Manager, Revenue Cycle Management
Cardinal Health · Fresno, CA · Yesterday
FinanceFull-time
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 continuumServe as an escalation point for complex or urgent patient financial issues that could delay or disrupt careEnsure financial counseling services are embedded into clinical workflows to support same‑day decisions and treatment startsPromote 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 estimationEnsure timely identification and resolution of coverage issues prior to treatment initiationCollaborate with downstream RCM teams (coding, billing, collections, denial management) to ensure continuity and accuracy across the revenue cycleMonitor 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 supportMaintain expertise in oncology‑specific reimbursement, benefit designs, and emerging payer policiesEnsure 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 linesEstablish standard operating procedures and best practices for immediate patient and provider supportFoster 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 administratorsTranslate financial and coverage information into clear, actionable guidance for care teamsParticipate 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 requirementsSupport internal and external audits related to financial clearance, authorizations, and assistance programsContinuously 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 oncology3+ years of people management or team leadership experienceStrong knowledge of insurance plans, oncology benefits, prior authorizations, and patient financial responsibilityDemonstrated ability to work directly with clinical teams in fast‑paced care environmentsExperience in a large MSO, multi‑site oncology practice, or complex specialty settingFamiliarity 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 pathwaysKnowledge of ASP, WAC, AWP, and other drug pricing methodologies and their impact on charge capture and marginFamiliarity 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 staffParticipates in the development of policies and procedures to achieve specific goalsEnsures employees operate within guidelinesDecisions have a short term impact on work processes, outcomes and customersInteracts with subordinates, peers, customers, and suppliers at various management levels; may interact with senior managementInteractions normally involve resolution of issues related to operations and/or projectsGains consensus from various parties involved Anticipated salary range: $98,200.00 - $126,270.00 Bonus Eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coveragePaid time off planHealth savings account (HSA)401k savings planAccess to wages before pay day with myFlexPayFlexible spending accounts (FSAs)Short- and long-term disability coverageWork-Life resourcesPaid parental leaveHealthy lifestyle programs Application window anticipated to close: 10/4/26 *if interested in opportunity, please submit application as soon as possible. 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.