Texas Oncology is searching for a Revenue Cycle Manager for the Central Region. The Regional Revenue Cycle Manager is responsible for managing the overall revenue cycle performance for Texas Oncology sites of services within the Central Texas market. This position is accountable for optimizing revenue by monitoring key performance metrics and establishing action plans for both patient-facing and non-patient facing functions. Serves as a subject matter expert for patient-facing activities to include patient estimations, time of service collections, payment plans and financial assistance. Responsible for driving process improvement initiatives in collaboration with operational and clinical leadership, physicians and other departments leads (coding, denial management and payment posting). Texas Oncology delivers high-quality, high-touch care to help cancer patients achieve "More breakthroughs. More victories."® in their fight against cancer. We are an independent, physician-led practice delivering leading-edge technology and treatment options and conducting innovative research. Founders of the practice pioneered community-based care to enable more cancer patients to receive high-quality care while staying close to the critical support of family and friends.
Texas Oncology has more than 150 sites of service throughout Texas, with more than 350 physicians dedicated to serving our patients. On average, we treat more than 50,000 new cancer patients each year, with documented growth year over year. Texas Oncology pioneered the concept of community-based, outpatient, multidisciplinary cancer centers. We give local communities access to leading-edge technology that was previously only available in larger metropolitan areas. Texas Breast Specialists and Texas Urology Specialists are a part of Texas Oncology. Texas Oncology is an affiliate of The U.S. Oncology Network, which is owned by McKesson Specialty Health, a division of McKesson Corporation.
Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aide, and guarantors
Responsible for insurance eligibility processes, charge processing, claim submission and processing, payment processing, collections and accounts receivable management, denial management, reporting of results and analysis, concurrent and retrospective auditing, proper coding, credentialing, insurance contract review and oversight, customer services relative to revenue cycle, training and development relative to revenue cycle, analytics, and all other revenue cycle management activities
Supports and adheres to the US Oncology Compliance Program, to include Code of Ethics and Business Standards, and US Oncology's Shared Values
Essential Duties and Responsibilities
Management oversight of all business related functions of the patient visit from point of entry to accurate adjudication of the patients' accounts
Specific areas of responsibility include 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 in order to refine processes and improve efficiencies
Establishes internal goals and identifies external benchmarks
Resolves escalated reimbursement issues with Payors, Practice, US Oncology, and systems for optimal management of accounts receivable
Challenges the status quo and champions new initiatives
Acts as a catalyst of change and stimulates others to change
Paves the way for needed changes
Manages implementation effectively
Steps forward to address difficult issues
Puts self on the line to deal with important problems
Develops, implements, and maintains the Practice's revenue cycle standard operating procedures (SOPs)
May develop training materials and facilitate staff training of SOPs, systems, metrics, government regulations and etc.
Responsible for the overall coordination of front office duties to include scheduling, check-in, and co-pay/co-insurance collection
Identifies goals and vision for team
Guides individuals and teams toward priorities
Clarifies roles and responsibilities of others
Coordinates resources and arranges organizational systems to meet objectives
Develops and implements progressive short-term goals that align with the company's vision and business goals
Cascades goals down to staff's annual objectives
Attracts high caliber people
Accurately assesses strengths and development needs of employees
Gives timely, specific feedback and helpful coaching
Provides challenging assignments and opportunities for development
Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline
Enforces adherence to the Practice's and US Oncology's policies
Performs other duties as requested or assigned
Bachelors 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 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, ICD9, and HCPC 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)
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. The position requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. The position requires standing and walking for extensive periods of time. The employee occasionally lifts and carries items weighing up to 40 lbs. The position requires corrected vision and hearing to normal range.
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.
The vision of Texas Oncology is to be the first choice for cancer care. We have high standards for patient satisfaction and offer exceptional value in cancer care. We also strive to advance clinical research and develop innovative approaches to treatment of oncology and hematology disorders.
The mission of Texas Oncology is to provide excellent, evidence-based care for each patient we serve, while advancing cancer care for tomorrow. To this end, we give patients access to the highest quality cancer care available today within their own local communities. Our cutting-edge technologies, treatments and research are offered in welcoming and comfortable environments. We maintain comprehensive quality oversight and responsible financial management. At all times, we pride ourselves in being moral, ethical and efficient as a medical practice and employer.
We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-k with a matching component, Life Insurance, Short-term and Long-term disability and Wellness & Perks Programs.
Come join our growing organization and enjoy knowing that you work for an organization dedicated to making the lives of others better.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
Internal Number: MCKEA00878230
About New York Oncology Hematology
New York Oncology Hematology (NYOH) is the leading provider of community-based cancer care and blood disorder services. With seven convenient locations in Albany, Amsterdam, Clifton Park in Saratoga County, Hudson, Rexford and Troy, our team of 32 physicians and 350 cancer care specialists see more than 100,000 cancer visits a year.
NYOH has always been at the forefront of cancer care. More than 30 years ago, we began as the region’s first oncology practice in a community setting (outside a hospital). A few years later, we offered the first radiation treatment outside a hospital setting.
Today, we continue our commitment of providing world class care, close to home. We offer the region’s largest clinical research and drug trial operation, only stem cell transplant program and only neuro-oncology care. We recently brought the first Varian Truebeam Radiotherapy System to our new practice: Clifton Park in Saratoga County.
Our medical staff includes 32 board certified physicians who specialize in the care of patients with cancer (medical oncology and radiation oncology) and blood-related disorders (hematology). With a patient care team of more than 350 oncology certified nurse...s, pharmacists, laboratory technologists, radiation therapists and support personnel, we are able to provide the personal level of care our patients need during treatment.