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Revenue Cycle Manager

$98.2k - $126.27k

RXinsider

What Revenue Cycle Management (RCM) Contributes To Cardinal Health Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero. 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: $98,200.00 - $126,270.00 Bonus Eligible: No Benefits: 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: 8/4/26 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. Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law. #J-18808-Ljbffr

Vacancy posted 3 days ago
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