Revenue Cycle Director

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Job description

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 Director do?

Responsible for directing business office and related functions at a statewide level, including patient billing, reimbursement, and collections. Minimum of 50 physicians and/or Accounts Receivable exceeding $50 million. Ensures optimum reimbursement for medical services through accurate and timely reporting of all physician and ancillary services. Directs the timely submission of all insurance claims and adjustments. Directly supervises accounts receivable to ensure the lowest possible collection time. Directs the development of regular business operations reports. Directs and oversees front office functions, including insurance verification, patient financial counseling, scheduling, etc. May direct and oversee all state managed care functions including contract negotiation and maintenance, managed care reporting and payor relations. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

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

Directs the operational performance and overall management of the Central Business Office (CBO) at the state level. Performs all functions to meet company DSO and AR standards.

Implements and monitors adherence to company Reimbursement polices and procedures.

Directs, through site administrators, front office functions including insurance verification, patient registration, financial counseling, scheduling, charge entry and medical records.

Provides feedback and works directly with site administrators to develop and implement action plans for improving business related functions for practice sites.

Works directly with sites to identify problem payors. Coordinates with sites and Managed Care to develop and implement action plans to resolve AR issues.

Directs physician participation processes to ensure physicians are credentialed in a timely manner and front office is appraised on changes in participation.

May be directly responsible for managed care functions including strategy development, contract review, negotiation and administration, reporting and payor relations.

Provides ongoing reports and feedback to the State Controller and Executive Director regarding overall AR management and business related functions at both CBO and practice locations.

Participates in monthly practice operation meetings and Joint Policy Boards to provide data and feedback to physicians on business related functions and overall AR management. Prepares regular and ad-hoc reports for JBP and practice management use.

Directs the maintenance of computer master parameters including electronic coding and charge files. Directly supervises all state business and supervisory staff, directs through site administrators, the front office management staff. Prepares budget and goals for the Central Business Office.

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

Bachelor's degree in Business Administration, Health Administration, or related discipline.

Minimum ten years medical office management experience, including five years of prior supervisory experience. Additional experience will be considered in lieu of a degree.

Experience successfully managing Accounts Receivable exceeding $50 million.

Knowledge of federal and state laws and regulations governing medical collections.

Knowledge of fiscal management and human resources management practices.

Knowledge of organization policies and procedures. Knowledge of health care administration principals.

Knowledge of insurance agency operating procedures and practices.

Ability to communicate effectively regarding fiscal policies.

Knowledge of CPT and diagnosis coding.

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. Requires full range of body motion including manual and finger dexterity and eye-hand coordination. Requires standing/sitting 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 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 and involves frequent interaction with practice management, physicians and payors. Work will require regular travel by air or automobile within the service area, approximately 30% of time.

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