Vice President of Revenue Cycle Management Greater Atlanta, GA Area
About the Company
Well-established provider of outpatient diagnostic imaging services
Industry
Hospital & Health Care
Type
Privately Held, Private Equity-backed
Age
employees
1001-5000
About the Role
Greater Atlanta, GA Area (On-site - Headquarter location)(Alpharetta, Georgia)
Est. Compensation
USD $150,000-$220,337 (total) per year
Estimated by Revelio Labs
The Vice President of Revenue Cycle Management (RCM) is responsible for overseeing the entire revenue cycle process within the organization, ensuring that all operations are executed efficiently, effectively, and in compliance with healthcare regulations. This executive role involves strategic planning, operational management, financial oversight, and leadership of the RCM team to optimize revenue, minimize denials, maximize time of service collections, collaborate with the front-end scheduling and center front desk teams, and improve overall financial performance. The VP will drive transformation of the department including but not limited to new RCM system, global outsourcing etc.
The VP will report to the CEO and will provide ongoing strategic leadership support to drive financial management, operational performance, and future state optimization of their department. You will also develop and lead an effective and strong team of professionals via direct teams and co-sourced offshore teams, making sure our teams maintain compliance with global standards. As this role will be working in partnership with corporate leadership and regional management, excellent communication skills, collaboration, and ability to influence others will be key in being successful in this role. High visibility with direct interaction to other C level team members. This role will also require the ability to take initiative, execute (debate, decide, commit), transform and deliver results consistently while keeping a positive and tenacious attitude.
Essential Functions:
- Strategic Leadership: Develop and implement strategies to optimize the revenue cycle, ensuring alignment with organizational goals. Improve the overall patient financial experience while maximizing revenue and minimizing reimbursement delays.
- Operational Management: Oversees the day-to-day operations of the RCM process, including billing, coding, charge capture, collections, and reimbursement. Ensure that all departments follow best practices and work collaboratively to meet financial targets.
- Compliance Oversight: Ensures the organization adheres to federal, state, and payer-specific regulations, and implements policies that comply with billing and reimbursement guidelines. Stay current on industry changes and provide guidance on navigating these changes.
- Financial Performance: Establishes performance metrics and KPIs for the revenue cycle and monitor financial results to ensure optimal cash flow and revenue realization. Develop and manage the RCM budget, ensuring that resources are allocated effectively.
- Denials and Appeals Management: Leads efforts to reduce claim denials, improve the appeals process, and manage interactions with payers to ensure timely resolution of claims. Implement strategies to minimize underpayments and increase collection rates.
- Team Leadership: Provides leadership, mentorship, and development opportunities for RCM staff. Ensure that the team is adequately trained, motivated, and aligned with the company’s revenue goals.
- Process Improvement: Continuously evaluates and enhances the RCM workflow. Utilize data analytics and industry best practices to identify inefficiencies, recommend solutions, and implement improvements.
- Collaboration: Works closely with clinical, scheduling, center staff, finance, IT, and other departments to ensure seamless integration between clinical care and revenue cycle operations. Foster strong relationships with external partners, including payers, auditors, and third-party vendors.
- Transformation: Transforms the RCM function in 2025: new RCM system, start offshoring journey with a view to scale and reduce cost to collect, implement fathom
- Time of service initiative provides leadership to centers and scheduling to meet time of service targets
Experience: At least 15+ years of experience in revenue cycle management, with a proven track record of success in senior leadership roles within healthcare organizations.
Education: Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field. A Master’s degree or professional certification (e.g., Certified Revenue Cycle Executive - CRCE) is preferred.
Skills & Knowledge:
- In-depth knowledge of healthcare revenue cycle processes, including billing, coding, charge capture, and collections.
- Expertise in regulatory requirements and payer contracting.
- Strong analytical and financial acumen.
- Excellent leadership, communication, and interpersonal skills.
- Proficient in revenue cycle management software and analytics tools.
Key Competencies:
- Strong problem-solving and decision-making skills.
- Ability to work under pressure and meet tight deadlines.
- Excellent organizational and time management skills.
- Ability to lead cross-functional teams and drive collaboration.
Functions:
- Medical Care/Hospital Administration
- Finance