Vice President, Self Pay Ops & Client Engagement (Remote)

Job Purpose
The Vice President, Self Pay Ops & Client Engagement provides leadership for Self-Pay activities and client relationships. Maintain the performance excellence established by Med-Metrix for our health system partners. The VP will own, cultivate, and enhance the relationships to ensure each health-system partner’s success and satisfaction with the company, SOW’s and P&L margins.

Duties & Responsibilities
• Ensure that each health-system partner’s self-pay business is managed in accordance with financial objectives. Monitor, evaluate, and report payment activity and payer trends, identifying systems, process, or communications concerns and implement corrective measures.
• Provide leadership and direction for a team of client directors and managers who are responsible for the day-to-day management of patient accounts for designated client health systems, ensuring aging and recovery expectations are met, and project level guidance to onboard new clients to the Self-Pay program. May also provide leadership for operational staff responsible for certain account resolution, administration and reporting.
• Establish and deliver operational processes to provide effective client solutions based on proven best practices in receivables management and information technology.
• Ensure that quality and productivity standards are set, understood, and monitored across the operation.
• Ensure that all functions and individuals responsible for client delivery are performing at the highest standards.
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications
• 8+ years of comprehensive experience in management and analysis of hospital receivables. This should include significant experience as a revenue cycle consultant within a large consultancy, with responsibility for simultaneous management of multiple client accounts.
• Minimum of an undergraduate degree in a business-related discipline.
• Record of accomplishment that demonstrates the ability to develop, deliver and maintain client relationships in a consultative capacity.
• Proven expertise in accounts receivable management including billing and follow-up best practices, specifically with healthcare receivables, insurance claims, denial, and appeal processing, including ICD-10, CPT, HCPC codes, and UB and 1500 claims forms a plus.
• Significant experience in leading teams to deliver complex service offerings.
• Strong analytical, interpersonal and written and verbal communication skills.
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required

Working Conditions
• Travel to client sites and corporate offices as needed.
• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.


Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.