Vice President, Revenue Cycle Management (RCM) & Payor Relations

Company Summary

If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we listen to your ideas, value a work/life balance, invest in education, and we foster trust and respect for all individuals. Our exceptional comp and strong benefits include 401K, medical, dental, vision and life insurance. We are looking for our future leaders, who are not only going to fill the qualifications for this job description, but who are going to exceed expectations. Be a part of a team whose mission is to provide quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit.

Job Summary:

The Vice President of Revenue Cycle Management (RCM) & Payor Relations at American Addiction Centers (AAC) will oversee and optimize all aspects of the revenue cycle, ensuring efficient billing, collections, and reimbursement processes. This role requires a strategic leader with a deep understanding and experience in all core functions of revenue cycle management.   Preference for RCM experience in the behavioral health sector, particularly in substance use and mental health treatment. The VP will collaborate closely with our external accounts receivable partner, Hansei, fostering a partnership mentality to enhance revenue operations. Additionally, the VP will lead managed care negotiations, leveraging AAC’s strengths to secure favorable agreements. This position demands strong interpersonal skills to influence cross-functional teams and the acumen to present effectively to the Board and Office of the CEO.

Role Responsibilities:

Revenue Cycle Management Leadership

• Oversee end-to-end revenue cycle processes, including billing, coding, collections, and reimbursement, ensuring alignment with AAC’s financial goals.
• Partner with other AAC management team members and Hansei to identify, develop and implement strategies to optimize revenue cycle operations, reduce days in accounts receivable, and improve cash flow.
• Collaborate with AAC management team and Hansei to enhance RCM processes, ensuring seamless integration and partnership.
• Monitor key performance indicators (KPIs) related to revenue cycle efficiency and implement continuous improvements and develop action plans to ensure optimization of key metrics.

Managed Care Negotiations

• Lead negotiations with payors, utilizing in-depth knowledge of AAC’s services to secure advantageous contracts.
• Analyze market trends and reimbursement rates to enhance inform negotiation strategies.
• Maintain relationships with payors to facilitate effective communication and issue resolution.
• Ensure compliance with all contractual obligations and regulatory requirements.

Strategic Collaboration and Influence

• Foster strong working relationships with internal departments, including Operations, Finance, and Clinical Services, to support organizational objectives.
• Act as a change agent in improving patient financial responsibility (PFR) collection strategies, both internally and in partnership with Hansei.
• Influence and motivate cross-functional teams without direct authority to achieve revenue cycle goals.
• Facilitate effective communication between AAC and Hansei to strengthen the partnership and align objectives.

Executive Leadership

• Participate in executive decision-making processes specific to RCM/managed care, contributing to the overall strategic direction of AAC.
• Prepare and deliver presentations to the Board of Directors (as needed) and the Office of the CEO, articulating RCM performance and strategic initiatives.
• Ensure transparency and effective communication of RCM activities to senior leadership.
• Position reports directly to CEO level and serve as a peer to the CFO, providing strategic insights and recommendations on revenue-related matters.

Operational Excellence and Compliance

• Ensure all RCM activities comply with federal, state, and local regulations, as well as AAC policies.
• Implement internal operational best practices in RCM to enhance efficiency and accuracy.
• Oversee the development and maintenance of policies and procedures related to revenue cycle functions.
• Stay abreast of industry developments and regulatory changes to ensure AAC’s RCM processes remain compliant and competitive.

Job Requirements:

Education:

• Bachelor’s degree in Business Administration, Healthcare Management, Finance, or a related field; Master’s degree preferred.

Experience:

• Minimum of 10 years of progressive experience in revenue cycle management within the healthcare industry, with at least 5 years in a leadership role.
• Demonstrated experience in managed care negotiations and payer relations.
• Proven track record of managing receivables and improving revenue cycle processes in organizations of comparable size to AAC.
• Experience in the behavioral health sector, particularly in substance use and mental health treatment, is highly desirable.

Skills and Abilities:

• Strong leadership and interpersonal skills, with the ability to influence and motivate teams across the organization.
• Excellent analytical and problem-solving abilities, with a focus on metrics and performance improvement.
• Exceptional communication skills, both written and verbal, with experience presenting to executive leadership and boards.
• In-depth knowledge of healthcare billing, coding, compliance, and reimbursement processes.
• Ability to travel as required to AAC facilities and partner locations.

Physical Requirements

AAC is committed to principles of equal opportunities for all employees.  The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws

• Prolonged sitting at a desk
• Must be able to lift 15 pounds at a time

American Addiction Centers is an equal opportunity employer.  American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.