Revenue Cycle Manager

US Oncology Inc.; Richardson (TX); On-site; USD 95,000 - 130,000; Full time

Job summary

US Oncology Network is seeking a Revenue Cycle Manager to support the Texas Oncology team. Travel of 25–50% is required; typical week runs Monday–Friday, 8:00am–5:00pm.

The role leads the revenue cycle liaison department, directs daily operations, and drives KPI performance through strong leadership and process improvements. Oncology billing experience is essential.

Qualifications

• Degree in Finance, Business or equivalent or 7+ years revenue cycle experience.
• Master’s degree preferred.
• Strong knowledge of medical insurance billing, CPT/HCPCS, ICD-10, coding and medical terminology; understanding of managed care products.
• Knowledge of multiple PMS platforms and oncology billing preferred.
• Advanced skills in Microsoft Office (Word, Excel, PowerPoint, Outlook).

Responsibilities

• Direct daily operation of the revenue cycle liaison department to ensure client satisfaction.
• Ensure daily, weekly, and monthly liaison functions are performed.
• Monitor and interpret revenue cycle issues; implement recommendations for KPI performance.
• Oversee site of service communications and issue resolution.
• Act as liaison between reports and department leaders.
• Recruit, hire, and supervise staff; set performance goals and evaluate performance.
• Identify process gaps and develop tools or projects to improve efficiencies.
• Perform post-project reviews and implement corrective actions.
• Maintain knowledge of payor policies, laws, and HIPAA compliance.
• Adhere to confidentiality and compliance guidelines; support company values.

Skills

Revenue cycle management

Leadership

Project management

Microsoft Office

Healthcare billing

Education

Finance/Business degree

7+ years revenue cycle experience

Master’s degree preferred

Tools

PMS platforms

Billing software

Job description

Overview

The US Oncology Network is looking for a Revenue Cycle Manager to join our Texas Oncology team!This position will support the Revenue Cycle Department and will require 25-50% travel. Typical work week is Monday through Friday, 8:00a - 5:00p.

Texas Oncology

Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

Why work for us?

Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers.

Join a Team That Invests in Your Future

At Texas Oncology, we recognize the long-term impact of our people and are committed to rewarding performance and potential. That’s why select roles may be eligible to participate in our Long-Term Incentive Plan (LTIP): an incentive program designed to attract, retain, and reward top talent.

What is the Long-Term Incentive Plan (LTIP)?

Long-Term Incentive Plan (LTIP): is an incentive program that typically vests over a three-year period and is tied to both individual performance and the operational success of Texas Oncology. Awards are discretionary and based on your position, performance, and potential for future career growth at Texas Oncology. Awards are reviewed and approved during the annual compensation review. LTIP awards are subject to your continued employment through the award payment date, and are governed by the written terms and conditions of the LTIP document.

What does the Revenue Cycle Manager do? (including but not limited to)

Manages individual contributors responsible for nurturing and maintaining relationships with assigned sites of service to achieve practice goals. Aids in escalated issue resolution, revenue cycle management strategic planning, and site of service communications. Supports all activities associated with the direction, coordination, implementation, execution, control and completion of projects that relate to critical business goals while ensuring consistency with company strategy, commitments and goals. Accountable for people-management activities and responsible for establishing goals and objectives for the department. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology’s Shared Values.

The essential duties and responsibilities (including but not limited to):

• Directs the daily operation of the revenue cycle liaison department to ensure client satisfaction.
• Ensures that daily, weekly, and monthly liaison functions are performed.
• Demonstrates thorough understanding of and oversees all aspects of liaison functions, to include monitoring and interpreting revenue cycle issues and implementing recommendations that ensure optimum revenue cycle KPI performance.
• Monitors responses and communications to site of service-initiated concerns ensuring professional and timely follow up.
• Acts as liaison between direct reports and RBO RCM department leaders.
• Recruits, hires and supervises staff in addition to developing and attaining performance goals and objectives. Evaluates performance and recommends merit increases, promotions, and disciplinary actions.
• Proactively identifies process and procedure gaps and develops tools/plans projects to improve efficiencies.
• Performs periodic post-project reviews of all improvement initiatives. Identifies process breakdowns; develops and implements corrective actions.
• Maintains working knowledge of payor policies and applicable laws and regulations as they relate to revenue cycle management.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient’s records and collections.
• Other duties as requested or assigned.

The ideal candidate for the position will have the following background and experience:

• Position requires degree in Finance, Business or equivalent or 7+ years revenue cycle experience.
• Master’s degree preferred
• Must have a strong knowledge of medical insurance billing and collections with CPT/HCPCS, ICD-10, coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc.).
• Knowledge of multiple PMS platforms and oncology billing preferred.
• Advanced skills in Microsoft Office Products (Word, Excel, PowerPoint and Outlook).

COMPETENCIES:

Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; accesses and uses other expert resources when appropriate.

Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility.

Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.

Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.

Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.

PHYSICAL DEMANDS:

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 required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

WORK ENVIRONMENT:

The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.