VP Revenue Cycle

CoreWork Staffing

Florida, Florida

JOB DETAILS
SKILLS
Accounts Receivable, Artificial Intelligence (AI), Auditing, Automation, Benchmarking, Billing, Billing Records, Business Administration, Cash Flow, Cerner, Charge Capture, Claims Management, Coding Standards, Content Management Systems (CMS), Continuous Improvement, Contract Management, Contract Negotiation, Corrective Action, Credit and Collections, Current Procedural Terminology (CPT), Denials Management, Documentation, Epic Systems, External Audit, Federal Laws and Regulations, Finance, Financial Compliance, Financial Operations, Financial Services, Financial Strategy, Financial Systems, Forecasting, HIPAA (Health Insurance Portability and Accountability Act), Healthcare, Healthcare Administration, Healthcare Common Procedure Coding System (HCPCS), Healthcare Reimbursement, Hospital Systems, ICD-10, Insurance, Internal Audit, Leadership, MEDITECH, Maintain Compliance, Medical Billing, Medical Coding, Medical Record System, Mentoring, Operational Improvement, Patient Care, Patient Care Denials, Patient Registration, Performance Analysis, Performance Management, Performance Metrics, Performance Tuning/Optimization, Problem Solving Skills, Process Improvement, Productivity Management, Regulations, Regulatory Compliance, Reimbursement, Revenue Analysis, Revenue Forecasting, Revenue Growth, Revenue Management, Risk Management, State Laws and Regulations, Succession Planning, Sustainability, Team Building, Trend Analysis, User Interface/Experience (UI/UX), Willing to Travel
LOCATION
Florida, Florida
POSTED
30+ days ago

Vice President of Revenue Cycle (VP Revenue Cycle)

Position Overview

We are seeking a highly experienced and strategic Vice President of Revenue Cycle to lead and optimize all revenue cycle management (RCM) operations across the organization. This executive role is responsible for overseeing end-to-end financial performance in healthcare operations, including patient access, billing, coding, claims management, collections, denial management, and revenue integrity.

The ideal candidate is a seasoned healthcare finance and operations leader with deep expertise in revenue cycle systems, payer relationships, regulatory compliance, and large-scale process optimization. This role is critical in ensuring financial sustainability while maintaining compliance and supporting high-quality patient care.

Location Requirement

To support executive leadership collaboration and operational oversight, candidates must currently reside in one of the following metropolitan areas in the United States:

  • Dallas, Texas

  • Houston, Texas

  • Austin, Texas

  • Atlanta, Georgia

  • Jacksonville, Florida

  • Miami, Florida

  • Nashville, Tennessee

  • Charlotte, North Carolina

  • Phoenix, Arizona

Candidates outside of these locations will not be considered.

Key Responsibilities

Revenue Cycle Strategy & Leadership

  • Lead the overall revenue cycle strategy across all healthcare facilities and service lines

  • Align revenue cycle operations with organizational financial goals and patient care objectives

  • Develop long-term strategies to improve cash flow, reduce denials, and increase revenue integrity

  • Establish KPIs, benchmarks, and performance standards for revenue cycle performance

  • Drive transformation initiatives across the end-to-end billing and reimbursement lifecycle

Financial Performance & Optimization

  • Oversee accounts receivable (A/R), cash collections, and reimbursement processes

  • Improve clean claim rates, reduce denials, and accelerate payment cycles

  • Optimize charge capture, coding accuracy, and reimbursement performance

  • Identify revenue leakage and implement corrective action plans

  • Ensure financial forecasting accuracy and revenue predictability

Billing, Coding & Compliance

  • Oversee medical coding, billing, and documentation accuracy across all departments

  • Ensure compliance with CMS, HIPAA, payer requirements, and healthcare regulations

  • Monitor and enforce coding integrity and audit readiness

  • Collaborate with compliance teams to mitigate billing risks and errors

  • Ensure adherence to ICD-10, CPT, and HCPCS coding standards

Patient Access & Front-End Operations

  • Oversee patient registration, eligibility verification, and pre-authorization processes

