Vice President, Revenue Cycle

OverviewTrueCare is a trusted healthcare provider serving San Diego and Riverside Counties, offering compassionate and comprehensive care to underserved communities. We are committed to making healthcare accessible to everyone, regardless of income or insurance status. With a focus on culturally sensitive, affordable services, TrueCare aims to improve the health of diverse communities. Our vision is to be the premier healthcare provider in the region, delivering exceptional patient experiences through innovative, integrated care.Reporting to the Chief Financial Officer, the Vice President, Revenue Cycle will serve as a strong leader and strategic thought partner to our CFO. This role is a member of the senior leadership team, managing the entire revenue cycle for TrueCare’s multi-site community health system. This position will serve as the critical link between billing and finance to ensure our revenue cycle strategy and operations are working in sync to maximize the financial health of our organization. In addition to the CFO, the VP will also serve as a close advisor to the CEO and the rest of our leadership team in all matters related to the revenue cycle. As such, they must be highly skilled at communicating in all directions to include C-level leaders, Board Members, other VPs, and team members.ResponsibilitiesFinance Leadership (65%)Apply highly developed revenue cycle management expertise, including experience working with all provider types, across the continuum of careLead change management initiatives including continuous process and quality improvementDevelop a long-range plan for maximizing cash flow from patient services and minimizing cash carried in receivables or lost through contracting processesAssist in building a culture of growth and fiscal responsibility across the organization, demonstrating how each employee can support TrueCare’s financial healthServe as liaison to the Board of Directors and its committees in all revenue-related areasPromote a culture of continuous improvement and accountability, ensuring the highest level of internal and external customer serviceWork diligently to ensure a high level of connectivity and communication across the Finance and Billing teamsEnsure the highest quality standards, including compliance with HIPAA, as well as Federal, State and third-party regulationsDevelop best practice revenue cycle benchmarks for Federally Qualified Health Center (FQHC) organizations and track TrueCare’s performance against those benchmarksProvide insight and guidance to the Chief Financial Officer and CEO to assist in strategic financial planning for the organizationProvide coaching and mentoring for team members, including professional development and succession planningOversee training for policies and procedures for all functions related to the revenue cycleEnsure staff provide the highest level of customer service, both internally and externallyResponsible for management and system setup of Payor ContractsReview Payor Contracts to ensure we are maximizing revenue through automated system set up and billingManagement & Operations (35%)Assure compliance with GAAP and maintain fiscal internal control proceduresUtilize proven E-HR system experience (EPIC preferred)Prepare government reports ensuring timely filings as requiredAssist in general audits as required by TrueCare’s various funding sourcesAnalyze data from multiple sources, including patient accounting data, claims data, and clinical data from electronic medical records to identify potential revenue cycle and operational improvementsPrepare and assist with external reporting requirements including, but not limited to, Medicare cost reports, Medi-Cal reconciliation submissions, and others as neededReview and update sliding fees and fee schedules on a regular basis as well as explanation of benefit forms received through the reimbursement processManage ad-hoc reporting and analysis and investigate issues providing explanations and interpretationsProvide accurate detailed audit documentation for internal and external audits; ensure processes are compliant with billing policies and proceduresPartner with the executive team and other departments to improve billing workflowDocument procedures as neededConduct a top-to-bottom review and analysis of our current revenue cycle strategy and operations; recommend changes and upgrades as neededAssist the department in getting up-to-speed with the new OCHIN EPIC system, particularly with regards to reporting functionsAssess the department’s current structure to ensure optimal staffing levels; provide ongoing coaching and mentoring help each individual reach their full potentialPerform other related duties as assignedQualificationsRequired QualificationsBA in business with emphasis in accounting, business administration or public administrationMinimum 10 -15 years’ experience in accounting, billing, and financial reporting functions, preferably in a non-profit health care environmentAt least five (5) years of management/leadership experienceExperience working with/within Federally Qualified Health CentersExperience with negotiations and managing payor contractsKnowledge of State of California rate setting, Medicare & Medi-Cal cost reportingDesired QualificationsMBA, CPA, or CMA preferredCompensation & BenefitsThe pay range for this role is $175,561 to $280,898 on an annual basis.TrueCare is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any characteristic protected by applicable federal, state, or local law. Our goal is to support all team members recruited or employed here.Pay transparency: If you are hired at TrueCare, your salary will be determined based on factors such as education, knowledge, skills, and experience. In addition to those factors, we believe in the importance of pay equity and consider the internal equity of our current team members when determining an offer.Powered by JazzHR #J-18808-Ljbffr

Created: 2025-09-26