OverviewRevenue Cycle Manager
Employment Type: Full Time
Remote Position
Benefits: M/D/V, Life Ins., 401(k)
Salary: $75,000-$90,000SCOPE: Manages revenue cycle processes for multiple sites within our organization. Oversees eligibility, referrals, prior authorizations, charge entry, cash management, AR management and credit balances for compliance with federal and state regulations, as well as payer guidelines. Ensures optimal revenue cycle processes and adherence to The US Oncology Network policies and procedures. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards.Summary: Manages revenue cycle processes for multiple sites within a practice. Oversees revenue cycle processes for compliance with federal and state regulations, as well as payer guidelines. Coordinates with office managers and front office coordinators to ensure optimal revenue cycle processes and adherence to company policies and procedures. Supports and adheres to the Compliance Program, including the Code of Ethics and Business Standards.
Responsibilities - Maintain compliance with state and federal guidelines, including ensuring that charge tickets and charge capture systems (like IMPAC and Iknowmed) are updated.
- Provide on-going revenue cycle process review and implement process revisions as needed.
- Coordinate and or provide training for new revenue cycle office staff, and retraining as needed.
- Provide a central resource for processes like eligibility, referrals, prior authorizations, charge entry, cash management, AR management and credit balances. Ensure compliance with USON and AOA operating procedures.
- Conduct audits of processes.
- Super User of Practice Management System and interfaced systems.
- Ensures roll-out of System updates to office team.
Qualifications MINIMUM QUALIFICATIONSAssociate degree or equivalent work experience and a minimum of five years of medical office and health plan experience.
Knowledge of practice management systems and billing processes preferred.
PHYSICAL DEMANDSThe 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 ENVIRONMENTWork is performed in a remote work-from-home environment and requires significant interaction with management, staff, and external auditors and clients. Work may require travel by air or automobile periodically - less than 25% of the time.
