Regional Vice President of Payment Recovery Services

Elevate Patient Financial Solutions has an exciting career opportunity available as a Regional Vice President of Payment Recovery Services.

This position will be a remote based role.

Job Summary

The Regional Vice President (RVP) of Payment Recovery Services functions as the General Manager of their assigned region, overseeing the development, planning, direction, and control of activities essential for business success in Payment Recovery Services. The RVP drives organizational objectives to ensure financial and operational success through both short-term and long-term planning and actions. They are responsible for creating an environment that engages staff, ensures quality operations and administrative processes, fosters growth, and delivers predictable financial performance. The RVP has overall responsibility for the operation and activities of their region/business unit and its results. They work within the scope of authority established by Elevate PFS while supporting and adhering to our code of ethics, business standards, mission, and core values.

The RVP acts as a change agent, distinguishing between activity and performance results. They must be results-focused with the ability to achieve through other people. This requires the RVP to create a client and patient-focused environment where employees are passionate about their roles, understand the big picture, work collaboratively, and recognize that their purpose is to create a positive client/patient experience. The RVP must be proficient in fostering a team environment, developing the talents of individuals on the team, and being a constructive change agent. The RVP's value proposition is derived from an environment where trust and quality of work result from an engaged workforce that delivers predictable operational and financial results. The RVP drives organizational change to achieve results and is the leader in executing Elevate PFS's vision and strategy.

The RVP must balance the demands of a complex matrix organization while demonstrating appropriate judgment and reasoning skills in decision-making. The RVP is viewed as a mentor and a person who creates a healthy and vibrant work environment. information to appropriate company functional leaders e.g. human resources, compliance, finance, etc. prior to distribution to government agencies.

Essential Duties and Responsibilities

• Leads the development and implementation of short and long-range plans to achieve the region/business unit goals and objectives.
• Achieve financial objectives (revenue and earnings) for his/her region/business unit.
• Contributes/directs the business development process to increase market share and sale of additional service lines to existing clients.
• Ensures that market assessment, identification of market segments and evaluation of revenue programs are conducted annually for his/her region/business unit.
• In conjunction with Corporate (sales, marketing, finance, and client engagement) departments, develops expansion plans, recommends expansion of service areas and development of new and profitable revenue ventures.
• Ensures continuous improvement of key operational and administrative processes to improve financial results and service excellence through demonstrated discipline and consistency.
• Evaluates and resolves general and specific business conditions as they relate to operational issues and keeps appropriate corporate departments fully informed.
• Recommends, implements, and administers changes to pricing as approved by Corporate. Ensures timely communication for price changes and implementation of approved pricing policies.
• Owns the organization development process for his/her organization and as such, ensures that performance planning, execution and coaching, assessment of performance, potential and promotability, and related development plans are in place for all employees.
• Oversees the employee evaluation process, including but not limited to performance evaluations, merit increases, promotions, and disciplinary actions of reports.
• Ensures compliance with documented and comprehensive quality, regulatory and compliance programs.
• Ensures adherence to legal requirements and government reporting regulations. Continually monitors exposure of the organization. Directs the preparation of information requested or required for compliance. Submits information to appropriate company functional leaders e.g. human resources, compliance, finance, etc. prior to distribution to government agencies.
• Other duties as assigned.

Qualifications and Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.

• Education - A Bachelor's Degree in Finance/Accounting, Healthcare Management, Business (MBA/MHA) or related business field.
• Minimum of five (5) years' experience in Revenue Cycle Management Industry, Hospital Revenue Cycle Director/VP, Clinical Services Provider, Large Group Physician Practice or Military (healthcare operations management role).
• Business Acumen - Acquires and applies up to date information from the business world, revenue cycle and healthcare industries and cross-functional knowledge. Acquires, applies, and uses current knowledge in all areas of their own specialty or profession; is regarded as an expert; identifies and uses other expert resources as needed.
• Deep understanding of the entire revenue cycle, including billing, coding, and claims processing, to identify and recover underpayments effectively.
• Expertise in analyzing payer contracts and negotiating terms to ensure maximum reimbursement and minimize underpayment occurrences.
• Proficiency in conducting zero balance audits to uncover hidden underpayments and recover lost revenue.
• Ability to perform detailed root cause analysis to identify the reasons behind underpayments and implement corrective actions to prevent future occurrences.
• Experience in managing appeals and disputes with payers to recover underpaid claims successfully.
• Strong skills in using data analytics tools to track underpayments trends, generate reports, and provide insights for continuous process improvement.
• Strategist - Understands strategic concepts; develops and influences distinctive and competitive strategies; aligns the organization with the local hospital industry to support priorities, embrace change and deliver results.
• Relationship Builder - Establishes friendly, candid, and trusting relations; cultivates a network of contacts throughout the organization and community, client organizations (all levels), treats others fairly and with respect; seeks resolution of disagreements through open, constructive discussion.
• Problem Solver/Decision Maker/Executor - Recognizes problems and devises and implements action plans. Specifies goals and constraints, generates alternatives, considers risks, and evaluates and chooses best alternatives. Is results focused and maintains a healthy balance between efficiency and effectiveness.
• Change Agent - Serves as a catalyst for initiating change and innovation within his/her organization. Demonstrates and involves others in learning about ongoing needs for change. Supports experimentation to test new approaches.
• Effective Negotiator - Demonstrates ability to effectively facilitate parties toward a "win-win" agreement; identifies key players; defines objectives, significant issues, and shared interests; determines motivational drivers and potential obstacles for all parties; communicates effectively; gains results without either party losing face.
• Staff Development & Team Building - Identifies goals and vision for group; guides individuals and teams toward priorities; clarifies roles and responsibilities of others and energizes individuals to achieve; coordinates resources and arranges organizational systems to meet objectives. Encourages personal investment and a desire to excel by others; spurs others to action; recognizes and rewards others'' accomplishments. Is able to identify key talent and build a pipeline of next generation talent. Develops those employees through the application of talent management methods to include mentoring, individual development planning, and career pathing.
• Talent Manager - Employs creative sourcing and critical selection techniques to recruit and retain a high caliber, highly energized, and highly effective workforce. Recognizes individual contributions within an integrated team environment that challenges staff to deliver against high and demanding standards. Engages in multi-dimensional interaction with all levels of employee resulting in clear and understandable outcomes. Manages the workplace with a sense of vision and passion that motivates and unleashes staff potential.
• Effective Communicator - Speaks clearly and presents/expresses self well in all situations; listens to others'' ideas and opinions; keeps others informed; writes clearly and concisely; extracts substance from complex issues and organizes content effectively; selects appropriate media and message for the audience.
• Remote and Hybrid positions require a home internet connection that meets the company's upload and download speed criteria.

Benefits

ElevatePFS believes in making a positive impact not only within our industry but also with our employees -the organization's greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.

• Medical, Dental & Vision Insurance
• 401K (100% match for the first 3% & 50% match for the next 2%)
• 15 days of PTO
• 7 paid Holidays
• 2 Floating holidays
• 1 Elevate Day (floating holiday)
• Pet Insurance
• Employee referral bonus program
• Teamwork: We believe in teamwork and having fun together
• Career Growth: Gain great experience to promote to higher roles

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.

The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

ElevatePFS is an Equal Opportunity Employer