FLSA Status: Exempt

Starting range: $100,000 to $120,000 per yea

Vice President of Revenue Cycle

Job Profile and Agency Facts

BestSelf Behavioral Health (BestSelf) is an innovative organization formed through the merger of Child & Adolescent Treatment Services and Lake Shore Behavioral Health in June 2017. Both organizations served this community for a combined 120 years and are proven leaders in innovative delivery of behavioral health services in Western New York. Their shared reputation and stellar delivery of quality care in the community, led the Boards of Directors of both organizations to the creation of what is now the largest community-based behavioral health organization serving children and adults of all ages in Western New York.

No matter how old you are, where you live in Western New York or what challenges you're facing-BestSelf Behavioral Health can provide you and your family with the innovative and evidence-based services you need, along with a personal and caring approach that will help you feel respected, valued, confident and hopeful.

The Vice President of Revenue Cycle is responsible for the oversight and direction of all revenue cycle operations throughout BestSelf Behavioral Health including but not limited to patient access and financial clearance, billing follow up, accounts receivable management and cash posting. This position will ensure that all processes are effectively and efficiently managed. Through effective leadership, this position will be responsible for creating and promoting a collaborative environment that encourages continuous improvement with respect to BestSelf's annual revenue cycle. In addition, this position will provide ongoing support to the Billing, Front End Operations, and Revenue Cycle teams to meet the expectations for high quality customer services, fiduciary relations, and other established guidelines. Lastly, the position is responsible for maintaining up to date knowledge of billing standards as well as federal and state billing regulations in order to ensure the agency follows and maintains compliance.

Required competencies

1. Strategic Thinking: Ability to develop and execute strategic initiatives to optimize the revenue cycle process and improve financial performance. Proven track record of identifying opportunities for revenue enhancement and implementing effective solutions.
2. Financial Acumen: Strong understanding of healthcare finance principles, including revenue cycle management, reimbursement methodologies, and financial reporting. Ability to analyze financial data and performance metrics to make informed business decisions.
3. Leadership and Team Development: Demonstrated leadership skills with the ability to inspire and motivate teams to achieve goals and objectives. Experience in building and developing high-performing teams through coaching, mentoring, and professional development opportunities.
4. Problem-Solving Skills: Excellent problem-solving abilities with the capacity to identify root causes of revenue cycle issues and develop innovative solutions. Proven track record of implementing process improvements and driving operational efficiencies.
5. Attention to Detail: Strong attention to detail and accuracy in coding, billing, and documentation processes. Ability to review and analyze complex billing and reimbursement data to ensure compliance with regulatory requirements and payer guidelines.
6. Ethical and Compliance Orientation: Strong ethical standards with a commitment to integrity and compliance with healthcare regulations and industry standards. Knowledge of healthcare compliance regulations, including HIPAA, Stark Law, and Anti-Kickback Statute, and experience implementing compliance initiatives.

Job duties

• Develop and implement vision, business and operating plans targeted to promote the growth and enhancement of revenue cycle services to meet the needs of the agency.
• Clearly communicate revenue cycle performance expectations to staff to achieve revenue cycle goals in patient services, billing and collection of services.
• Work closely with the Chief Financial Officer and other agency leaders to effectively manage day-to-day operations and develop and execute to long-term strategic initiatives.
• Provide leadership and subject matter expertise in all areas of the revenue cycle. The VP of Revenue Cycle must have the ability to identify and implement corrective action regarding the agency's critical revenue cycle needs on a real time basis.
• Work closely with clinical leadership and office managers to support the revenue cycle processes to support clinical service goals of the organization.
• Develops and implements policies and procedures related to credentialing, insurance verification, billing, collections, coding, and reimbursement practices to achieve efficiency and consistency, while driving increased revenue collections.
• Closely collaborates with Finance to monitor and optimize revenue generation and cash collection.
• Minimizing bad debts by engaging stakeholders in robust Denial Management protocols.
• Ensures accurate charge capture and coding compliance for technical and professional services.
• Establishes key performance indicators (KPI's) for measuring revenue cycle performance across the business; Monitors and analyzes performance data to identify opportunities for continuous improvement.
• Responsible for all claims submissions to all primary and secondary payers.
• Analyzes and reviews billing requirements to maintain and improve clean claim submission and acceptance, bad debt reduction on a percentage basis and reducing AR greater than 90 days.
• Champions the use of data analytics to identify trends and opportunities within the revenue cycle, implementing process improvements for sustained financial performance.
• Oversees the enhancement and integration of revenue cycle systems including revenue cycle software, clearinghouses, and technologies to optimize revenue cycle operations and enhance revenue collection.
• Responsible for establishing an efficient and effective end to end revenue cycle operation including client registration and scheduling, credentialing, insurance verification, claims submission and payment, and Accounts Receivable and Denial management.
• Monitors the activities of the insurance companies, and assists in the negotiation and maintenance of the insurance contracts.
• Ensures financial systems are maintained and updated to reflect reimbursement rates and contract requirements.
• Maintain broad and current knowledge of Medicare and Medicaid regulatory and billing requirements, managed care contracting and reimbursement issues.
• Responsible for ensuring an exceptional client experience as it relates to revenue cycle and front end operations.

