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Revenue Cycle Administrator

US Oncology Network-wide Career Opportunities
medical insurance
United States, Texas, Richardson
3001 E President George Bush Hwy (Show on map)
Nov 09, 2024
Overview

The US Oncology Network is looking for a Revenue Cycle Director to join our team at Texas Oncology. This full-time hybrid remote position will support our Richardson Central Business Office at 3001 East president George Bush Highway.

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.

What does the Revenue Cycle Administrator do? (including but not limited to)

Responsible for the effective management of the overall revenue cycle process including timely and accurate admission, registration, billing and collection of patient accounts. Develops and implements long and short-term strategies and goals for Practice growth and the achievement of business metrics. Develops and implements policies and procedures consistent with fiscal and regulatory requirements. Oversees the collection of statistical and financial data needed for preparing annual and monthly Medicare, Medicaid, and other required reports. Provides leadership, direction and focus for the staff involved in the revenue cycle process. Works collaboratively with practice leadership and US Oncology management. Assesses the impact of alternatives and recommends business solutions. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology's Shared Values.


Responsibilities

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

  • Collaborates with Physicians, various practice department management, and US Oncology management to identify areas of exposure and design processes to increase knowledge and improve outcomes in service, quality and accuracy including patient accounting, revenue compliance, health information, and centralized scheduling. Demonstrates ability to effectively facilitate parties toward a "win win" agreement; identifies key players; defines objectives, significant issues, and shared interests; determines motivational drivers and potential obstacles for all parties; communicates effectively; gains results without either party losing face.
  • 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; makes decisions under conditions of uncertainty.
  • Establishes standards and processes to ensure continuous improvement in the revenue cycle. Identifies revenue cycle external benchmarks and best practices.
  • Monitors effectiveness of software, vendors, payers. Provides feedback and recommendations to Managed Care Contracting.
  • Manages Practice-wide projects including any legal requests. Responsible for building affective working relationships with US Oncology counter parts to facilitate problem resolution.
  • Establishes vision and identities goals and priorities for management staff. Identifies and eliminates obstacles as well as identifies and obtains resources to accomplish business goals. Develops and implements high standards for long and short term goals that align with the company*s vision and business goals. Cascades goals down to staffs annual objectives.
  • Attracts high caliber people, accurately assesses strengths and development needs of employees; gives timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development. Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline. Enforces adherence to the Practice*s and US Oncology*s policies.
  • Other duties as requested or assigned.

Qualifications

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

  • Bachelors degree in Finance, Business, or equivalent and eight (8) years of Revenue Cycle management experience required.
  • At least seven (7) years medical revenue cycle management experience with a consistent track record of achieving metrics and at least five (5) years proven appropriate application of management sills successfully resolving a variety of people issues.
  • Overall revenue cycle experience should exceed twelve (12) years.
  • Individual must have strong knowledge of medical insurance billing and collections with CPT, ICD9, and HCPC 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)..

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 air or automobile, approximately 20% of workweek.

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