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Revenue Accounting Manager - Envision Healthcare in Belle Meade, TN at Vaco

Date Posted: 2/1/2019

Job Snapshot

  • Employee Type:
  • Job Type:
  • Experience:
    3 to 5 years
  • Date Posted:
  • Job ID:

Job Description

About Envision Healthcare:

Envision Healthcare Corporation is a leading provider of physician-led services and post-acute care, and ambulatory surgery services. We deliver physician services, primarily in the areas of emergency department and hospitalist services, anesthesiology services, radiology/tele-radiology services, and children's services to more than 1,800 clinical departments in healthcare facilities in 45 states and the District of Columbia. Post-acute care is delivered through an array of clinical professionals and integrated technologies which, when combined, contribute to efficient and effective population health management strategies. The Company owns and operates 261 surgery centers and one surgical hospital in 35 states and the District of Columbia, with medical specialties ranging from gastroenterology to ophthalmology and orthopedics. In total, the Company offers a differentiated suite of clinical solutions on a national scale, creating value for health systems, payors, providers and patients. Envision Physician Services employs professionals who are experts in the business of healthcare, from Lean performance improvement, to revenue cycle management, to healthcare operations. We know a good patient experience doesn't always start or end with the physicians, nurses or medical staff. Our corporate employees are often important parts of the care experience, too. At Envision Physician Services, we believe that when we each push ourselves to go beyond what's expected, the team is stronger and the patient benefits. For additional information, visit

About Vaco:

Envision Healthcare has partnered with Vaco, a consulting and direct hire firm founded in Nashville, to find the right accounting talent for our relocation efforts from Florida to Nashville. As the exclusive talent acquisition partner for Envision Physician Services relocation, Vaco is uniquely poised to find the best people to serve in these new roles.

Position Summary

The Manager, Revenue Accounting is responsible for recording and analyzing the Company's revenues from In-House Billing Systems, related accounts receivable and valuation allowance. This position supervises accountants and sr. accountants.

Essential Duties and Responsibilities:

  • Manage, coach and supervise the In-House Billing revenue accounting group
  • Build and maintain good working relationship with in-house billing and payment contacts in Revenue Cycle department
  • Responsible for review and management of revenue process, accounts receivable, and A/R valuation.
  • Support management in streamlining the month-end close process through process improvements and automation
  • Responsible for monthly, quarterly, and yearly balance sheet and income statement analysis using various tools available: Oracle, Hyperion and Analysis Services
  • Monthly review and posting of complex journal entries
  • Monthly review of balance sheet reconciliations
  • Assist Director in the research and implementation of systems, accounting policies and procedures
  • Review of monthly internal financial statements and preparation of complementary analytics package
  • Documentation of supporting schedules and analysis for quarterly and year-end deliverables related to Audit, footnotes, and reporting requirements to parent company
  • Preparation of ad-hoc reports as required for account variances and analysis
  • Assist in the creation (or updating) of the Company's accounting policies and procedures
  • Support management during internal and external audit reviews
  • Support Director in Special Projects
  • Ensure adherence to the Company's Sarbanes Oxley controls and accounting policies & procedures
  • Other duties as assigned
  • Reads and abides by the company's code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs
  • Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company
  • Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Possesses a strong understanding of GAAP and the ability to apply the concepts to specific situations
  • Uses creativity to obtain needed information in a timely manner
  • Recommends process improvements and automation
  • Exhibits excellent speaking and writing skills
  • Uses creative approach to challenges and is solutions-oriented
  • Possesses strong analytical and organizational skills
  • Must be able to handle multiple projects, changing priorities and a demanding, time-sensitive work load
  • Exceptional analytical and organizational skills. Able to analyze, evaluate and move quickly to support rapid decision making.


  • Bachelor's Degree from four-year college or university and 5 or more years of related experience; or equivalent combination of education and experience

Computer Skills:

To perform this job successfully, an individual should have knowledge of:

  • Microsoft Office Suite
  • Experienced with SOX- based control requirements is a plus.
  • Possess proficient knowledge of Microsoft Excel, Hyperion Essbase and/or Analysis Services cubes is a plus.
  • Previous experience with system implementation is a plus
  • Previous experience with Oracle, Hyperion Interactive Reporting/Smart View is a plus.

