Division Vice President of Revenue Cycle - CommuniCare Corporate

Division Vice President of Revenue Cycle

CommuniCare Health Services is a fast-growing provider of long term care with over 130 facilities located in 6 states. CommuniCare is dedicated to our goal of creating Caring Communities where staff, residents and families join hands to overcome their daily challenges. We are currently recruiting an experienced leader to assume the position of Division Vice President of Revenue Cycle.

PURPOSE/BELIEF STATEMENT

This position is responsible for meeting/exceeding established targets for 3 primary metrics; Cash Collections, Reduction of Bad Debt, and Reduction of Aged AR. This position will be the Revenue Cycle owner for their Division, and by working with Home Office & their Division Team, be asked to (a) make sure daily operations are being ran to achieve their highest yield, (b) identify opportunities for improvement and rapidly deploy action plans/best practices, and (c) ensure alignment with home office’ expectations on vision and strategy.

JOB DUTIES/RESPONSIBILITIES

• Provide daily leadership, support, direction, and training to their Divisional team, including, but not limited to the following roles: Regional Director of Finance (RDFs), Regional Medicaid Liaison (RMLs), Executive Directors (EDs), and Business Office Managers (BOMs).
• Provide support to the Managed Care Billers in the division.
• Provide support to Divisional Leadership(s) of Finance and Operations. (eg; DVP-Finance and RDOs)
• Provide leadership across their division to optimize results in all aspects of revenue cycle. Provide leadership within the division by diagnosing, evaluating, and developing corrective actions that result in the optimization of revenue cycle operations. Make actionable recommendations that are supported by data analysis. Create metrics to measure progress.
• Identify need for standardization & adoption of processes, reporting, and the revenue cycle model across the enterprise. With support & oversight from Home Office on adoption of the standard model, implement standardization & centralization where appropriate.
• Work collaboratively with the Corporate VP of Revenue Cycle to identify new revenue cycle initiatives (RCIs), and support/implement/monitor existing RCIs across the ministry.
• Work collaboratively with the Finance team on determining contractuals, allowances, and reserving. They will also ensure that all internal controls are in place for compliance with GAAP guidelines & EOFY audits.
• Develop strategies to decrease expenses within their Division’s Revenue Cycle operations and across the enterprise, as well as implement strategies to improve their Division’s Cost to Collect.
• Utilize team-building concepts to facilitate communication and direction that supports the corporate mission, vision, and values. Provide leadership in regard to reimbursement improvements and cross-walks for the General Accounting and Finance areas. Assure compliance with all applicable legal and regulatory requirements for Revenue Cycle.
• Uphold the mission, vision, and values of Communicare Health Services. Conduct all aspects of business with the highest level of integrity and ethics.

QUALIFICATIONS

Minimum: BS in Accounting or Finance, or 5 years of comparable experience in revenue cycle or financial leadership roles, preferably in long term care or senior living industry.

KNOWLEDGE/SKILLS/ABILITIES

• Working knowledge of hospital and health system operations and reporting and the impact of the revenue cycle on them.
• Understanding of the different Medicaid Managed Care payors in Ohio and Indiana.
• A broad knowledge of the healthcare industry, insurance, managed care, and integrated delivery systems.
• Strong analytical and problem solving skills, the ability to understand complex reimbursement structures, and the ability to apply contractual and governmental regulations to billing processes.
• Strong written and oral communication skills to effectively work through an organization to influence change. Ability to forge effective working relationships with key executives and help them better understand the financial implications of their operations.
• Ability to build, develop, educate, and maintain an effective team.
• High degree of interpersonal skills.
• Ability to change the thinking of others and/or gain the acceptance of others in difficult situations.
• Strong information system skills that allow operational and strategic application of technology to enhance revenue cycle operations.
• Must demonstrate personal traits of a high level of commitment, motivation, and energy; team orientation; professionalism; trust; personal honesty and integrity; and a demonstration of treating all others with dignity and respect.