Sr. Manager, Revenue Cycle

The US Oncology Network•Richardson, TX

7d•Onsite

About The Position

Texas Oncology is seeking a Revenue Cycle Manager to join their team, supporting the Surgery Department at their Richardson, Texas location. This role is crucial for managing the financial aspects of patient care, from initial contact to final account resolution. Texas Oncology is a leading community oncology provider, dedicated to making advanced cancer care accessible and focusing on patient outcomes. The company offers a competitive benefits package and opportunities for professional growth, including a Long-Term Incentive Plan (LTIP) for eligible roles.

Requirements

Bachelor’s degree in Finance, Business, or equivalent OR 8 years of revenue cycle management experience required.
At least four (4) years of medical revenue cycle management experience required with a consistent track record of achieving metrics and at least two (2) years of supervisory experience successfully resolving a variety of people issues.
Overall revenue cycle experience should exceed nine (9) years.
Individual must have strong knowledge of medical insurance billing and collections with CPT, ICD10, and HCPCS coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc.).
Proficiency in Microsoft Office (Outlook, Excel, Word, and PowerPoint).

Nice To Haves

Certified Professional Coder Certification (CPC) is strongly preferred.
Knowledge of IDX and oncology billing preferred.

Responsibilities

Management oversight of all business-related functions of the patient visit from point of entry to accurate adjudication of the patients’ accounts, including Revenue Cycle Training, Credentialing, Registration, Claims Management, Billing, Collections, Patient Insurance, Data Processing, Integrity of Patient Accounts, Accounts Receivable Management, Practice Management System File Maintenance, and Third-Party Revenue Cycle Vendors.
Responsible for provider reimbursement programs, policies, and strategies to ensure unit cost controls meet or exceed corporate objectives for medical cost containment. Analyzes claims, utilization, and medical cost data. Develops strategic, cost-effective programs, and makes system or network changes to enhance competitive position.
Monitors aged accounts and verifies appropriate collections procedures are being followed. Manages revenue cycle projects at the Practice level, such as audits and budgets.
Regularly provides upper management with revenue cycle status including reports, metrics, and presentations. Develops, monitors, and assesses business metrics to refine processes and improve efficiencies. Establishes internal goals and identifies external benchmarks.
Collaborates with Physicians, various practice department management, and RBO management to identify areas of exposure and to design processes to increase knowledge and improve outcomes in service, quality and accuracy, including patient accounting and revenue compliance.
Assess revenue cycle performance in accordance with set goals and objectives.
Identifies gaps.
Creates and implements action plans to close gaps and achieve business metrics.
Provides focus and direction to process improvement in revenue cycle management.
Makes timely, cost effective and sound decisions.
Develops and implements high standards for long- and short-term goals that align with the RBO’s vision and business goals. Cascades goals down to staff’s annual objectives.
Conducts ongoing process review and implements process revisions as needed.
Develops and modifies training curriculum for new staff, oversees new staff onboarding process and coaches Trainers as needed.
Provides a central resource for relevant processes.
Works with offices to ensure compliance with USON and Practice operating procedures.
Conducts quality reviews of managed team and processes.
Super User of Practice Management System and interfaced systems.
Ensures roll-out of System updates.
May Chair Revenue Cycle task teams.
Is responsible for collaborating in the budgeting process and managing expenses.
Monitors effectiveness of software, vendors, payers.
Identifies and eliminates obstacles as well as identifies and obtains resources to accomplish business goals.
Oversees the talent acquisition process for direct and indirect reports. Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and disciplinary actions.
Enforces adherence to Practice and US Oncology policies; maintains compliance with state and federal guidelines.
Other duties as requested or assigned.