Mgr, Revenue Cycle Mgmt (Financial Counseling)

NAVISTA

1d•Remote

About The Position

The Manager, Revenue Cycle Management (RCM), Financial Counseling contributes to Cardinal Health Practice Operations Management, which oversees the business and administrative operations of a medical practice. Financial assistance counselors guide patients through their healthcare financial obligations. The RCM Financial Counseling Manager is responsible for leading and optimizing front-end financial counseling services within a large, multi-site oncology Management Services Organization (MSO). This role is highly patient- and provider-facing, with a primary focus on delivering immediate, high-touch financial support to patients and oncology care teams at the point of care. The Manager ensures timely, accurate, and compassionate financial guidance related to insurance coverage, benefits, prior authorizations, estimates, and financial assistance programs. This role partners closely with clinical teams to remove financial barriers to care, improve patient access, and support informed treatment decisions while driving RCM performance.

Requirements

Bachelor’s degree in healthcare administration, business, finance, or a related field (or equivalent experience) preferred
5+ years of progressive experience in healthcare revenue cycle or financial counseling, preferably in oncology preferred
3+ years of people management or team leadership experience preferred
Strong knowledge of insurance plans, oncology benefits, prior authorizations, and patient financial responsibility
Ability to travel 20% domestically
Demonstrated ability to work directly 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 (e.g., Epic, Aria/Mosaiq, OncoEMR, or similar)
Deep understanding of oncology drug reimbursement models, including buy-and-bill, specialty pharmacy carve-outs, and alternate funding pathways
Knowledge of ASP, WAC, AWP, and other drug pricing methodologies and their impact on charge capture and margin
Familiarity with Medicare Part B vs. Part D, commercial payer variations, and site-of-care reimbursement differences
Manages department operations and supervises professional employees, front line supervisors and/or business support staff
Participates in the development of policies and procedures to achieve specific goals
Ensures employees operate within guidelines
Decisions have a short term impact on work processes, outcomes and customers
Interacts with subordinates, peers, customers, and suppliers at various management levels; may interact with senior management
Interactions normally involve resolution of issues related to operations and/or projects
Gains consensus from various parties involved

Nice To Haves

Bachelor’s degree in healthcare administration, business, finance, or a 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

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 an 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.