Emerus is the nation's first and largest operator of micro-hospitals. Emerus partners with leading health systems to provide excellence, empathy and innovation in health care delivery through a network of efficient, value-based micro-hospitals. The Emerus network brings high-quality, patient-centric acute episodic and ambulatory clinical services to communities across a given market. This helps patients by positioning best-in-class provider services in the communities where they work, live and play. Emerus' distinctive level of care earned the Guardian of Excellence Award for Superior Patient Experience in 2013, 2014, 2015 and 2016. More information is available at www.emerus.com.
Emerus is on a tremendous growth path. Emerus’ footprint will grow from 16 micro-hospitals in two states at the start of 2017 to over 30 facilities across 7 states and 10+ markets in the next two years. In addition to supporting this growth, Emerus seeks to build a world-class revenue capture engine that maximizes collections and is responsive to changing healthcare industry dynamics such as higher patient deductibles and care liability, payer utilization management and modernization of traditional Revenue Cycle Management (RCM) operations. This position will partner with the head of the central billing office and will report directly to the Chief Financial Officer.
The VP, Revenue Integrity will be responsible for maximizing cash, revenue capture and integration of the business. This includes establishing a baseline for every dollar Emerus clinical services should generate and ensuring maximum realization (i.e., minimum leakage) and speed of collections. In addition to working with the leader of the Central Billing Office, this responsibility will include management and influence over other revenue drivers such as: contract yield estimation, appropriate clinical documentation and charge capture, payer denials/under-payment management, point of service collections at Emerus micro-hospital (in partnership with operations chain of command), and influence of payer contact negotiations. S/he will provide strategic leadership across departments to realize the objectives and will have responsibility for development, implementation and management of an end-to-end revenue maximization strategy with the following goals:
The VP, Revenue Capture will be a talented healthcare executive with at least 10 years of progressive experience in healthcare revenue cycle and operations activities, with exposure to payer contracting and patient collections dynamics. Experience in a complex healthcare environment is essential and experience working across state lines with different partners is preferred. S/he must demonstrate a comprehensive understanding of the entire physician and hospital revenue cycle, from contracting and pre-encounter steps through cash collections and AR management. S/he will have a proven track record and demonstrate an understanding of current trends and innovations being brought to healthcare revenue realization. S/he will be a creative and strategic leader who can drive change through influence with other upstream areas of the business.
Other desired experiences include: