Join Us as a Assistant Vice President of Revenue Cycle!
The Assistant Vice President (AVP) of Revenue Cycle is responsible for the overall leadership, performance, and financial integrity of revenue cycle operations across inpatient psychiatric services, outpatient behavioral health services, substance use disorder (SUD) programs, Intensive Outpatient Programs (IOP), and Partial Hospitalization Programs (PHP).
Reporting directly to the CFO, the Assistant Vice President (AVP) of Revenue Cycle provides comprehensive oversight of billing, collections, accounts receivable (AR), denial management, reimbursement, payment posting, and revenue cycle performance. This individual is accountable for optimizing cash collections, reducing AR and unbilled receivables, minimizing denials and bad debt, and ensuring timely and accurate reimbursement across all applicable payors and service lines. The Assistant Vice President (AVP) of Revenue Cycle will mentor and develop revenue cycle staff, establish accountability for performance, and partner with HIM, Utilization Management (UM), Intake, clinical, and operational leaders to resolve issues affecting billing, reimbursement, and cash flow.
As the Assistant Vice President (AVP) of Revenue Cycle:
- Oversee timely, accurate, and complete claim submission for all assigned service lines, including inpatient psychiatric, outpatient, SUD, IOP, and PHP.
- Ensure effective claim follow-up, denial resolution, appeals, underpayment identification, and collection activities.
- Monitor rejected, denied, suspended, and unpaid claims to ensure issues are resolved within payer filing limits and organizational standards.
- Analyze denial trends by payor, denial reason, service line, and root cause, and implement corrective actions to prevent recurrence.
- Identify reimbursement discrepancies, contractual underpayments, payer processing errors, and opportunities for additional collections.
- Oversee bad debt analysis, identification of collectible versus uncollectible balances, and timely resolution of outstanding receivables.
- Analyze bad debt trends by facility, service line, payor, financial class, aging category, and root cause.
- Evaluate the impact of bad debt, contractual adjustments, denials, and other revenue adjustments on net revenue and operating performance.
- Ensure appropriate identification, documentation, review, and escalation of accounts requiring write-off or reserve consideration in accordance with organizational policy and applicable accounting standards.
- Develop, maintain, and present a standardized revenue cycle dashboard that clearly communicates financial and operational performance.
- Prepare weekly AR aging and collection reports for review with the CFO and relevant operational leaders.
- Provide clear explanations of significant variances, unfavorable trends, missed targets, and changes in projected cash collections.
- Translate detailed revenue cycle data into concise executive-level reporting that identifies root causes, financial impact, corrective actions, responsible parties, and expected resolution dates.
- Partner with HIM to address documentation deficiencies, incomplete or delinquent records, coding-related billing barriers, and documentation issues affecting claim submission or reimbursement.
- Partner with Utilization Management to resolve authorization, medical necessity, continued-stay review, and other utilization-related issues that affect billing and payment.
The Assistant Vice President (AVR) of Revenue Cycle candidates will have the following:
- Bachelor's degree in Healthcare Administration, Finance, Accounting, Business Administration, or a related field required.
- Minimum of seven to ten years of progressive healthcare revenue cycle experience, including leadership responsibility for billing, collections, and accounts receivable.
- Demonstrated experience overseeing revenue cycle operations in behavioral health, inpatient psychiatric services, substance use disorder treatment, or a comparable healthcare environment.
- Proven ability to manage complex AR portfolios and improve cash collections, aging, denial performance, and reimbursement outcomes.
- Strong knowledge of Medicare and Medicaid billing, commercial payer requirements, payer contracts, reimbursement methodologies, and denial resolution.
- Demonstrated understanding of Medicare bad debt requirements, supporting documentation, reconciliation, and reporting.
- Advanced analytical skills, including the ability to explain AR variances, identify root causes, assess bad debt trends, and communicate financial implications.
- Strong knowledge of Medicare and Medicaid billing, commercial payer requirements, payer contracts, reimbursement methodologies, and denial resolution.
- Experience with WellSky and Netsmart revenue cycle or billing platforms preferred.
- Experience supporting multiple facilities, behavioral health programs, or service lines preferred.
- Experience with inpatient psychiatric DRG reimbursement, Medicaid and commercial payer methodologies, and outpatient behavioral health billing preferred.
- Familiarity with IOP, PHP, and SUD reimbursement requirements preferred.
- Experience with Medicare bad debt audits, reimbursement documentation, and financial reconciliation preferred.
When you join the growing TaraVista team as a Assistant Vice President (AVP) of Revenue Cycle, you’ll receive:
Medical, Dental, and Vision
401(k) match
Employer paid long term disability (LTD)
Employer paid life and AD&D Insurance
Generous Paid Time Off
Flexible Spending Account
Tuition Reimbursement
Pay Range:
Compensation will be determined based on the candidate’s relevant experience.
$135,000 -$150,000
The Vista's are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.