Supervisory Responsibilities:

  • Trains, coaches, and mentors team
  • Responsible for managing exempt and/or non-exempt employees
  • Plans and conducts performance appraisals and talent assessments of staff, recommends merits, bonuses and promotions and administers corrective actions when necessary

HIPAA Access Level:

[X] Low Level - No Access to Patient Information

[] Med Level - View Only Access to Patient Information

[] High Level - View/Edit to Patient Information (Generally limited to Providers or care givers)

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is frequently required to talk or hear. The employee is occasionally required to stand; walk and reach with hands and arms.

The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.


To perform the job successfully, an individual should demonstrate the following competencies:

1. Driving Results:

Accountability - Holds team and self, responsible for maintaining the highest possible performance standards and meeting agreed upon commitments even under difficult circumstances; demonstrates passion for excellence in every aspect of work; sets ambitious goals; holds self and others accountable for meeting standards and goals; takes responsibility for outcomes of actions and decisions; achieves results even in the face of challenges and setbacks

Constructive Thinking / Decision Making - Analyzes problems systematically and logically, and is resourceful when developing and implementing solutions; analyzes all relevant issues and available data before acting, keeping overall goals in mind; generates creative ideas and solutions problems; able to think out-of-the-box; detects patterns and connections not immediately obvious to others; breaks down complex problems into discrete components; Makes good decisions (without considering how much time it takes) based upon a mixture of analysis, wisdom, experience, and judgment; most of his/her solutions and suggestions turn out to be correct and accurate when judged over time; sought out by others for advice and solutions.

2. Intellectual Capacity

Business Acumen - Understands business implications of decisions. Conducts cost-benefit analyses. Displays orientation to profitability. Demonstrates knowledge of market and competition. Aligns work with strategic goals.

Functional/Technical Skills - Has functional and technical knowledge and skills to do the job at a high level of accomplishment; demonstrates an avid interest in continuously enhancing current skills and learning new ones; applies functional or technical knowledge to process innovation and complex problem solving

3. Interpersonal

Building & Strengthening Relationships - Builds and maintains long-term relationships with others based on mutual respect and trust. Fosters cooperation and collaborative decision making among staff with diverse backgrounds and interests. Works effectively towards solutions and compromises that take the needs of all parties into account when conflicts arise; facilitates open communication among people who depend on each other to get work done; surfaces and diffuses potential sources of conflict before they escalate; demonstrates respect for others through both word and deed; negotiates solutions to conflict fairly and diplomatically.

Communicating Effectively - Articulates logical and well-founded arguments that support conclusions; matches communication style to the message and audience; Actively solicits opinions from others. Routinely provides others with the information they need to do their jobs; expresses ideas clearly, succinctly and logically; responds constructively to issues and concerns raised by others; informs others about pertinent issues in a timely manner; seeks input from others when developing solutions to complex problems.

Conflict Management - Steps up to conflicts, seeing them as opportunities; reads situations quickly; good at focused listening; can hammer out tough agreements and settle disputes equitably; can find common ground and get cooperation with minimum noise.

4. Leading Change

Service Orientation & Customer Focus - Sets and maintains high standards for service internal and external customers and other departments; incorporates needs and concerns of diverse constituencies into decision-making; assesses and often anticipates customer's needs; holds self and others accountable for meeting or exceeding customer needs and expectations; takes customer needs and interests into account when making decisions; seizes opportunities for improving customer satisfaction.

5. Leading People

Ethics, Values, Integrity & Trust - Adheres to an appropriate (for the setting) and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he/she preaches; is widely trusted; is seen as a direct, truthful individual; can present the unvarnished truth in an appropriate and helpful manner; keeps confidences; admits mistakes; doesn't misrepresent him/herself for personal gain

Leading and Developing Others - Attracts and selects strong people; provides motivating guidance, coaching and constructive feedback; conveys passion appropriately, inspiring commitment; engages and develops the people who can meet the Company's needs by providing them with meaningful opportunities; models the behavior being asked of others.

Job Requirements

Heatlthcare Revenue Accounting Experience