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Affordable Care - Morrisville, NC
posted 2 months ago
About the position
The VP of Revenue Cycle Management (RCM) at Affordable Care LLC is responsible for leading the RCM team, overseeing claims submission, denial management, and accounts receivable (AR) management. This role serves as the primary contact for third-party insurance initiatives and manages a team of over 25 employees and outsourced vendors. The VP will ensure effective contract administration, monitor key performance indicators (KPIs), and develop training modules to enhance team performance and operational efficiency.
Responsibilities
- Manage and lead a team of employees, developing a high-performing team and assessing performance.
- Ensure effective and timely contract administration and support.
- Monitor KPIs for internal teams' output for claims, denials/rejections, and AR management.
- Ensure service level agreements (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, including patient eligibility and claims processing.
- 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.
Requirements
- Bachelor's degree required.
- Minimum 8 to 10 years of RCM management experience.
- Proficiency in Microsoft Windows environment and Microsoft Office products.
- Proficiency with dental or medical software.
- Excellent verbal and written communication skills.
- Strong problem-solving skills and attention to detail.
Nice-to-haves
- Experience in developing and presenting training course material.
- Ability to work independently and collaboratively within a team environment.
Benefits
- Health insurance
