Manager, Revenue Cycle Management
About The Position
We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 100 providers across 50 sites, Navista provides the support community practices need to fuel their growth—while maintaining their independence. What Revenue Cycle Management (RCM) contributes to Navista Revenue Cycle Management oversees clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle spans the entire patient care journey, beginning with appointment scheduling and ending when the patient’s account balance is zero. Our experienced revenue cycle management specialists simplify and optimize the practice’s revenue cycle, from prior authorization through billing and collections, with a strong emphasis on oncology practice needs. Job Purpose: The Manager, Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate resolution of outstanding insurance claims. This role leads development, performance monitoring, and process improvement initiatives to optimize cash flow, reduce aging accounts, and ensure compliance with payer and regulatory requirements.
Requirements
- 5+ years of experience in medical billing and insurance follow-up preferred.
- 5+ years of experience in medical billing and insurance follow-up preferred, with significant experience in oncology revenue cycle management preferred.
- 2+ years in a leadership or supervisory role preferred.
- Strong understanding of medical billing practices, payer guidelines, and reimbursement methodologies (commercial, Medicare, Medicaid).
- Proven leadership and team management abilities.
- Analytical mindset with the ability to interpret data and make strategic decisions.
- Excellent communication and interpersonal skills.
- Proficiency in billing and practice management software (e.g., Athena, G4 Centricity, etc.).
- Strong organizational skills and attention to detail.
- Knowledge of HIPAA regulations and healthcare compliance standards.
Nice To Haves
- Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
Responsibilities
- Lead and manage the daily operations of the insurance follow-up team, ensuring productivity and quality standards are met.
- Monitor aging reports and key performance indicators (KPIs), including Days in AR, denial rates, and collection targets.
- Develop and implement processes to improve claim resolution timelines and reduce denials and underpayments.
- Provide training, mentorship, and performance evaluations for AR follow-up staff.
- Coordinate with billing, coding, and other departments to address claim issues and streamline workflows.
- Serve as the point of escalation for complex or high-dollar claims.
- Stay current with payer policy changes, compliance regulations, and industry best practices.
- Analyze trends in denials and rejections to recommend and implement preventive measures.
- Prepare and present reports to senior leadership on collection performance, trends, and areas for improvement.
- Participate in hiring, onboarding, and ongoing staff development initiatives.
- Handles other duties and projects assigned.
Benefits
- Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
- Medical, dental and vision coverage
- Paid time off plan
- Health savings account (HSA)
- 401k savings plan
- Access to wages before pay day with myFlexPay
- Flexible spending accounts (FSAs)
- Short- and long-term disability coverage
- Work-Life resources
- Paid parental leave
- Healthy lifestyle programs
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What This Job Offers
Job Type
Full-time
Career Level
Manager
