Job Description

Vice President, Revenue Cycle

Reports To: President & CEO

Status: Exempt

Location: Plano, TX

 

COMPANY OVERVIEW

TPC is a cost management company comprised entirely of non-metropolitan, independently owned health systems and hospitals that share a single mission: to work together as one system to create the economies of scale and scope commensurate with a large integrated health system without sacrificing their independence or local ownership. Founded on this mission and the collective strength it creates, TPC members collaborate to identify and adopt best practices and create innovative programs that significantly improve their operational and financial performance, and the quality of the patient-centered care they deliver to their local communities.

JOB PURPOSE

The Vice President, Revenue Cycle is responsible for taking this mission, which has been firmly established over the past 20 years, and translating it into system-based strategies within targeted revenue cycle product and service categories. This position is responsible for developing practical, system-oriented revenue cycle strategies that drive significant performance improvement value for TPC’s community based hospitals and health systems. The Vice President, Revenue Cycle will lead company efforts to maintain financial gains made in vendor optimization in 2016-2017, and improve hospital financial performance by systematizing revenue cycle best practices. In 2018, this is anticipated to occur by strategically harmonizing specific revenue cycle policies, establishing best practice benchmarks and collaborating with revenue cycle leaders from across all TPC healthcare organizations to measure and report progressive movement towards best practice using established revenue cycle metrics, such as HFMA Map Keys.

DUTIES AND RESPONSIBILITIES

1. Serves as the primary revenue cycle executive liaison to TPC’s executive management team, Executive Steering Committee (Chief Financial Officers) and TPC Advisory Board (Chief Executive Officers) to develop the strategic direction for revenue cycle initiatives.

2. Serves as the primary, day-to-day company interface with revenue cycle leaders and business office directors from within TPC members to facilitate the successful adoption and implementation of revenue cycle initiatives.

3. Possesses an intuitive understanding of the potential synergies and collaborative revenue cycle opportunities that exist for independent hospitals that work together as a single system within revenue cycle functions; fluidly balances the role of “subject matter expert”, “facilitator” and “politician.” Significant political savvy, situational awareness and interpersonal finesse is a must.

4. Facilitates discussion among TPC healthcare organizations related to revenue cycle process improvements and provides experience-based guidance and support to revenue cycle leaders regarding revenue cycle functions, including but not limited to facility and ancillary revenue operations, coding, health information management, account follow-up, patient access and patient financial services, as well as revenue cycle interaction with other related hospital departments and functions.

5. Familiar with various revenue cycle dashboards and benchmarking tools; specific knowledge of key revenue cycle performance indicators and trends; familiarity with and/or a deep working knowledge of HFMA Map Keys preferable.

6. Demonstrates excellent people leadership skills; directly supervises TPC’s internal revenue cycle team with a focus on performance metrics, tangible results, clear and inspirational communication; a developer of subordinates and experienced in talent management.

7. Must possess outstanding presentation skills, executive polish and political savvy; must demonstrated high degrees of interpersonal finesse required to comfortably facilitate diverse revenue cycle perspectives while efficiently recognizing where consensus likely exists; is highly resilient with superior stress tolerance and adept at serving as a co-learner and co-laborer with revenue cycle colleagues attempting to innovate together; engenders trust and must possess the deep humility required to lead from the back while positioning the revenue cycle leaders to receive the credit for achievements and gains.

8. In conjunction with the TPC Revenue Cycle chairperson, provides strategic guidance and analysis, as well as administrative oversight of TPC’s Revenue Cycle service line. Balances the short-term perspective required to meet aggressive quarterly and annual goals with the long-term perspective required to explore, over time, shared service models and potential centralized business office functions.

9. Significant experience managing and being responsible for a P&L based business unit; fluid working knowledge of operational budgets, financial modeling, revenue cycle metrics, and general business metrics and formulas.

10. Develops and establishes broad scale, long term business objectives, goals and projects. Develops and formulates performance measures and standards for revenue cycle services. Links long range visions, concepts and implications to daily work.

11. Drives innovation in economic and clinical performance through formal and informal channels. Maintains a working knowledge of all major revenue cycle vendors.

12. Positions the value proposition of revenue cycle programs and services with senior executives within TPC healthcare organizations.

13. Develops excellent verbal and written communications to ensure complete and transparent understanding of progress toward TPC key performance indicators/smart numbers.

14. Regularly provides leadership with revenue cycle business development status including reports, metrics, and presentations. Develops, monitors, and assesses business metrics in order to refine processes and improve efficiencies.

MINIMUM KNOWLEDGE, COMPETENCIES AND QUALIFICATIONS

1. Bachelor’s degree required; Master’s degree preferred.

2. Minimum of 10 years of direct revenue cycle experience within an acute care hospital setting, either as a revenue cycle leader, consultant, vendor, or some relevant leadership position.  A proven record of accepting additional responsibility. 

3. Proven knowledge and understanding with:
     a. Upstream revenue cycle functions (scheduling; insurance authorization; pre-registration; financial counseling)
     b. Midstream revenue cycle functions (Case management; health information management; clinical coding; clinical        
         documentation improvement; charge capture and revenue integrity; charge description master)
     c. Downstream revenue cycle functions (billing and claim submission; self-pay and third-party follow-up; denials and
         underpayments management; outsourcing vendor management; bundled claims management)

4. Ability to write / develop complex documents without significant supervision, including:
     a. RFP responses
     b. Proposals
     c. Executive-level white papers & presentations
     d. Business Plans, financial modeling and proformas.

5. Demonstrated ability to work in a team environment that requires quick turnaround and quality output.

6. Healthcare Industry Trends:  In-depth knowledge of current regulatory, market and customer trends that are driving revenue cycle innovation.  Broad knowledge of current hospital issues, e.g. reimbursement, physician – hospital relationships, hospital competition, etc.

7. Knowledgeable in current and possible future policies, trends and information affecting healthcare revenue cycle.

8. Skilled in the use of personal computers and related software applications, including but not limited to intermediate knowledge of the following Microsoft products:  Excel, Word, PowerPoint and Outlook.

Travel:  Travel is required (35%).

Submit resumes to Giau Rohde at grohde@tpc1.com