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Vice President, Revenue Recovery (REMOTE)

43 minutes ago
United States
Full-time
Executive
Operations Manager
Operations
HIPAA
Apply Now
EnableComp

EnableComp

EnableComp specializes in complex claims and specialty revenue cycle management solutions for healthcare providers, focusing on optimizing reimbursements for various claims types, including VA, Workers' Compensation, and Motor Vehicle Accidents, throug...

Insurance
251-1K
Founded 2000
View All Jobs 12

Description

  • Lead Revenue Recovery products and dedicated service teams across DRG, DRGV, medical necessity denials, and ED downgrades.
  • Define departmental goals, financial targets, KPIs, quality standards, and productivity benchmarks.
  • Set strategic direction, daily priorities, staffing plans, and resource allocation across multiple teams.
  • Oversee hiring, training, performance reviews, workload distribution, coaching, and leadership development.
  • Monitor revenue, billing, DRG review, productivity, and quality metrics; report variances and implement corrective action plans.
  • Develop and communicate process changes, SOP enhancements, training materials, and operational best practices.
  • Coordinate organizational resources and strategic partnerships to address client action plans and projects.
  • Manage senior client relationships, provide performance updates, and resolve escalated concerns.
  • Maintain compliance with HIPAA, coding guidelines, and related regulatory requirements.
  • Analyze operational systems and processes to identify continuous improvement opportunities.

Requirements

  • Bachelor’s degree in health information management, nursing, healthcare administration, business, or a related field; master’s degree preferred.
  • 7–10 years of progressive healthcare reimbursement leadership experience, including 5+ years in clinical denials or inpatient claims.
  • Active CCS, RHIT, or RHIA certification strongly preferred.
  • Strong knowledge of inpatient coding, DRG reimbursement, medical record auditing, and payer guidelines.
  • Experience in hospital revenue cycle environments and with large-scale data or reporting tools.
  • Experience supporting internal teams in a client-facing or client-support capacity.
  • Ability to operate effectively at strategic and operational levels and deliver quantifiable results.
  • Strong written, verbal, interpersonal, organizational, and multi-project management skills.
  • Experience working with healthcare, payer, or provider data sets and production deadlines.
  • Ability to communicate challenges to management and develop action plans; travel requirement is 0–10%.

Benefits

  • Professional growth and development support, including tools, resources, training, and ongoing education.
  • Flexible, family-oriented culture that supports work-life balance.
  • Equal opportunity workplace committed to a discrimination- and harassment-free environment.
  • Opportunity to work for a multi-year Top Workplaces honoree and recognized specialty revenue cycle provider.

Interested in this position?

Apply directly on the company website

Apply Now

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