creation and development of reports to address management needs; analyze information to identify trends or issues.</li><li>
Work in multiple EHR systems</li></ul><div>
Required Education:<br>
<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business, Finance, or a related field. Equivalent experience may be considered in lieu of a degree.</li></ul><br>
Required Experience:<br>
<ul><li>Minimum of 3 years of experience in revenue cycle management within a healthcare setting, preferably in behavioral health services.</li><li>Proven track record in managing billing, collections, and accounts receivable processes.</li><li>Experience with healthcare insurance claims processing and knowledge of payer requirements.</li><li>Familiarity with electronic health records (EHR) systems and healthcare billing software.</li></ul><br>
Required Skills and Abilities:<br>
<ul><li>Strong analytical skills with the ability to interpret financial data and generate actionable insights.</li><li>Excellent communication skills, both written and verbal, with the ability to interact effectively with internal teams and external stakeholders.</li><li>Detail-oriented with strong organizational skills to manage multiple tasks and priorities efficiently.</li><li>Proficiency in Microsoft Office Suite, particularly Excel, for data analysis and reporting.</li><li>Ability to work independently as well as collaboratively in a team-oriented environment.</li><li>Knowledge of healthcare regulations and compliance standards, including HIPAA.</li><li>Problem-solving skills with a proactive approach to identifying and resolving issues in the revenue cycle process.</li></ul></div></div>

Revenue Cycle Specialist

Murtaza and Co

<ul><li><b>Patient Billing &amp; Revenue. </b></li><li>Billing Accuracy: Verify patient bills against services rendered (lab tests, room charges, surgery).</li><li><b>Insurance/Corporate Claims</b>:</li><li>Process and follow up on insurance claims and corporate panels.</li><li><b>Daily Cash Balancing</b>:</li><li>Reconcile daily cash, credit card, and online collections from the front desk.</li><li><b>Pharmacy &amp; Inventory Accounting. Stock Verification</b>:</li><li>Reconcile pharmacy sales with physical stock levels to prevent leakage.</li><li><b>Purchase Orders</b>:</li><li>Verify vendor invoices against Goods Received Notes (GRNs) for medicine and surgical supplies.</li><li><b>Consultant &amp; Vendor Payments. Doctor Payouts</b>:</li><li>Calculate and process monthly shares/fees for consultants based on patient visits and procedures.</li><li><b>Vendor Management</b>:</li><li>Manage the accounts payable cycle for medical equipment, utility bills, and facility suppliers.</li><li>Bank Reconciliations:</li><li>Perform daily/weekly reconciliation of all hospital bank accounts.</li><li><b>Payroll &amp; Statutory Tax. Salary Processing</b>:</li><li>Prepare monthly payroll, including deductions for leave, advances, and &quot;our time&quot; (overtime/attendance) tracking.</li><li>Tax Compliance: Calculate and file withholding taxes (TDS) on vendor payments and consultant fees.</li><li><b>Statutory Filings</b>:</li><li>GST (if applicable), Income Tax returns, and annual audits.</li></ul><p>Job Type: Full-time</p><p>Ability to commute/relocate:</p><ul><li>Karachi Nazimabad: Reliably commute or planning to relocate before starting work (Preferred)</li></ul><p>Application Question(s):</p><ul><li>Candidate must be finance and commerce graduate having certification will be preferable.</li></ul><p>Education:</p><ul><li>Bachelor's (Preferred)</li></ul><p>Work Location: In person</p>