Required knowledge, experience, and skills

• Must have a minimum of 10 years of leadership experience in healthcare revenue cycle leadership roles and demonstrated success in healthcare revenue cycle processes.
• Bachelors or Masters degree in Business, Finance, Accounting Health Care Administration or related field preferred.
• Strong knowledge of healthcare billing, coding, and reimbursement processes.
• Expert understanding of billing Medicaid, Medicare, Managed Care organizations and commercial insurances.
• Excellent leadership, communication, and strategic planning skills.
• Experience using healthcare revenue cycle software and data analytics tools.
• Ability to lead and support a cross-departmental team.
• Ability to build effective relationships throughout all levels of the organization.
• Exceptional time & project management skills.

Organization Overview

Vision Statement

Empowering everyone to be their BestSelf.

Mission Statement

To provide innovative, evidence-based, accessible, and family-focused behavioral health services to promote health, hope, recovery, and an enhanced quality of life.

Beliefs

- We believe strong, healthy families provide the foundation for emotional well-being.

- We believe every individual is unique and recovery is possible.

- We believe quality behavioral healthcare is accessible, person-centered and holistic.

- We believe inclusion of peers, families and significant others in services promotes successful outcomes.

- We believe in culturally competent and trauma-informed services.

- We believe engaged employees are essential.

- We believe in innovative, evidence-based interventions.

- We believe in collaboration and community partnerships.

- We believe in community education and advocacy to combat stigma.

BestSelf Behavioral Health, Inc. is the largest community-based behavioral health organization serving children and adults with mental health and substance use disorders in WNY. We provide easy access to a full continuum of person-centered, trauma-informed behavioral health treatment, rehabilitation and recovery services.

BestSelf offers a comprehensive array of services to promote self-sufficiency, wellness, and an enhanced quality of life for children, adolescents and adults. We deliver a full range of services to a diverse, multicultural consumer population by employing a cadre of fully bilingual, bicultural staff.

BestSelf utilizes more than 20 evidence-based therapies including; Dialectical Behavioral Therapy (DBT); Cognitive Enhancement Therapy (CET); Parent-Child Interaction Therapy (PCIT); and Cognitive-Behavioral Treatment (CBT).

Quick Facts

- Created in June 2017 when Child & Adolescent Treatment Services and Lake Shore Behavioral Health merged

- 2022 Annual Budget: $94 Million

- Clients Served (2021): 40,000+ children, adolescents & adults

- Employees: 1,200+

- 51st Largest Employer in Buffalo & WNY (2022 Business First List)

- Total Outpatient Clinics: 13

- Total Service Locations: 70+

What We Do

- Serving Children, Adolescents & Adults

- Mental Health & Substance Use Disorders Outpatient Clinics

- Medication Assisted Treatment (Suboxone, Vivitrol, Methadone)

- ClubWest, ClubSouth, Safe Space & Afterhours Supportive Care

- Assertive Community Treatment (ACT)

- Personalized Recovery Oriented Services (PROS)

- Community & Mobile Mental Health and Addiction Treatment Services

- Building Brighter Futures - school-based programs providing academic assistance, social-emotional supports, high-quality enrichment opportunities, and family engagement to encourage positive development.

- Homeless Outreach and Supportive Housing Services

- Health Home Services for Medicaid Recipients - Children & Adults

- Integrated Primary Care Clinic

- Vocational Services and Supported Employment

- Residential Substance Use Disorder Treatment for Pregnant & Parenting Women where children up to age 11 can reside with their mother during treatment; Residential Substance Use Disorder treatment for Children and Adolescents.

- Recovery Community provides free support to people with addictions, people in recovery, and their families.

- Child Advocacy Center at BestSelf is an innovative, comprehensive center offering safety, support and a healing place for children and families affected by trauma and abuse.

• 24/7 Emergency Crisis Center (In Development Phase)