Revenue Cycle Manager

Join Affiliated Oncologists as an Infusion Pharmacist!

AO specializes in treating a variety of cancers including lymphoma lung, breast, prostate, gynecologic, colorectal and head and neck cancers. Our physicians and staff are multi-disciplinary team of highly experienced caregivers focused on helping patients and their families receive the best care and support possible.

SCOPE:

The Revenue Cycle Manager will lead and manage all aspects of the revenue cycle operations across our integrated healthcare organization, which includes multiple health services, medical oncology, radiation oncology, surgical oncology, imaging, research, and an in-house pharmacy. This role oversees billing, collections, accounts receivable, accounts payable, intake, insurance verification, charge capture and charge entry processes for compliance with federal and state regulations, as well as payer guidelines and revenue cycle analytics. The ideal candidate will drive performance improvements, ensure regulatory compliance, and support the organization's financial goals by optimizing the full revenue cycle.

Coordinates with providers, practice administrators and front office coordinators to ensure optimal revenue cycle processes and adherence to USON policies and procedures. Supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

- Maintain compliance with state and federal guidelines, including ensuring that charge tickets and charge capture systems (like Unlimited Financials, MOSAIQ, Athena IDX, IMPAC, ARIA oncology information system, and Iknowmed) are updated.

- Lead all revenue cycle functions-billing, collections, A/R, A/P, and analytics.

- This position directs the operations of insurance verification, provider enrollment, clinical documentation management program(s), authorizations, patient accounting and collections, reimbursement denial management, health information management, and charge description master file maintenance.

- Assumes responsibility to direct, plan and supervise activities of patient registration and financial services, case management, utilization review, and health information management functions involved in following patients throughout continuum of care to ensure optimum utilization of resources, service delivery and compliance with external requirements.

- Develop strategies to optimize cash flow and reduce days in A/R.

- Assures revenue cycle activities are coordinated and integrated with other related departments such as patient registration, financial services, case management, utilization review, and health information management.

- Serves as the primary contact for senior leadership, providing high-level communications and status reporting of revenue cycle metrics, initiatives, opportunities, and timely issues resolution.

- Ensure full compliance with regulatory and payer requirements.

- Collaborate across departments to support smooth clinical-to-financial operations.

- Leverage data to identify trends and drive continuous improvement.

- Provide on-going front-office process review and implement process revisions as needed.

- Coordinate and or provide training for staff, and retraining as needed. Conduct audits of front and back-end office processes.

- Super User of Practice Management System and interfaced systems. Ensures roll-out of System updates to team.

- Chairs Revenue Cycle task teams. Co-chairs Revenue Cycle Committee.

Reporting and Analysis

- Identifies trends in key metrics including but not limited to AR aging, collection rates, contractual adjustments, bad debt write-offs, and denial write-offs at a network and practice level.

- Creates new reports and enhance existing reports across RCM operations, Finance, Accounting, and Managed Care to identify and communicate key drivers at a practice and system level.

- Manage financial reporting and ledger activities.

- Perform payer and contractual adjustment analytics.

- Champion automation and digital transformation initiatives across RCM finance.

Practice Engagement and Strategic Partnership

- Develop partnerships with RCM, Managed Care, Operations, and Finance teams to collaborate and develop practice specific Payer and RCM strategies to improve. performance and mitigate risks.

- Proactively identify key metrics that are leading indicators of future financial risk.

- Influence RCM team to address potential issues before they escalate.

Communication & Presentations

- Support RCM, Finance, and Operations leadership with RCM with Network and practice presentations pertaining to performance, risks, opportunities, and action plans.

- Synthesize complex RCM detail across operations and accounting into a digestible format with succinct explanations for physicians.

Budgeting and Forecasting

- Lead budgeting and forecasting for bad debt rates, cash collections, and AR aging.

- Lead initiatives to improve forecast accuracy and financial transparency.

- Develop and maintain financial models to support decision-making and performance optimization.

- Support ad-hoc projects as needed.

Minimum Requirement

Education

Bachelor's degree required; advanced degree (MBA, MS, or similar) in finance, analytics, or related field preferred.

Critical Skills

Experience: 10+ years of progressive experience in FP&A, financial modeling, or analytics, with a demonstrated track record of leading complex forecasting and budgeting initiatives in a large, matrixed organization strongly preferred. Knowledge of oncology billing strongly preferred.

Technical Skills: Deep expertise in advanced analytics, statistical modeling, and AI/ML applications for forecasting. Mastery of Excel, Power BI/Tableau, and financial systems (e.g., SAP, Oracle, Hyperion) strongly preferred.

Leadership: Recognized as an in-house expert and lead contributor; experience mentoring others and leading large-scale revenue cycle projects strongly preferred.

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 accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment and requires significant interaction with management, staff and external auditors and clients.

ANNUAL PAY RANGE:

$90,000.00 - $110,000.00

Position is eligible for a discretionary annual incentive bonus of 15% of annual salary

BENEFITS OFFERED:

Medical

Healthcare Reimbursement Accounts (HRCA)

Health Savings Accounts (HAS)

Dental

Vision

Life Insurance

Short-Term Disability (STD)

Long-Term Disability (LTD)

Employee Assistance Program (EAP)

Commuter Benefits

401(k)

Wellness Program

Fertility Assistance Program

Applicants will be hired into the title appropriate to their credentials and years of experience.