Chief Revenue Office

Job Title: Chief Revenue Officer (CRO)
Department: Finance
Reports to: Chief Executive Officer
Organization: United Health Centers (FQHC)
Location: Winston Salem, NC
FLSA: Exempt
About United Health Centers:
United Health Centers is a Federally Qualified Health Center committed to providing comprehensive, high-quality healthcare services to underserved communities. We strive to enhance the well-being of our patients through accessible, culturally sensitive care.
Position Summary:
The Chief Revenue Officer (CRO) will play a pivotal role in optimizing revenue generation and enhancing financial performance across the organization. Reporting directly to the CEO, the CRO will oversee revenue cycle management, provider credentialing, and the identification of new and increased revenue opportunities. This role requires close collaboration with the CFO, COO, Chief Medical Officer, and other executive leaders to implement policies and procedures that drive financial growth. Additionally, the Chief Revenue officer’s (CRO) role is to ensure sustained growth and financial success for a company. This dynamic position demands strong leadership, strategic thinking abilities, and a deep understanding of sales, marketing, and business strategies.
CROs are not just focused on short-term gains but on establishing sustainable revenue streams and relationships with clients for long-term success. Despite the challenges that CROs face, they can leverage these hurdles as opportunities for innovation and growth.
Key Responsibilities:
1. Revenue Cycle Management:
– Oversee all aspects of the revenue cycle, from patient registration to final payment.
– Implement best practices in billing, coding, collections, and reimbursement.
– Ensure compliance with federal, state, and local regulations.
– Analyze revenue cycle processes to identify and rectify inefficiencies.
– Utilize revenue cycle management software to track performance and improve outcomes.
2. Provider Credentialing:
– Manage the credentialing process for all healthcare providers.
– Ensure timely enrollment with all relevant payers and insurance networks.
– Maintain up-to-date records of provider certifications and licenses.
– Collaborate with the medical staff to streamline credentialing workflows.
3. Identify New Revenue Opportunities:
– Conduct market analyses to discover new services or programs that can generate revenue.
– Explore partnerships, grants, and funding opportunities aligned with the organization’s mission.
– Develop business plans for new initiatives, including projected ROI.
4. Enhance Existing Revenue Streams:
– Evaluate current services to identify opportunities for increased revenue.
– Implement strategies to improve patient volume and service utilization.
– Optimize payer mix and negotiate favorable contracts with insurers.
5. Policy and Procedure Implementation:
– Lead the development and execution of policies that enhance revenue generation.
– Collaborate with executive leadership to align policies with organizational goals.
– Ensure staff training and compliance with new procedures.
6. Collaboration with Executive Leadership:
– Work closely with the CFO, COO, Chief Medical Officer, and CEO.
– Participate in strategic planning sessions.
– Provide insights and recommendations on financial matters affecting revenue.
7. Key Performance Indicators (KPIs) Tracking and Reporting:
– Establish KPIs related to revenue performance (e.g., days in A/R, denial rates).
– Develop dashboards and regular reports for executive review.
– Use data analytics to drive decision-making and process improvements.
Qualifications:
– Education: Bachelor’s degree in Business Administration, Finance, Healthcare Administration, or related field; Master’s degree preferred.
– Experience: Minimum of 7-10 years in revenue cycle management within a healthcare setting, preferably in an FQHC.
– Leadership: Proven experience in a senior leadership role with a track record of improving revenue performance.
– Knowledge:
– In-depth understanding of healthcare billing, coding, and reimbursement.
– Familiarity with provider credentialing processes.
– Comprehensive knowledge of healthcare regulations, including HIPAA, Medicare, and Medicaid.
Skills and Abilities:
– Strategic Thinking: Ability to develop and implement effective revenue strategies.
– Analytical Skills: Proficient in data analysis and interpretation.
– Communication: Excellent verbal and written communication skills.
– Collaboration: Strong interpersonal skills with the ability to work across departments.
– Technology Proficiency: Experience with revenue cycle management systems and EHRs.
– Problem-Solving: Aptitude for identifying issues and developing effective solutions.