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Vice President of Revenue Cycle

Job Description - Vice President of Revenue Cycle




Vice President of Revenue Cycle


Wilson Health | Sidney, Ohio


Employment Status:


Full-Time


Position Reports To:


Chief Financial Officer (CFO)


Department Description:


The Revenue Cycle Division is responsible for overseeing all functions related to patient access, revenue integrity, coding, billing, case management, utilization review, denials management, accounts receivable, and reimbursement across Wilson Health's acute care hospital, physician practices, ambulatory services, and outpatient departments. The department plays a critical role in ensuring financial sustainability while supporting an exceptional patient experience and maintaining regulatory compliance.


Job Summary:


The Vice President of Revenue Cycle is responsible for providing strategic leadership, operational oversight, and performance management for all revenue cycle functions across Wilson Health. This executive leader ensures the financial integrity of the organization through effective management of revenue cycle operations, revenue capture, reimbursement optimization, and compliance initiatives.


The Vice President of Revenue Cycle collaborates closely with executive leadership, physician leaders, clinical departments, finance, compliance, information technology, and operational teams to maximize reimbursement, enhance the patient financial experience, improve revenue cycle performance, and support Wilson Health's mission of delivering exceptional healthcare services.


Essential Duties & Responsibilities:


Strategic Leadership



  1. Develop and execute a comprehensive revenue cycle strategy aligned with organizational goals and financial objectives.

  2. Establish performance standards, operational metrics, and accountability measures across all revenue cycle functions.

  3. Lead revenue optimization initiatives while ensuring compliance with federal, state, payer, and accreditation requirements.

  4. Serve as a key member of the senior leadership team, providing strategic insight regarding reimbursement trends, revenue integrity, payer performance, and financial outcomes.

  5. Identify opportunities for process improvement, automation, and technology enhancements to improve efficiency, patient satisfaction, and cash flow.

  6. Direct and oversee patient access, coding, billing, case management, utilization review, denials management, accounts receivable, and revenue integrity functions.

  7. Monitor key performance indicators and implement corrective action plans to improve revenue cycle outcomes.

  8. Collaborate with clinical, operational, and physician leadership to improve documentation, coding accuracy, and reimbursement performance.

  9. Establish and maintain strong relationships with third-party payers and external stakeholders.

  10. Ensure compliance with all applicable healthcare regulations, payer requirements, and organizational policies.

  11. Lead revenue cycle transformation initiatives that support organizational growth, operational excellence, and financial stewardship.

  12. Develop, mentor, and support high-performing revenue cycle leaders and teams.


Qualifications:



  1. Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field required; Master's degree preferred.

  2. Ten (10) years of progressive healthcare revenue cycle leadership experience.

  3. Five (5) years of senior leadership experience overseeing multiple revenue cycle functions.

  4. Demonstrated experience managing hospital, ambulatory, physician practice, and outpatient revenue cycle operations.

  5. Extensive knowledge of healthcare reimbursement methodologies, revenue integrity practices, regulatory requirements, and payer relations.

  6. Proven ability to lead large-scale operational improvement initiatives and drive measurable financial results.

  7. Strong leadership, communication, analytical, and organizational skills.

  8. Experience working collaboratively with executive leadership, physicians, and interdisciplinary teams.


Mission • Vision • Values:


Mission


Improve the health and wellness of the community by delivering compassionate, quality care.


Vision


Be a trusted, nationally recognized leader of innovative, collaborative community health.


Values


A.S.P.I.R.E. Always Serve with Professionalism, Integrity, Respect, and Excellence.





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