Chief Revenue Officer

Alliance Health System • Full-time • Matawan, New Jersey, United States • 3w ago

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.

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