VP, Billing Operations

Description

ABOUT US

IVX Health is committed is to providing world-class service and clinical excellence for all those we serve, ensuring our patients can continue to live their best lives. Growing our national footprint from nine to over ninety infusion centers in the past four years, IVX Health continues to achieve record growth as we pursue becoming the nation's preferred destination for pharmaceutical care of complex chronic conditions. We operate over 95 ambulatory infusion centers across the U.S. (up from 9 six years ago) and are executing an aggressive de novo and M&A expansion strategy to build the leading IV therapy brand in the nation. IVX Health is backed by leading healthcare investors Great Hill Partners and Linden Capital Partners.

IVX Health is a national provider of infusion and injection therapy for those with Rheumatoid Arthritis, Crohn's Disease, Multiple Sclerosis and other complex chronic conditions. IVX offers a different, better approach to caring for our patients and believes it is vital to take the same approach with our employees. We strive to empower our team to succeed while embodying our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride.

ABOUT THE ROLE

The Vice President of Billing is responsible for ensuring that all revenue is billed and collected for all patient visits for treatment of their chronic conditions. This is achieved by overseeing the entire billing function to include charge entry, insurance and patient collections, financial counseling and payment posting. Close collaboration with the Prior Authorization, Contracting and Credentialing teams is imperative for the success of this role.

The success of the Billing Team is gauged by several key metrics:

1. Taking appropriate post-visit steps to ensure IVX collects in full on services performed
2. Maximizing the timely collection of insurance payments to reduce and prevent bad debt
3. Maintaining internal and external satisfaction through efficient workflows and thoughtful communication
4. Ensuring scalability of team and platform through thoughtful use of technology and process optimization
5. Collaborating with other stakeholders, notably operations and clinical, to ensure an organized approach to serving IVX’s patients and providers

This role reports to the Senior Vice President of Revenue Cycle and the current team have approximately 45 team members (largely remote). The team is currently responsible for ~$1 billion in annual collections, growing at a rate greater than 30% per year.

RESPONSIBILITIES

• Ensure entire revenue cycle is thoughtfully designed and executed to maximize appropriate payments, minimize write-offs, deliver timely cash collections, and offer a high-quality patient experience
• Works with direct reports effectively focusing on improving the centralized patient billing experience
• Strong focus on continual improvement, process optimization, and ability to coordinate workflows across cross-departmental teams
• Responsible for utilization of existing and potential technology tools, including automation, to ensure a stable, scalable platform and team
• Develops set of KPIs for understanding, tracking and improving collections results, including understanding and impacting trends and collection issues across payors, drugs, markets and other relevant dimensions
• Articulates clear set of goals for collections improvement and works with billing team and other departments to drive success in these areas
• Develops, collaborates, and maintains productive and positive working relationships with key local, regional, and national teams to effectively prevent and resolve issues with effective communication
• Updates and maintains billing policies and procedures with team to support the continued growth of the company in a compliant fashion.
• Works closely with Product, Operations and Clinical leadership teams to develop a strategic plan for onboarding new markets, new drug therapies and new payor collaborations
• Collaborates closely with the SVP Revenue Cycle to monitor and evaluate staffing and training needs of new and existing employees and assist with department training and curriculum build out
• Mentors the team managers to become strong and confident leaders
• Monitors centralized billing performance; reports, tracks and resolves potential or escalated issues
• Performs market, Health Plan, and legislative research as needed and analyzes data
• Performs other duties as assigned
• Comfortable with managing in a high growth environment

BENEFITS

At IVX Health, we value our team members and strive to provide comprehensive benefits that support their overall wellbeing. At IVX Health, we're committed to supporting our employees in every aspect of their lives. Join us and take advantage of these benefits as part of our dedicated team! Here are some of the benefits we offer:

• Comprehensive Medical, Dental, and Vision Insurance: Our plans include prescription drug coverage and telemedicine services, ensuring you have access to the care you need.
• Flexible Savings Options: Choose from Health Savings Account (HSA) and Health Reimbursement Arrangement (HRA) options to manage healthcare expenses efficiently.
• Supplemental Health Protection Plans: We offer additional options for Accident, Critical Illness, and Hospital Indemnity coverage to provide extra peace of mind.
• Dependent Care Flexible Spending Account: Take advantage of pre-tax dollars to cover eligible dependent care expenses.
• Voluntary Short-Term and Long-Term Disability Coverage: Safeguard your income with voluntary disability coverage options.
• Fertility Healthcare and Family Building Benefits: Through our partnership with Carrot, we offer resources and support for fertility healthcare and family building.
• Life and AD&D Insurance: Protect yourself and your loved ones with life insurance and accidental death and dismemberment coverage.
• Free Counseling Services and Resources: Access counseling services and resources for emotional, physical, and financial wellbeing at no cost to you.
• Education Assistance: We support your professional development through tuition reimbursement and certification support.
• CEU Library: Access our Continuing Education Unit library to stay up-to-date in your field and advance your career.
• Charitable Giving Match and Volunteer PTO Program: Give back to your community with our charitable giving match program and volunteer PTO.
• Employee Referral Bonus Program: Refer talented individuals to join our team and earn a bonus for your contribution.
• 401(k) Plan with Company Match: Save for your future with our 401(k) plan, with a company match to help you reach your retirement goals.

Qualifications

REQUIRED COMPETENCIES AND SKILLS

• Ability to lead and motivate a team of professionals, including managers and staff, to achieve performance goals and maintain high morale
• Excellent verbal and written communication skills to effectively communicate with internal teams, external stakeholders, and senior leadership
• In-depth knowledge of healthcare billing processes, reimbursement methodologies, and regulatory requirements.
• Excellent analytical and problem-solving abilities, with a focus on continuous improvement and operational excellence.
• Ability to thrive in a fast-paced, dynamic environment and adapt to changing priorities and demands.

REQUIRED EDUCATION AND EXPERIENCE

• Bachelor’s Degree in Healthcare Management or related field
• Extensive experience with revenue cycle in a multi-site, multi-state provider based setting
• Prior experience with infusion billing on the medical benefit, either in an ambulatory or oncology setting, preferred
• Proven problem-solving capabilities with data-driven approach to solutions; experience with Six Sigma or Total Quality Management preferred.
• Strong analytic capabilities, including ability to understand and identify trends in large data sets 
• Extensive experience with deployment of technology platforms and automation tools to support business growth and improve collections
• Experience as a “player-coach” who leads by example and can work side-by-side with staff to ensure work is performed in a timely and high-quality fashion

EEO STATEMENT

IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.