Shearwater Health Hiring for Senior Vice President, Revenue Cycle Operations Job at Nashville, TN Full Time

Title: Senior Vice President, Revenue Cycle Operations

Type of Employment: Full Time

Department: CPO

Reports To: President, Payer

Location: Nashville, TN OR Remote

Travel: 25%

Description:

The SVP RCM Operations is responsible for developing extraordinary rapport with Shearwater Health clients, understanding client needs, guiding go-live processes in concert with CPO leadership in the Philippines with training support when within the area of expertise, mapping of agreed client functions appropriate for Shearwater Health CPO, account revenue growth, and customer satisfaction and retention of assigned Shearwater Health client base.

Required Qualifications: Bachelor’s Degree and ten years experience in RCM operations is required.

Preferred Qualifications: RHIA, RHIT certification a plus, but not required. A Master’s degree is preferred.

Responsibilities:

• Assist as subject matter expert in Provider RCM and related sales/development processes for Shearwater Health Provider services and analytics offerings such as ICD Coding, CDI, Denials and Appeals, Pre-Service Verification, etc.
• For new clients, serve as point on implementation planning, preparation of staff in the Philippines, and ongoing and appropriate communication with client in the United States.
• During go-live and production, manage US based Account Managers and Operational teams in the Philippines within the Shearwater Health matrix management model (includes local Philippines leadership) to reach financial goals and productivity requirements.
• Ensure Shearwater Health compliance with client service level agreements (SLAs) such as productivity and quality and develop and manage a quality assurance and other process to ensure SLAs are met to client expectations.
• Maintain compliance with laws and with confidentiality of client workflows, trade secrets, client information including PHI, Shearwater Health internal processes and systems, client names, competitive secrets, etc. during employment and for twelve months thereafter.
• At other times, serve as a voice of the customer demand and assist Shearwater Health in creation of new service offerings to bring to the market.
• Represents Shearwater Health before and after MSA/SOW completion to help clients identify opportunities to realize improvements via utilization of Shearwater Health’s CPO services.
• Navigates client environment with discretion, grace, and political and interpersonal sensitivity to ensure client and Shearwater Health goals are defined, documented, and achieved.
• Maintains a balanced position when confronted with client concerns; demonstrates sensitivity towards customer issues, while ensuring that Shearwater Health’s policies, profitability, and marketplace reputation are protected.
• Serves as an expert listener and communicator with the designated client leadership and with Shearwater Health leadership about potential and developing client opportunities.
• Ensures the delivery of excellent service by assisting with new client implementation, researching to resolve issues and problems; creating and delivering reports as needed for the client.
• Collaborate with Operations and Clinical Leadership in the United States and in the Philippines to ensure client directives are clearly defined.
• Where not assigned to clients on site, performs regular customer contact including calls and routine business reviews with all assigned clients.
• Assists management with issues requiring client contact such as obtaining additional clinical information and operational/workflow requests and anticipates Shearwater Health needs where client is able to provide such information.
• Properly documents customer issues and resolutions using Shearwater Health’s CRM, notifies Sales/Management personnel regarding resolution of customer issues and any obstacles to meeting client expectations.
• Prepare standardized client and department reports and other reports as requested by Management.
• Gathers client volume and performance data, relative to service level agreements and invoicing requirements; participates in analyzing client trends as needed to improve productivity and quality.
• Provides the highest level of customer service to internal and external customers, including current or prospective clients of the Company, vendors, staff, business partners, or visitors.
• Manages confidential client, financial and employee information with discretion and good judgment in accordance with department and Organization guidelines.
• Demonstrates a strong, dependable work ethic.
• Partners with CFO to develop annual budget for Provider RCM vertical and participates in variance analysis throughout the year.

Job Type: Full-time

Pay: $67,307.00 – $219,724.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Supplemental Pay:

• Bonus pay

Education:

• Master’s (Preferred)

Work Location:

• One location

Work Remotely:

• Yes

Work Location: One location