  • Improve patient access workflows to reduce delays and denials

  • Enhance point-of-service collections and financial counseling programs

  • Ensure accurate insurance verification and benefit coordination

  • Improve patient financial experience and transparency

Denials Management & Revenue Integrity

  • Lead denial prevention and resolution strategies across all payer types

  • Analyze denial trends and implement corrective process improvements

  • Establish root cause analysis frameworks for recurring denial issues

  • Improve appeal processes and overturn rates

  • Strengthen revenue integrity controls across clinical and billing operations

Payer Relations & Contract Management

  • Collaborate with insurance payers to resolve reimbursement issues

  • Support contract negotiations and reimbursement strategy optimization

  • Monitor payer performance and compliance with contractual agreements

  • Build strong relationships with commercial and government payers

  • Identify opportunities for improved reimbursement models

Leadership & Team Development

  • Lead and mentor Directors of Revenue Cycle, Billing Managers, and Coding Leaders

  • Build high-performing, accountable revenue cycle teams across all functions

  • Drive workforce development, training, and succession planning

  • Establish performance management frameworks and accountability structures

  • Foster a culture of continuous improvement and operational excellence

Technology, Systems & Automation

  • Oversee revenue cycle systems (EHR, billing platforms, RCM software)

  • Drive automation and digital transformation within revenue cycle operations

  • Improve integration between clinical, financial, and billing systems

  • Leverage analytics and reporting tools to drive decision-making

  • Support implementation of AI and automation in billing and coding workflows

Compliance, Audit & Risk Management

  • Ensure compliance with federal, state, and payer regulations

  • Oversee internal and external audits related to billing and reimbursement

  • Implement controls to reduce fraud, waste, and abuse risks

  • Maintain documentation accuracy and audit readiness across all processes

  • Collaborate with compliance and legal teams on regulatory matters

Qualifications

Required

  • Bachelor’s degree in Healthcare Administration, Finance, Business Administration, or related field

  • Master’s degree (MHA, MBA, or related) strongly preferred

  • 10+ years of healthcare revenue cycle management experience

  • 5+ years in senior leadership or executive-level RCM roles

  • Deep knowledge of healthcare billing, coding, and reimbursement systems

  • Strong experience with payer relations and contract management

  • Proven success in large-scale revenue cycle optimization initiatives

  • Strong analytical, financial, and leadership skills

  • Must currently reside in one of the approved locations listed above

Preferred (Nice-to-Have)

  • Certified Revenue Cycle Executive (CRCE) or HFMA certifications

  • Experience in large hospital systems or multi-site healthcare organizations

  • Strong background in EHR systems (Epic, Cerner, Meditech, etc.)

  • Experience with automation, AI, and analytics in revenue cycle operations

  • Familiarity with value-based care reimbursement models

  • Experience leading enterprise-level financial transformation initiatives

  • Strong regulatory expertise in Medicare, Medicaid, and commercial payer systems

  • Experience managing offshore or shared service revenue cycle teams

Key Performance Indicators (KPIs)

Financial Performance

  • Net revenue improvement and revenue capture rate

  • Days in Accounts Receivable (A/R)

  • Cash collection rate and net collection efficiency

  • Reduction in revenue leakage

Billing & Claims Performance

  • Clean claim rate

  • Denial rate reduction and overturn success rate

  • Claim submission turnaround time

  • Coding accuracy and compliance rates

Operational Efficiency

  • A/R aging improvement (0–30, 31–60, 60+ days)

  • Cost to collect optimization

  • Workflow automation and productivity improvements

  • Reduction in billing cycle time

Patient Financial Experience

  • Patient satisfaction with billing and financial services

  • Point-of-service collection effectiveness

  • Reduction in patient billing complaints

  • Financial counseling engagement rates

Compliance & Audit Performance

  • Audit findings and resolution rates

  • Regulatory compliance adherence

  • Reduction in billing errors and rework

  • Internal control effectiveness

Reporting To

  • Chief Financial Officer (CFO)

  • Chief Executive Officer (CEO)

  • Chief Operating Officer (COO)

  • Chief Revenue Officer (CRO) (if applicable)

Employment Type & Work Setup

  • Full-Time

  • On-site / Hybrid executive healthcare leadership role

  • Occasional travel to facilities, payer meetings, and executive sessions

  • Participation in executive leadership and financial strategy meetings

  • On-call availability for revenue cycle disruptions or system-wide issues

Work Environment & Conditions

  • Executive-level healthcare finance environment

  • High-impact role influencing organizational financial performance

  • Collaboration with clinical, administrative, and payer stakeholders

  • Fast-paced, data-driven operational setting

  • Strong focus on financial sustainability, compliance, and operational excellence

  • Opportunity to lead enterprise-wide revenue transformation initiatives


About the Company

C

CoreWork Staffing