The RCM Financial Counseling Manager is responsible for leading and optimizing front‑end financial counseling services within a large, multi‑site oncology Management Services Organization (MSO). This role is highly patient‑ and provider‑facing, with a primary focus on delivering immediate, high‑touch financial support to patients and oncology care teams at the point of care.
The Manager ensures timely, accurate, and compassionate financial guidance related to insurance coverage, benefits, prior authorizations, estimates, and financial assistance programs. This role partners closely with clinical teams to remove financial barriers to care, improve patient access, and support informed treatment decisions while driving RCM performance.
Responsibilities
Patient & Care Team Support
- Lead a team of financial counselors providing real‑time support to patients, physicians, nurses, and care coordinators throughout the oncology care continuum
- Serve as an escalation point for complex or urgent patient financial issues that could delay or disrupt care
- Ensure financial counseling services are embedded into clinical workflows to support same‑day decisions and treatment starts
- Promote a patient‑centered approach that balances financial clarity, empathy, and access to care
Revenue Cycle Leadership
- Oversee front‑end revenue cycle functions, including insurance verification, benefits interpretation, prior authorization support, and patient cost estimation
- Ensure timely identification and resolution of coverage issues prior to treatment initiation
- Collaborate with downstream RCM teams (coding, billing, collections, denial management) to ensure continuity and accuracy across the revenue cycle
- Monitor KPIs related to access, counseling timeliness, authorization turnaround, point‑of‑service collections, and financial clearance rates
Financial Assistance & Access Programs
- Manage processes for screening and enrolling patients into financial assistance programs, including manufacturer assistance, charity care, grants, and foundation support
- Maintain expertise in oncology‑specific reimbursement, benefit designs, and emerging payer policies
- Ensure compliant and consistent application of financial assistance guidelines and documentation
Team Leadership & Development
- Recruit, train, mentor, and evaluate financial counseling staff across multiple sites or service lines
- Establish standard operating procedures and best practices for immediate patient and provider support
- Foster strong communication, accountability, and service excellence within the team
Provider & Operational Partnership
- Act as a trusted operational partner to physicians, APPs, nursing leaders, and practice administrators
- Translate financial and coverage information into clear, actionable guidance for care teams
- Participate in clinic leadership meetings and cross‑functional initiatives focused on access, growth, and patient experience
Compliance & Quality
- Ensure all financial counseling activities comply with regulatory, payer, and organizational requirements
- Support internal and external audits related to financial clearance, authorizations, and assistance programs
- Continuously improve processes to reduce administrative burden on clinical teams and patients
Qualifications
- Bachelor’s degree in healthcare administration, business, finance, or a related field (or equivalent experience)
- 5+ years of progressive experience in healthcare revenue cycle or financial counseling, preferably in oncology
- 3+ years of people management or team leadership experience
- Strong knowledge of insurance plans, oncology benefits, prior authorizations, and patient financial responsibility
- Demonstrated ability to work directly with clinical teams in fast‑paced care environments
- Experience in a large MSO, multi‑site oncology practice, or complex specialty setting
- Familiarity with EHR and RCM systems (e.g., Epic, Aria/Mosaiq, OncoEMR, or similar)
- Deep understanding of oncology drug reimbursement models, including buy‑and‑bill, specialty pharmacy carve‑outs, and alternate funding pathways
- Knowledge of ASP, WAC, AWP, and other drug pricing methodologies and their impact on charge capture and margin
- Familiarity with Medicare Part B vs. Part D, commercial payer variations, and site‑of‑care reimbursement differences
What is expected of you and others at this level
- Manages department operations and supervises professional employees, front line supervisors and/or business support staff
- Participates in the development of policies and procedures to achieve specific goals
- Ensures employees operate within guidelines
- Decisions have a short term impact on work processes, outcomes and customers
- Interacts with subordinates, peers, customers, and suppliers at various management levels; may interact with senior management
- Interactions normally involve resolution of
issues related to operations and/or projects - Gains consensus from various parties involved
Anticipated salary range: $87,700.00 - $100,240.00
Bonus Eligible: No
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
Application window anticipated to close: 6/1/26/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
