Sr. Manager, Revenue Cycle

Overview Texas Oncology is looking for a Revenue Cycle Manager to join our team!This position will support the Surgery Department at our 3001 E. President George Bush Highway Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday, 8:00a - 5:00p. Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in 220+ sites across Texas and southeastern Oklahoma. Our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, high-touch, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis. Why work for us? Come join our team that is responsible for helping lead Texas Oncology in treating more patient diagnosed with cancer than any other provider in Texas. We offer our employees a competitive benefits package that includes Medical, Dental, Vision, Life Insurance, Short-term and Long-term disability coverage, a generous PTO program, a 401k plan that comes with a company match, a Wellness program that rewards you practicing a healthy lifestyle, and lots of other great perks such as Tuition Reimbursement, an Employee Assistance program and discounts on some of your favorite retailers. Join a Team That Invests in Your Future At Texas Oncology, we recognize the long-term impact of our people and are committed to rewarding performance and potential. That's why select roles may be eligible to participate in our Long-Term Incentive Plan (LTIP): an incentive program designed to attract, retain, and reward top talent. What is the Long-Term Incentive Plan (LTIP)? Long-Term Incentive Plan (LTIP): is an incentive program that typically vests over a three-year period and is tied to both individual performance and the operational success of Texas Oncology. Awards are discretionary and based on your position, performance, and potential for future career growth at Texas Oncology. Awards are reviewed and approved during the annual compensation review. LTIP awards are subject to your continued employment through the award payment date, and are governed by the written terms and conditions of the LTIP document. What does the Revenue Cycle Manager do? (including but not limited to) Responsible for the effective management of an overall revenue cycle discipline pertaining to one or more of the following: timely and accurate admission, verification/authorization, registration, charge entry and coding, payor negotiations and setup, contract review and adherence, denial management, payor audits and settlements, patient assistance and collections, collection of insurance balances, collection of patient accounts, application of cash payments, and staff training and development. Oversees a large team of direct and indirect reports, develops and implements long- and short-term strategies and goals for process optimization and the achievement of business metrics. Develops and implements policies and procedures consistent with fiscal and regulatory requirements. Provides leadership, direction, and focus for the team under the senior manager. Works collaboratively with colleagues at both the practices and the RBO, sets and monitors productivity targets, assesses the performance of the team, coaches the supervisors and direct reports. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards and US Oncology's Shared Values. 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 Responsibilities The essential duties and responsibilities (including but not limited to): 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 Fille 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, and Other duties as requested or assigned. Qualifications The ideal candidate for the position will have the following background and experience: 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. Certified Professional Coder Certification (CPC) is strongly preferred. 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). Knowledge of IDX and oncology billing 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 accommodations will be offered to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, stand, walk, and reach with hands and arms. Requires full range of body motion, manual and finger dexterity, and eye-hand coordination. The employee must occasionally lift and/or move up to 40 pounds. Requires corrected vision and hearing 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 accommodations will be offered to enable individuals with disabilities to perform the essential functions. Work requires significant interaction with management, staff auditors and clients. Work will require occasional travel by air or automobile. #J-18808-Ljbffr