Aveanna Healthcare is the largest provider of home care to thousands of patients and families, and we are looking for caring, compassionate people who are driven to fulfill our mission to revolutionize the way pediatric healthcare is delivered, one patient at a time.
At Aveanna, every employee plays an important role in bringing our mission to life. The ongoing growth and success of Aveanna Healthcare remains dependent on our continued ability to consistently deliver compassionate, committed care for medically fragile patients. We are looking for talented and committed individuals in search of a rewarding career with a company that values Compassion, Integrity, Accountability, Trust, Innovation, Compliance and Fun.
We currently have an opportunity for an experienced Vice President of Reimbursement Services. This role will be responsible for developing and executing the strategic vision for Revenue Cycle functions. Challenging assumptions and standards of business in an effort to improve overall operational effectiveness and service to Aveanna's customers. Providing leadership and oversight of key operational and financial decisions pertaining to all underlying functions. Functional areas that report to this position include third-party AR management and system-wide payment application.
Essential Job Functions:
Develop ongoing thought leadership and the strategic vision for Reimbursement Services that will be shared with overall corporate leadership.
Oversee all Revenue Cycle functions including Billing, Payment Application, third-party and patient AR Management, Denials Prevention/Appeals, Credits/Refunds.
Develop, implement, and manage efficient and effective operational policies, processes and performance monitoring across all Reimbursement Services related functions.
Lead the establishment and implementation of KPIs for Revenue Cycle operations. Responsible for measurement and reporting of ongoing financial and operational performance. Ensure the implementation of action plans where performance is not meeting expectations. Review KPI expectations annually and adjust appropriately. Recognize areas of excellence.
Identify potential process improvements through Aveanna Reimbursement Services, and lead the design and implementation as required.
Ensure Revenue Cycle employees comply with established policies, processes, and quality assurance programs.
Coordinate and oversee all third party A/R and payment application process transition points between patient financial services and other functional areas within the revenue cycle organization.
Coordinate with peers across the revenue cycle organization, and with related stakeholders, on the management of third-party denials by working with Patient Access Services Middle Revenue Cycle and Revenue Cycle Integration functions to identify trends and implement denials prevention/recovery programs.
Routinely participate in payer trend analyses to ensure optimal processing and reimbursement, identify issues, communicate findings to Reimbursement Services stakeholders, define solutions and initiate resolution.
Build strong relationships and facilitate productive communication between key revenue cycle stakeholders, including peer leaders of revenue cycle services and core support departments (e.g., human resources, business support services, finance, compliance, information technology).
Create a work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encourages creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance. Encourage and supports employee decision-making within their scope of responsibilities.
Participates in and, where appropriate, leads cross functional revenue cycle projects.
Completes any duties and special assignments as requested.
A Bachelor’s degree from a recognized college or university.
At least seven (7) years of management experience in Patient Financial Services-related functions, (Billing, Payment Application, third-party AR Management, Denials Prevention/Appeals, and Credits/Refunds) within a progressive healthcare environment.
Excellent written, verbal communication and interpersonal skills.
Time management and organizational skills.
Self-directed with the ability to work with various stakeholders and teams.
Ability to make quality, independent decisions as well as the ability to collaborate effectively to make decisions with other leaders.
Superior analytical and problem solving skills.
Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions.
Proficiency with Microsoft Office (Word, PowerPoint, & Excel).