Mission Health System in Asheville, North Carolina is looking for a candidate with strong executive leadership and revenue cycle experience to fill the Vice President, Patient Financial Services position at Mission Hospital.
Overview and Qualifications:
Position Summary
The Vice President, Patient Financial Services provides leadership for the hospital and professional patient access, billing, and collection functions of Mission Health. This person is responsible for leading the ongoing creation and management of an integrated Patient Financial Services division that is “world class.” This operation will be nationally recognized for successfully collecting what is owed to the Health System, providing exceptional customer service, and driving continuous improvement to create value.
Reporting Relationship
The Vice President, Patient Financial Services will maintain a day-to-day reporting relationship to the Chief Revenue Officer of Mission Health. The position will provide direct leadership to four Executive Directors, one System Manager of Training and Education, and one Executive Assistant with in-direct leadership of a staff of 550 FTEs.
Principal Accountabilities
- Provides leadership to create a fully integrated health system revenue function. Maximizes integration efforts already underway for hospital and professional revenue operations, and defines and drives further transformation to achieve a “world class” integrated PFS operation.
- Defines vision and organizational structure for integrated operations for revenue functions including:
- Provider credentialing and payer EDI enrollment
- Registration and admitting *
- Point of service collections*
- Insurance billing and collections
- Underpayment and denial management
- Third-party collections
- Patient balance collections
- Medicaid eligibility program
- Financial discounting policy administration
- Bad debt and collection agency performance
- Employee training and on-going education
- Integration of new practices and conversion to new billing models*
*indicates responsibility does not include physician practices
- Provides leadership depth and potential succession within the organization.
- Develops and maintains strong revenue cycle leadership team and staff through effective recruitment, talent management, creation of a collaborative results-oriented culture, and a focus on continual improvement.
- Manages processes through effective use of performance metrics, dashboards and integrated process review.
- Maintains effective interface and communication with key internal customers including senior leaders at each hospital and physician practice, regional finance executive directors, clinical department leadership, and other administrative leaders across the organization.
- Strong focus on achieving top decile patient satisfaction.
- Serves as a key member of finance leadership team.
- Manages utilization of outside consulting expertise/resources; assesses and implements select outsourcing approaches to maximize value to the organization.
- Ensures compliance with external billing requirements.
Experience and Qualifications
- Ten years of progressive management experience including at least seven years of senior leadership experience in revenue cycle operations in a hospital system and/or a large multi-specialty physician practice. Experience must be directly related to the majority of the functional areas of responsibility noted above.
- Bachelor’s degree in Business Administration or related field of study preferred.
- Strong knowledge of hospital and professional revenue cycle gained in one or more settings to include complex health care systems, multi-specialty practice operations, major academic medical centers and/or consulting is required.
- Proficient knowledge of revenue cycle information systems. Experience with SSI Click-On, Advisory Board products, Cerner, NextGen, Allscripts, GE Centricity, AllMeds, and/or McKesson HealthQuest is a plus.
- Knowledge of billing requirements of critical access hospital Option I and II billing methods, provider based practices, and rural health clinics is highly desirable.
- Knowledge of The Joint Commission, federal and state laws relating to third-party reimbursement, collection laws, liens, judgments, HCFA 1500, and UB04 billing regulations is required.
- Working knowledge of ICD-9, ICD-10 and CPT-4 coding required.
- Certification through AAHAM, HFMA, and/or MGMA is a plus.
Skills and Abilities
- Demonstrates commitment to the mission, vision, and values of the organization.
- Exceptional leadership skills with demonstrated ability to build successful teams, make positive team-centered contributions in a growing organization, and drive change.
- Metric-driven with high focus on customer service and emphasis on continual improvement and process redesign.
- Proven ability to make sound business decisions regarding change management, human resources, budgets, and deadlines consistent with the requirements of the business.
- High-energy, action-oriented and proactive.
- Strong background in strategic planning and analysis, identification of trends and opportunities.
- Ability to manage conflict and negotiate adeptly with individuals and groups.
- Excellent communication skills and ability to present complex or difficult messages in a clear, understandable and persuasive manner.
- Excellent interpersonal and relationship building skills.
- Solid knowledge and high intellectual curiosity regarding best practices, business process re-engineering, information technology, and business planning.
- Ability to inspire confidence in others.
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