Vice President of Revenue Cycle

Administration
6210 US-290 E
Austin, TX 78723, USA

ABOUT AUSTIN REGIONAL CLINIC:

Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas’ largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members:
Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit

PURPOSE

The Vice President of Revenue Cycle provides leadership and strategic direction to optimize revenue cycle operations, maximizing revenue and improving financial health while ensuring compliance. This involves developing and implementing strategies, leading cross‑functional teams, optimizing processes from patient registration to collections, and ensuring the organization adheres to all relevant regulations. This position is also responsible for identifying and implementing technology solutions, analyzing performance metrics, and collaborating with other leaders to achieve financial goals.

Carries out all duties while respecting patient confidentiality and promoting the mission and philosophy of the organization supported.

ESSENTIAL FUNCTIONS

• Develops and executes the organization’s overall revenue cycle strategy to align with its financial objectives.
• Collaborates with other executive leaders, clinic operations leadership and external stakeholders to align billing strategies with broader business objectives.
• Drives continuous improvement, provides performance feedback, and achieves strategic goals.
• Manages day‑to‑day Central Billing Office and Revenue Integrity operations to ensure accuracy and efficiency in processes like patient registration, billing, charge capture, coding, claims submission, remittance processing, denial management, collections, and resolution of payment variances to secure maximum reimbursement.
• Provides ongoing support and training to staff to meet the expectations established for high quality patient service, payer relations, billing and regulatory compliance, and other established guidelines.
• Works to create transparent, patient‑friendly billing processes.
• Maximizes revenue by optimizing collections, reducing inefficiencies and gaps, and implementing cost‑saving initiatives. Tracks and reports monthly AR KPI’s.
• Monitors and enforces the terms of Service Agreements between ARC and third‑party payers with special emphasis on the financial terms of those agreements.
• Ensures strict adherence to State, Federal and Payer regulations, industry standards and company policies to mitigate penalties and legal risks.
• Stays informed about industry trends and regulatory changes affecting billing and reimbursement.
• Analyzes payer reimbursement and claim denial patterns to identify opportunities for revenue enhancement.
• Analyzes revenue cycle processes and performance metrics to identify areas of improvement. Evaluates and implements technology solutions to enhance performance.
• Leads collaboration with payers to resolve escalated issues, streamline processes, and ensure compliance with contract terms, reimbursement policies, and regulatory requirements. Collaborates with the organization’s financial service functions to ensure accurate and efficient recording of information and compliance with established financials controls.
• Participates in processes to review, analyze, and negotiate contracts with third party payers to promote optimal collections and efficient billing and collections processes.
• Oversees the Revenue Cycle annual capital and operating budgets, monitors expenses, and continually seeks cost‑effective process improvement to enhance performance.
• Leads the development and implementation of revenue specific policies, procedures, and programs and monitors adherence to system‑wide policies/standardizations.
• Works closely with Epic Business Systems Analysts to maximize practice management system performance and other revenue cycle vendor performance, and test and implement…