RCM Leader: Oncology Financial Counseling & Access

Cardinal Health; Fresno (CA); On-site; USD 98,000 - 126,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

401k savings plan

Paid time off

Health savings account (HSA)

Payday advances via myFlexPay

Job summary

Cardinal Health is seeking a Senior Manager for Revenue Cycle Enhancement within its oncology-focused operations. You will lead a team of financial counselors, embed counseling into clinical workflows, and partner with care teams to accelerate access and treatment starts.

Qualifications include a healthcare administration background, 5+ years in healthcare revenue cycle or financial counseling, and 3+ years in leadership.

Qualifications

• Bachelor’s degree in healthcare administration, business, finance, or related field (or equivalent experience).
• 5+ years of progressive experience in healthcare revenue cycle or financial counseling, preferably in oncology.
• 3+ years of people management or team leadership experience.
• Strong knowledge of insurance plans, oncology benefits, prior authorizations, and patient financial responsibility.
• Experience working with clinical teams in fast-paced care environments.
• Experience in a large MSO, multi-site oncology practice, or complex specialty setting.
• Familiarity with EHR and RCM systems (Epic, Aria/Mosaiq, OncoEMR, or similar).
• Deep understanding of oncology drug reimbursement models (buy-and-bill, etc.).
• Knowledge of ASP, WAC, AWP, and drug pricing methodologies and their impact on charge capture.
• Familiarity with Medicare Part B vs Part D, commercial payer variations, and site-of-care reimbursement differences.

Responsibilities

• Lead a team of financial counselors providing real-time support to patients, physicians, nurses, and care coordinators throughout the oncology care continuum
• Serve as escalation point for complex or urgent patient financial issues that could delay or disrupt care
• Ensure financial counseling services are embedded into clinical workflows to support same-day decisions and treatment starts
• Promote a patient-centered approach that balances financial clarity, empathy, and access to care
• Oversee front-end revenue cycle functions, including insurance verification, benefits interpretation, prior authorization support, and patient cost estimation
• Ensure timely identification and resolution of coverage issues prior to treatment initiation
• Collaborate with downstream RCM teams (coding, billing, collections, denial management) to ensure continuity and accuracy across the revenue cycle
• Monitor KPIs related to access, counseling timeliness, authorization turnaround, point-of-service collections, and financial clearance rates
• Manage processes for screening and enrolling patients into financial assistance programs, including manufacturer assistance, charity care, grants, and foundation support
• Maintain expertise in oncology-specific reimbursement, benefit designs, and emerging payer policies
• Ensure compliant and consistent application of financial assistance guidelines and documentation
• Recruit, train, mentor, and evaluate financial counseling staff across multiple sites or service lines
• Establish standard operating procedures and best practices for immediate patient and provider support
• Foster strong communication, accountability, and service excellence within the team
• Act as a trusted operational partner to physicians, APPs, nursing leaders, and practice administrators
• Translate financial and coverage information into clear, actionable guidance for care teams
• Participate in clinic leadership meetings and cross-functional initiatives focused on access, growth, and patient experience
• Ensure all financial counseling activities comply with regulatory, payer, and organizational requirements
• Support internal and external audits related to financial clearance, authorizations, and assistance programs
• Continuously improve processes to reduce administrative burden on clinical teams and patients

Skills

Healthcare leadership

People management

Financial counseling

Oncology knowledge

EHR/RCM systems knowledge

Education

Bachelor’s degree in healthcare administration

Tools

Epic

Aria/Mosaiq

OncoEMR

Job description

Cardinal Health is seeking a Senior Manager for Revenue Cycle Enhancement within its oncology-focused operations. You will lead a team of financial counselors, embed counseling into clinical workflows, and partner with care teams to accelerate access and treatment starts.

Qualifications include a healthcare administration background, 5+ years in healthcare revenue cycle or financial counseling, and 3+ years in leadership.