The
Chief Revenue Officer will oversee and optimize all aspects of the revenue cycle, ensuring efficient billing, collections, and reimbursement processes. This role requires a strategic leader with a deep understanding and experience in all core functions of revenue cycle management. This position demands strong interpersonal skills to influence cross-functional teams and the ability to present solutions to the C-Suite executives.
Responsibilities
- Oversee end-to-end revenue cycle processes, including billing, coding, collections, and reimbursement, ensuring alignment with the organization's financial goals.
- Partner with team members to identify, develop and implement strategies to optimize revenue cycle operations, reduce days in accounts receivable, and improve cash flow.
- Monitor key performance indicators (KPIs) related to revenue cycle efficiency and implement continuous improvements and develop action plans to ensure optimization of key metrics.
- Review contracts with payors and negotiate in order to increase profits
- Analyze market trends and reimbursement rates to enhance informed negotiation strategies.
- Ensure compliance with all contractual obligations and regulatory requirements.
- Foster strong working relationships with internal departments, including Operations, Finance, and Clinical Services, to support organizational objectives.
- Influence and motivate cross-functional teams without direct authority to achieve revenue cycle goals.
- Facilitate effective communication to strengthen the partnership and align objectives.
- Participate in executive decision-making processes specific to RCM/managed care, contributing to the overall strategic direction of our clinics.
- Prepare and deliver presentations to the Board of Directors (as needed) and the Office of the CEO, articulating RCM performance and strategic initiatives.
- Ensure transparency and effective communication of RCM activities to senior leadership.
- Position reports directly to CEO level and serve as a peer to the CFO, providing strategic insights and recommendations on revenue-related matters.
- Ensure all RCM activities comply with federal, state, and local regulations, as well as the organization's policies.
- Implement internal operational best practices in RCM to enhance efficiency and accuracy.
- Stay abreast of industry developments and regulatory changes to ensure the organization's RCM processes remain compliant and competitive.
Qualifications
- Demonstrated experience in managed care negotiations and payer
- Proven track record of managing receivables and improving revenue cycle processes in organizations.
- Experience in Revenue Cycle within a multi-disciplinary Orthopedic practice required
- Strong leadership and interpersonal skills, with the ability to influence and motivate teams across the organization.
- Excellent analytical and problem-solving abilities, with a focus on metrics and performance improvement.
- Exceptional communication skills, both written and verbal, with experience presenting to executive leadership and boards.
- In-depth knowledge of healthcare billing, coding, compliance, and reimbursement processes.
- Ability to travel as required to facilities and partner locations.
- Bachelor's degree in Business Administration, Healthcare Management, Finance, or a related field; Master's degree preferred.
- Minimum of 10 years of progressive experience in revenue cycle management within the healthcare industry, with at least 5 years in a leadership role.
Job Type
- Full-Time ()
- Monday-Friday
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- 401(k) matching
- Long and Short Term Disability
- Cancer Care coverage
- Mental Healthcare
- Life insurance
- PTO
- Sick time
