AVP Operations For US Healthcare RCM

Job Overview: The AVP of Operations for the AR side of the business will oversee and manage the Accounts Receivable (AR) operations within the Revenue Cycle Management (RCM) for the healthcare sector. This senior leadership role will be responsible for optimizing AR processes, reducing outstanding AR balances, and ensuring compliance with regulatory requirements. The AVP will lead a team of Directors and professionals focused on the efficient collection and management of revenue across all stages of the healthcare RCM process.

Leadership and Team Management:

• Lead and mentor a team of managers and staff responsible for the AR operations in
  healthcare RCM.
• Establish performance goals and provide guidance to ensure the team's success in achieving operational targets.
• Develop and implement training programs to improve team skills, efficiency, and productivity.
• Ensure effective collaboration with cross-functional departments such as billing,coding, compliance, and patient financial services.

AR Process Optimization:

• Oversee the entire AR process, including insurance follow-up, denial management, payment posting, and collections.
• Analyze current AR workflows and implement improvements to reduce AR aging and enhance cash recovery.
• Develop and monitor key performance indicators (KPIs) to assess AR performance and identify areas for improvement.

Compliance and Regulatory Oversight:

• Ensure compliance with federal, state, and payer regulations related to AR and healthcare billing practices.
• Develop and enforce policies and procedures to mitigate the risk of billing errors and compliance violations.

Revenue Cycle Strategy and Execution:

• Collaborate with senior leadership to align AR operations with overall organizational goals and revenue cycle strategies.
• Identify opportunities for automation and the use of technology to streamline AR processes and improve operational efficiency.

Denial Management:

• Lead the efforts in identifying root causes of denials and implement corrective actions to reduce denial rates.
• Work with the payer relations and coding teams to resolve claim rejections and denials efficiently.
• Implement corrective strategies to ensure timely follow-up on unpaid claims and reduce outstanding AR.

• Experience:
• Minimum 14-18 years of experience in revenue cycle management, with a focus on AR operations in the healthcare industry.
• At least 7-10 years in a leadership or senior management role within healthcare RCM.
• Proven track record in improving AR processes and achieving targets.
• In-depth knowledge of healthcare insurance and billing practices.

Skills:

• Strong leadership and team management skills, with the ability to motivate and guide teams.
• Analytical mindset with a focus on process improvement and operational efficiency.
• Excellent communication skills, both verbal and written.
• Ability to work collaboratively with senior leadership and cross-functional teams.
• Strong understanding of healthcare regulations, payer requirements, and compliance standards.

Compensation:

• Competitive salary and benefits package, including health insurance, and performance-based incentives.

Interested candidates can share resume at piyush.tyagi@pacificbpo.com

Or call Ruhi : 9990926385 / 8860077133