Remote Oncology Revenue Cycle Lead: Pre-Cert & Front Office

US Oncology Inc.; Teaneck Township (NJ); Remote; USD 82,000 - 85,000; Full time

Benefits offered by this job

Health, dental, and vision plans

Wellness program

Health savings account

401(k) retirement plan

Life insurance

Short-term disability insurance

Long-term disability insurance

Employee Assistance Program (EAP)

Paid Time Off and holidays

Tuition discounts

Job summary

US Oncology Inc. seeks an experienced Revenue Cycle Manager/Pre-Certification to oversee front-end revenue cycle operations across multiple practice sites in a remote-capable role based in Teaneck, NJ.

The position ensures compliant, accurate eligibility verification and pre-authorization processes to support optimal financial performance and patient experience. The role requires seven years of medical office experience with strong CPT/ICD-9/HCPCS knowledge and proficiency in Microsoft Office;

Qualifications

• Minimum seven years of medical business office experience.
• Two years experience managing, delegating, and following up on work priorities of others.
• Strong knowledge of medical insurance billing and collections with CPT, ICD9, and HCPC coding.
• Proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint).
• Oncology experience preferred.

Responsibilities

• Oversee the Eligibility and Pre-authorization teams for Oncology treatments and oral pharmacy services, ensuring all patient eligibility is verified accurately and promptly.
• Function as a liaison between Central Business Office, physicians, and practice sites to resolve accounts receivable issues and questions.
• Develop and maintain relationships with insurance providers to facilitate efficient eligibility verification processes and pre-authorization submissions.
• Collaborate with healthcare providers to gather necessary documentation required for pre-authorization and ensure timely approval of oncology treatments and oral pharmacy prescriptions.
• Implement and oversee technology solutions to streamline eligibility checks, pre-authorization processes, and reduce manual errors.
• Monitor and report on pre-authorization approval rates and turnaround times, identifying areas for improvement.
• Coordinate with the billing department to ensure that pre-authorized treatments are billed correctly and in a timely manner.
• Conduct regular audits to ensure adherence to internal policies and external regulations, staying informed about changes in healthcare regulations related to oncology and pharmacy services.
• Assist in the development and implementation of training programs for corporate and practice employees, including training on eligibility and pre-authorization procedures, to improve A/R and billing functions.
• Maintain a working knowledge of applicable laws and regulations as they relate to assigned responsibilities and communicate regulatory and industry standards to employees.
• Conduct audits to ensure compliance and monitor productivity in the A/R, eligibility, and pre-authorization functions.
• May coordinate facilities and office management functions including payroll submission.
• Supervise, through multiple subordinate supervisors, teams of employees involved in the Pre-authorization and eligibility of Accounts Receivable for the Central Business Office.
• Provide on-going front-office process review and implement process revisions as needed.
• Coordinate and or provide training for new front office staff, and retraining as needed.
• Super User of Practice Management System and interfaced systems.
• Ensures roll-out of System updates to front-office team.
• Chairs Revenue Cycle Front Office task teams. Co-chairs C2C

Skills

Microsoft Office proficiency

Oncology experience

Medical billing/collections knowledge

CPT/ICD9/HCPCS coding knowledge

Education

High school diploma or equivalent

Bachelor’s degree preferred

Job description

US Oncology Inc. seeks an experienced Revenue Cycle Manager/Pre-Certification to oversee front-end revenue cycle operations across multiple practice sites in a remote-capable role based in Teaneck, NJ.

The position ensures compliant, accurate eligibility verification and pre-authorization processes to support optimal financial performance and patient experience. The role requires seven years of medical office experience with strong CPT/ICD-9/HCPCS knowledge and proficiency in Microsoft Office;