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Posted: Wednesday, December 27, 2017 5:42 PM

Description: The Vice President Revenue Cycle Financial Processing is responsible for the planning, implementation and ongoing oversight of standardized and centralized billing and collection processes. Given the unique vantage point this leader has at the -end- of the revenue cycle, this leader is expected to identify and help troubleshoot various upstream defects and issues. The VP is both a strategic and an operational leader who leads accounts receivable management, billing, third party and patient collections, third party denial and contract reimbursement management, cash application and adjustments, call center and related operational support services and cash collections forecasting. The VP is responsible for establishing and/or overseeing vendor relationships, where appropriate, for billing and collection services and technologies. This leader is also responsible for creating a seamless workflow across and between functions that maximizes technology investment, minimizes manual interventions and considers labor location costs. This role is unique relative to other provider revenue cycle roles in the industry because of the relationship the VP is expected to have with KP health plan operations, including membership enrollment, benefits management and claims submission. Acting in this capacity, the leader identifies, evaluates and optimizes processes to improve the broader integrated KP Revenue Cycle and differentiate the KP member experience from other health plans and delivery systems. This Vice President is also responsible for optimizing KP-s fee-for-service billing and collections processes, a growing piece of the overall business, as well as scaling the capability to allow for future growth. The Vice President of Financial Processing Services collaborates on enterprise revenue cycle initiatives to improve accuracy, timeliness and cost of the revenue cycle process and outcome. He/she must be able to inspire and lead change in a multi-layered, matrixed organization, working with medical group, health plan, legal and compliance, revenue cycle leaders, and others to ensure appropriate revenue realization through integrated workflows and issue resolution. This position will escalate to the Revenue Management SVP, KP Health Plan and other stakeholders, as appropriate.This leader is expected to build a high performing team achieving operational excellence in key performance areas as measured and supported by metrics and SLA-s. He/she also assures compliance with internal policies and State and Federal regulations. Beyond responsibilities for client relationships, the person works with the Revenue Management Leadership Group to create a strategic vision and supporting initiatives to ensure that Kaiser Permanente is prepared to accomplish its mission and deliver superior customer services within a rapidly changing healthcare environment. Essential Responsibilities: Standardize billing and collections processes across the enterprise in a way that acknowledges and accommodates KP-s distinct patient populations (ie, KP Members and non-KP members) Maximize cash through proactive management of KP financial processing Actively manage and reduce cost to collect through combination of technology, service partners, centralized centers, virtual workforce, etc. Manage staff to achieve financial performance targets and Service Level Agreements (eg, AR Days, AR aging, cash to net revenue, bad-debt write-offs, denials, patient complaints, etc.) Establish and monitor cash forecasting models; collaborate with Revenue Cycle Leadership team, CFOs, and others, as appropriate, to accelerate collections whenever possible Implement a performance management framework in a Labor Management partnership in all areas with defined business objectives and success metrics for management and staff. Augment internal collections through the use of selected external service providers who can provide specialized services. Manage contracted service providers closely to ensure staff readiness, performance, and customer service. Manage vendors to optimize return on investment Integrate fee-for-service acquisitions into existing revenue cycle operations (where possible) Model and reinforce ethical behavior in self and others in accordance with the Principles of Responsibility; adhere to organizational policies and guidelines; support compliance initiatives; maintain confidences; admit mistakes; conduct business with honesty; show consistency in words and actions; follow through on commitments. Accountable for communication, implementation, enforcement, monitoring and oversight of compliance policies and practices. Manage all projects through a systematic approach that translates work plans into deliverables, with measurable outcomes, on a timely and cost-effective basis. Help executive directors and their staff resolve issues and assure accuracy and timeliness of billing, follow-up, adjustments, refunds, collections, and payment posting. Partner with the Revenue Integrity Department to ensure that the charge description master is accurate in regard to billing-related revenue and procedure codes. Routinely monitor AR reports to ensure timely and accurate billing. Evaluate unbilled receivables to ensure proper actions are taken to release claims promptly for reimbursement. Oversee evaluations and improvements to billing and collections software by working collaboratively with the Information Technology Department and software vendors. Evaluate call-center performance and ensure that departmental responses are prompt and timely. Manage and develop the department-s personnel; build and sustain a highly capable and engaged team and foster a team-centered culture. Basic Qualifications: Experience Solid experience (10+ years) at an executive level in Revenue Cycle PFS /Patient Financial Services Education A bachelor-s degree in accounting/finance, health care administration, or a related field is required. License, Certification, Registration N/A. Additional Requirements: Experience developing multi-year business plans, budgets, and business cases Experience managing call center operations. Experience managing in a labor partnership environment. Demonstrated understanding of the operations and/or business of large healthcare systems, with in-depth revenue cycle management experience. Demonstrated expertise in effectively managing Accounts Receivable to ensure that cash receipts are enhanced and bad debts minimized. Technology and system savvy: excellent understanding of processes, systems, and databases; familiarity with Epic, Revenue Cycle and Relay health-claim systems is highly desirable; familiarity with coding and ICD-10 is a plus. Proven leadership skills and experience managing a large department through well-established performance management skills. Well organized and disciplined, with the ability to manage multiple priorities and projects. Experience leading/participating in enterprise wide projects and initiatives. Knowledgeable about the healthcare industry (eg, managed care/revenue cycle) and translates that information into strategies that add value and improve operations. Outstanding written and oral communication skills; good listening capability; skilled at influencing a variety of people; can structure and effectively lead business meetings. Exceptional interpersonal skills; success at cultivating strong relationships with internal and external stakeholders and creating partnerships at all levels. Evidence of success leading transformational projects, major operational improvements, and/or executing organizational and financial turn-around plans in the Patient Financial Services area through a combination of strategies, such as technology automation, process improvements, effective training programs, outsourcing. Preferred Qualifications: Experience with Epic or other electronic medical record system preferred. Experience managing decision support units strongly preferred. Advanced degrees are desirable, but not required. Direct experience with all aspects of patient accounting, to include: inpatient and outpatient billing and collections, insurance verification, cash posting, pre-collections, and patient relations. Familiarity with patient registration is desirable. Highly analytical and process driven, with a proven skill set in systems and data-driven healthcare performance improvement (Lean, Six Sigma, Baldrige, or other methods) is desirable. Primary Location: California,Oakland,Ordway One Kaiser Plaza Scheduled Weekly Hours: 40 Shift: Day Workdays: Monday - Friday Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Senior Executive Job Category: Healthcare / Hospital Operations Department: National Revenue Cycle / Revenue Management Travel: Yes, 50 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. Click here for additional requirements >SDL2017


• Location: East Bay, Oakland

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