Mgr, Revenue Cycle (Surgery)

The US Oncology Network is looking for a Revenue Cycle Manager to join our team at Texas Oncology. This full-time hybrid position will support the Surgical Specialties A/R Department at our 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday, 8:00a - 5:00p.

As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, 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, 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.

The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

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)

Manages individual contributors responsible for nurturing and maintaining relationships with assigned sites of service to achieve practice goals. Aids in escalated issue resolution, revenue cycle management strategic planning, and site of service communications. Supports all activities associated with the direction, coordination, implementation, execution, control and completion of projects that relate to critical business goals while ensuring consistency with company strategy, commitments and goals. Accountable for people-management activities and responsible for establishing goals and objectives for the department. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.

The essential duties and responsibilities (including but not limited to):

-Maintain compliance with state and federal guidelines, including ensuring claim payment accuracy and timely denial management.

-Provide oversite of refund disputes and implement process revisions as needed.

-Coordinate and or provide training for A/R staff, and retraining as needed.

-Provide a central resource for A/R processes, like claim denials and appeal creation. Work with offices to ensure compliance with USON and AOA operating procedures.

-Conduct audits of staff productivity.

-Super User of Practice Management System and interfaced systems.

-Ensures roll-out of System updates to A/R team.

-Chairs Revenue Cycle task teams

The ideal candidate for the position will have the following background and experience:

• Position requires degree in Finance, Business or equivalent or 7+ years revenue cycle experience.
• Master's degree preferred
• Must have a strong knowledge of medical insurance billing and collections with CPT/HCPCS, ICD-10, coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc.).
• Knowledge of multiple PMS platforms and oncology billing preferred.
• Advanced skills in Microsoft Office Products (Word, Excel, PowerPoint and Outlook).

COMPETENCIES:

• Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; accesses and uses other expert resources when appropriate.
• Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility.
• Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty.
• Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them.
• Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluated products, processes, and service against those standards; manages quality; improves efficiencies.

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. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

WORK ENVIRONMENT:

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.