Team Member Accounts

7 Elements Healthcare LLC

<p><b>*** OUTSTANDING OPPORTUNITY - HYBRID IN LINCOLN, NE - NOT REMOTE***</b></p><p><b>$155,000 to $175,000 base salary, plus performance bonus. </b>This is an outstanding opportunity for an early-career professional with an exceptional pay-for-performance rate. Rare chance to blend your healthcare operations, finance, revenue cycle, supply chain &amp; IT technical knowledge to make a real difference for 92 hospitals &amp; health care systems across Nebraska.</p><p><b>Job Summary:</b></p><p>The Nebraska Hospital Association (NHA) is seeking an early-career professional with strong healthcare financial literacy and analytical skills to assist in supporting high-impact revenue cycle &amp; operational consulting services. Join our NHA Advisory team and provide critical healthcare operational transformation related services and support for wide-ranging financial improvement initiatives.</p><p>The Senior Healthcare Consultant must have a broad-based healthcare operations, finance, revenue cycle &amp; IT/technology background with a proven talent for designing, extracting, validating, processing and reporting data for decision-making purposes. This role requires a health care professional with experience and an ability to navigate hospital operational, financial and data systems in support of high-quality consulting advisory services. The ideal candidate will have experience working with both PPS and Critical Access Hospital systems.</p><p><b>Responsibilities:</b></p><p>The successful candidate will demonstrate experience and abilities as follows:</p><ul><li>Assist with a wide range of project-based requests to support NHA&rsquo;s growing consulting advisory services. Conduct financial analysis &amp; assist in implementing operational alternatives related to hospital and clinic operations, reimbursement, and payer contracts.</li><li>Work collaboratively with hospital mid-level and senior leadership to identify &amp; implement targeted revenue cycle, operational, supply chain &amp; IT alternatives.</li><li>Utilize advanced data analytics techniques to interpret complex healthcare datasets and provide actionable insights and recommendations to hospital management.</li><li>Extract, transform, and validate data from multiple EHRs and other financial systems (e.g., Epic, Cerner/Oracle, Meditech, TruBridge, Athena, etc.).</li></ul><p><b>Required Skills and Experience:</b></p><ul><li>Minimum 2 years&rsquo; experience with health care data, financial and claims information. Experience with hospital revenue cycle, chargemaster, coding, billing, clinical operations, supply chain and/or IT infrastructure is REQUIRED.</li><li>Bachelor&rsquo;s degree in nursing, finance, accounting, economics, IT or healthcare administration preferred</li><li>Candidates with experience in both PPS and Critical Access Hospital systems highly preferred</li><li>Candidates with direct experience with hospital operations, contracting, capital planning &amp; acquisition, accounts payable management &amp; supply chain are highly preferred</li><li>In-depth understanding of healthcare systems, Electronic Health Records (EHRs), health data standards (e.g., HL7), regulatory compliance, and financial aspects of healthcare.</li><li>Strong knowledge of healthcare reimbursement structures (Medicare, Medicaid, commercial payers). Experience working with hospital Charge Master, Medicare Cost Reports, UB claims data, payer mix analysis, supply chain and IT infrastructure is required. An in-depth knowledge and understanding of PPS versus Critical Access Hospital reimbursement structures preferred.</li><li>Ability to interpret hospital and clinic financial statements is required.</li><li>Skilled in query languages and software for data manipulation and visualization such as Python, SQL, R, Power BI, Tableau, Microsoft Access, Excel or other compatible tools is preferred.</li><li>Proficient in the use of technology to support work activities e.g., expertise in database extraction and ETL tools, data quality analysis, and proven ability to develop charts and graphs to summarize information for reporting purposes, etc. is preferred</li><li>Ability to work independently and meet project deadlines.</li><li>Ensure accuracy, consistency, and compliance in financial reporting.</li><li>Ensure full compliance with HIPAA and relevant security protocols during all data access, handling phases of access and transmission.</li><li>Strong written and verbal communication skills.</li></ul><p><b>Work Environment:</b></p><ul><li>Hybrid with some in-state &amp; overnight travel required. This is not a remote position.</li></ul><p><b>About Us:</b></p><p>The Nebraska Hospital Association (NHA) is a statewide trade association representing Nebraska's 92 hospitals and health systems since 1927.</p><p>The NHA serves as the influential voice of its members in the health care legislative and public arenas, promoting delivery of quality health care and influencing public opinion of hospitals and health networks. Members depend on the Association for information, advice, education and changes in health care policy</p><p>Job Type: Full-time</p><p>Pay: $155,000.00 - $175,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Application Question(s):</p><ul><li>All candidates must have at least 2 years of previous hospital finance, revenue cycle, operations experience and/or IT experience. Do you meet this criteria?</li><li>This is a Hybrid role - not remote. All candidates must live or relocate to a commutable distance of the NHA office in Lincoln, NE. Preference will be given to qualified candidates that currently reside in the Lincoln/Omaha area. Do you currently live within a commutable distance or are you willing to relocate to the Lincoln/Omaha metro area?</li></ul><p>Ability to Relocate:</p><ul><li>Lincoln, NE 68508: Relocate before starting work (Required)</li></ul><p>Work Location: Hybrid remote in Lincoln, NE 68508</p>

