OR - AVP - Revenue Cycle - Corvallis

Mobile Health Team Inc. a staffing agency has an opening for a fulltime AVP Revenue Cycle position. We are looking for someone with a passion for people.

Location: Corvallis OR 97330

Start Date: 3/6/2024

Shift: Days Full Time

Salary: $153000.00 to $180000.00

JOB SUMMARY/PURPOSE

Leads system revenue integrity and contracting teams to support daily clinical operations and revenue cycle services. Enhances the effectiveness of net patient revenue realization and minimizes revenue leakage across the system (hospital and physician). This involves the capture of patient revenue throughout the system. Ensures the CDM is maintained and in compliance with payer rules. Provides system education of CMS and other payer updates. Manages annual system strategic pricing project. Responsible for the payor contracting team (contract analysis variances and Epic build) and coordination of payer negotiations. Supports internal auditing for compliance.

DEPARTMENT DESCRIPTION

The Regional Business Office is responsible for the accurate and timely followup on claims for services provided at all lines of business in all service locations.

EXPERIENCE/EDUCATION/QUALIFICATION

Experience:

• Six (6) years of applicable revenue cycle management experience required.
• Experience with charge master management for a medium or largesize health system is required.
• Experience in the following required:
• Collaborating with healthcare collection/billing practices coding finance patient access and clinical operations.
• Patient accounting and billing systems (EPIC preferred).
• Process improvement (Lean experience preferred).
• Experience in payer contracting terminology/methodology is required. Contract negotiation experience preferred.
• Experience in Microsoft Office (Outlook Teams Word PowerPoint and Excel) required.

Education: Bachelors degree in Business Health Administration or a related field; or equivalent related experience required.

Licenses Certifications and Registration:

• n/a

Knowledge/Skills/Abilities:

• Leadership Inspires motivates and guides others toward accomplishing goals. Achieves desired results through effective people management.
• Conflict resolution Influences others to build consensus and gain cooperation. Proactively resolves conflicts positively and constructively.
• Critical thinking Identifies complex problems. Involves key parties gathers pertinent data and considers various options in the decisionmaking process. Develops evaluates and implements effective solutions.
• Communication and team building Leads effectively with excellent verbal and written communication. Delegates and initiates/manages crossfunctional teams and multidisciplinary projects.
• Comprehensive knowledge of clinical documentation and coding including CPT and HCPCS. A thorough understanding of the relationship between codes and revenue in the reimbursement process specifically how revenue is generated from CPT codes and the HCPCS. Firm understanding of the Medicare IPPS OPPS and ASC payment systems. Strong understanding of compliance requirements. Audit program knowledge (RAC OIG etc.).
• Ability to analyze and report data/information to operations/finance/executive leadership.

Mobile Health Team Inc is a workforce solutions company. We match experienced healthcare professionals with temporary or permanent positions globally. Our mission is clear to bridge the staffing gap in the healthcare industry by creating and maintaining longterm working relationships with clients and healthcare professionals. We specialize in temporary and permanent placements in order to meet our clients needs.