Revenue Cycle Manager- AR Resolution

The US Oncology Network – Norfolk, VA

The Mid Atlantic Regional Business office supporting the US Oncology Network, located in Norfolk, VAis looking for an Experienced Revenue Cycle Manager specifically to manage teams responsible for Accounts Receivable resolution. The applicant must have revenue cycle management experience with a consistent track record of improving metrics and efficiencies, as well as managing staff. A Bachelor’s degree in Healthcare Administration, Business or equivalent and eight years of revenue cycle management experience required.

Essential Duties and Responsibilities:

  • Responsible for leading a team assigned to Accounts Receivable resolution including both Insurance and Patient Accounts Receivables.
  • Responsible for maximizing the collection of medical services payments and reimbursement from patients, insurance carriers, and financial assistance providers.
  • Resolves escalated reimbursement issues with payors, practice staff, Physicians, managed care and other external entities.
  • Reviews reports, identify denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts.
  • Approves accounts for collection or write-off.
  • Assists team in contacting third party payers to resolve payer issues, expedite claim processing, and maximize medical reimbursement.
  • Responsible for quality work, meeting deadlines, and adherence to the Practice’s Standard Operating Procedures (SOPs)
  • Regularly audits staff’s work to ensure compliance
  • Champions new initiatives
  • Works with Management team to develop, implement and maintain the Practice’s revenue cycle training materials
  • Conducts training of SOPs, systems, metrics, government regulations, etc. with assigned team.
  • Performs other duties as requested or assigned
  • Minimum Qualifications:

  • Bachelor’s degree in Healthcare Administration, Businessor equivalent preferred.
  • At least eight (8) years of medical revenue cycle management experience required with a consistent track record of achieving metrics.
  • At least two years’ experience managing, delegating and following up on work priorities of others is strongly desired.
  • Individual must have strong knowledge of medical insurance billing and collections with CPT, ICD10, and HCPC coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc.)
  • Demonstrated knowledge of oncology medical coding preferred.
  • Proficiency in Microsoft Office (Outlook, Excel, Word)
  • Project management experience, preferred.
  • Experience with Centricity Business and Informatics, 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 may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected 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 may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment.

    Job Type: Full-time

    Experience:

  • management: 2 years (Required)
  • revenue cycle management: 8 years (Required)
  • medical billing: 8 years (Required)
  • Education:

  • Bachelor's (Required)
  • Benefits offered:

  • Paid time off
  • Parental leave
  • Health insurance
  • Dental insurance
  • Healthcare spending or reimbursement accounts such as HSAs or FSAs
  • Other types of insurance
  • Retirement benefits or accounts
  • This job posting is no longer available on OPTnation.
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