Senior Healthcare Consultant - Hospital Operations

Qiddiya Investment Company

<div><p><b>Director &ndash; Revenue Cycle Management (Healthcare Industry Exp)</b></p><p></p><p><b>
General Job Information</b></p><ul><li><b>
Job Title:</b> Director, Revenue Cycle Management
</li><li><b>Department:</b> Finance
</li><li><b>Reporting Line:</b> TBC</li><li><b>
Location:</b> King Faisal Specialized Hospital / Riyadh, KSA</li><li><b>
Job Grade:</b> TBC</li></ul><p></p><p><b>
Role Summary</b></p><p>
The Revenue Cycle Director leads the enterprise-wide revenue cycle function across the Medical City ecosystem, driving revenue optimization, operational efficiency, payer strategy, and compliance. The role ensures full integration between clinical, operational, and financial processes to maximize revenue realization.</p><p></p><p><b>
Key Responsibilities</b></p><p><b>
1. Enterprise Revenue Strategy &amp; Value Optimization</b></p><ul><li>
Define and execute the enterprise-wide revenue cycle strategy across all Medical City assets
</li><li>Lead pricing strategy, service monetization, and payer mix optimization initiatives
</li><li>Identify and implement new revenue models including bundled care, subscription-based services, and value-based reimbursement
</li></ul><p><b>2. Integrated Revenue Operations Leadership</b></p><ul><li>
Establish a fully integrated, standardized revenue cycle model across hospitals, clinics, sports medicine, and wellness services
</li><li>Oversee patient access, eligibility verification, coding, billing, claims processing, collections, and denials management
</li><li>Ensure seamless coordination between clinical, administrative, and finance functions to optimize revenue capture
</li></ul><p><b>3. Financial Performance Ownership &amp; Forecasting</b></p><ul><li>
Own revenue forecasting, budgeting inputs, and financial planning related to revenue streams
</li><li>Analyze performance trends including denials, write-offs, underpayments, and collection efficiency
</li><li>Lead performance reviews and present insights to executive leadership
</li></ul><p><b>4. Payer Strategy, Contracting &amp; Market Positioning</b></p><ul><li>
Lead payer negotiations and contract structuring in collaboration with finance and leadership
</li><li>Monitor payer performance, reimbursement structures, and compliance requirements
</li><li>Develop strategies to enhance competitive positioning within the payer ecosystem
</li></ul><p><b>5. Digital Transformation &amp; Data-Driven Excellence</b></p><ul><li>
Lead implementation of advanced RCM systems, automation tools, and analytics platforms
</li><li>Develop real-time dashboards and predictive analytics capabilities
</li><li>Drive continuous innovation in revenue cycle processes
</li></ul><p><b>6. Governance, Compliance &amp; Risk Management</b></p><ul><li>
Ensure adherence to coding standards, regulatory requirements, and billing compliance
</li><li>Establish internal controls to mitigate financial and compliance risks
</li><li>Lead audit readiness and response for internal and external audits
</li></ul><p><b>7. Leadership &amp; Organizational Development</b></p><ul><li>
Build and lead a high-performing revenue cycle team
</li><li>Develop internal capabilities in coding, billing, analytics, and payer management
</li><li>Foster a culture of accountability, performance, and continuous improvement
</li></ul><p></p><p><b>Key Performance Matrix</b></p><ul><li>
Improve revenue realization and overall collection efficiency across all services
</li><li>Reduce AR days and improve cash flow performance
</li><li>Maintain denial rates below benchmarks through effective processes
</li><li>Minimize revenue leakage through strong controls and audit mechanisms
</li><li>Enhance efficiency and turnaround time across the full revenue cycle
</li></ul><p></p><p><b>Qualifications</b></p><ul><li>
Bachelor&rsquo;s in Finance, Accounting, or Healthcare Administration
</li><li>12&ndash;15+ years in healthcare RCM
</li></ul><p></p><p><b>Core Competencies</b></p><ul><li>
Revenue Strategy
</li><li>Healthcare Finance
</li><li>Payer Management
</li><li>Data Analytics
</li><li>Leadership</li></ul></div>

