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Vice President, Revenue Cycle (Asc Cbo) Operations

Company

USPI

Address , Dallas, 75398, Tx
Employment type
Salary
Expires 2023-10-04
Posted at 9 months ago
Job Description
Job Summary
The VP of CBO Operations provides direct oversight of the central business office (CBO) for USPI’s ASCs who use shared service billing and collections functions. This leader will own day to day management of billing and collections for approximately 300+ ASC facilities at present, collecting approximately $2 billion in cash for these client locations annually. Oversees approx. 300 US based revenue cycle team members (in Tampa, Sioux Falls, Dallas and a virtual work force) along with management of offshore teams.
The number of facilities using the CBO is expected to continue to expand over time. Candidates will be expected to possess deep leadership experience in RCM, executive-level communication and relationship management skills and a proven track record of independently developing and executing successful performance of a billing organization. This role will report to the overall USPI VP/Chief Revenue Cycle Officer. Key Job Responsibilities
Daily to day CBO management: Owns RCM performance and outcomes for client facilities who use USPI’s CBO for billing and collections:
Ensure billing is sent timely and maintain high clean claim rates
Collaborate with coding experts including in-house and vendor contacts to minimize unbilled levels and maintain the highest quality of clean claims
Post approximately $15M per day of cash receipts against patient accounts from individual patients and insurance/government payers
Manage collections and accounts receivable follow-up for over 100,000 accounts per month when needed for claims not yet paid
Partners with Managed Care leadership team to identify and quantify payor issues impacting market performance and assess and communicate payor contract issues
Annually achieve key revenue cycle outcome targets, including: 100% or more of cash goal collected across clients, maintain low AR days, reduce AR aging and minimize bad debt below budgeted goal levels
Communication, growth and performance improvement : Serves as accountable RCM leader to own communication for monthly, quarterly and ad hoc performance review meetings with clients, including local facility clients, market and corporate leadership
Provides market and RCM leadership with recurring performance dashboards, reports, action plan updates, and forecasting
Minimize denials and identify opportunities to improve collections across the revenue cycle
Collaborates with other RCM departments including Performance and Service Delivery teams to achieve overall goals
Ability to scale up operations, adding a new client facilities on a recurring basis into the shared service model to support USPI growth
Budgeting and margin management : Manage a blend of US and offshore resources/teams to deliver target outcomes within annual expense budgets
Monitor and manage expenses using a blend of US, offshore and vendor resources
Identify opportunities to improve margins while maintaining expenses within budget
Manage capacity models and forecast resource needs during periods of growth/expansion
Education/Experience and Travel Requirements
Must possess a comprehensive understanding of RCM principles, processes and performance drivers spanning front, middle and back-end functions and a minimum of seven (7) years of RCM leadership experience, preferably in the ASC and/or Hospital space or large RCM shared services environment
Bachelors or Masters degree in business, finance, healthcare administration or other relevant field of study preferred
Experience developing and implementing successful data-driven action plans spanning multiple facilities resulting in measurable RCM and financial performance improvement
Demonstrated interpersonal and relationship management skills used to develop lasting partnerships with clients, USPI/Tenet executive leaders, key stakeholders and decision makers
This position will require periodic travel to designated market offices, client facilities and corporate headquarters in Dallas, TX, depending on specific initiatives and need
USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
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