Director - Revenue Cycle Management (Healthcare Industry Exp) - QHC0005

University of California - San Francisco

<div><p><b>Job Description:
</b></p><p>The Vice President Revenue Cycle is a core member of the UCSF Health leadership team, responsible for the strategic revenue cycle management to drive optimal performance and support finance objectives. Accountable for the management and operation of the revenue cycle for UCSF Health which includes UCSF Health Enterprise including the Adult Academic Medical Centers, Benioff Children&rsquo;s Hospitals, the Ambulatory Business Unit including Provider Practices, The Community Hospitals, and Affiliate Networks. Responsible and accountable for all aspects of UCSF Health revenue cycle including compliance with UCSF standards and outside regulatory and accreditation agencies. Scope of oversight includes Patient Financial Services, Medical Group Business Services, Patient Access, Inpatient and Outpatient Facility and Professional Coding, Revenue Cycle Quality, Education, and Performance Improvement, and Research Revenue Cycle.
</p><p>As a member of the senior management team, the VP leads executives in establishing strategy and objectives for improving health system financial performance. Plays a key role in the strategic direction, goal setting and performance management of the revenue cycle. Builds consensus and engages with a broad stakeholder group including medical staff, hospital leadership, and medical group leadership to design, implement, and maintain a high performing and metric driven institutional revenue cycle. Directs large, multi-dimensional initiatives collaborating across entities and departments.
</p><p>Accountable for aligning revenue cycle operations across UCSF and reporting on key metrics. Takes responsibility for the accuracy and underlying drivers of revenue cycle information and reports. Serves as a senior advisor to leaders, providing financial information for decision-making. Reports to UCSF Health&rsquo;s Senior Vice President Finance and Chief Financial Officer. The VP Revenue Cycle ensures a high level of financial coordination between the UCSF Health Leadership, and other joint ventures and affiliates. Works in close collaboration with Business Unit Chief Financial Officers and Controllers as well as leaders in Government Reimbursement, Health Information Management, Revenue Integrity, Managed Care Contracting, Compliance, Information Technology Case Management, and others. This position presents and interprets financial information on a regular basis to Senior Management, UCSF Health Committees, and Governance Boards.
</p><p>Responsibilities of the Vice President Revenue Cycle span the enterprise and require constructive relationships with all UCSF leadership, affiliate partners and outside agencies. This is a senior leadership position that requires a proven background leading healthcare revenue cycle functions, with a strong understanding of hospital operations. Expected to successfully interact, negotiate and build UCSF Health relationships, programs and partnerships with an extremely high degree of autonomy. Recognized as an influential leader that strategically manages change through business planning and program execution to achieve broad initiatives.<br>
</p><p></p><p><b>Department Description:
</b></p><p>The UCSF Health System brings clinical service capabilities into a unified management structure under 4 Business Units, achieving strategic, operational and financial alignment between the School of Medicine, and UCSF Health as well as affiliates and joint ventures. Its structure streamlines decision-making, strengthens the ability to act with one voice, and ensures accountability at every point to execute collectively agreed upon commitment to excellence and efficiency. The UCSF Health System&rsquo;s vision is to provide innovative, high quality, cost-competitive clinical services, and deliver an unparalleled patient experience across the entire care continuum.</p></div><p></p>

Vice President, Revenue Cycle

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