Manager, Revenue Cycle Management

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 continuum
  • Serve as an escalation point for complex or urgent patient financial issues that could delay or disrupt care
  • Ensure financial counseling services are embedded into clinical workflows to support same‑day decisions and treatment starts
  • Promote 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 estimation
  • Ensure timely identification and resolution of coverage issues prior to treatment initiation
  • Collaborate with downstream RCM teams (coding, billing, collections, denial management) to ensure continuity and accuracy across the revenue cycle
  • Monitor 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 support
  • Maintain expertise in oncology‑specific reimbursement, benefit designs, and emerging payer policies
  • Ensure 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 lines
  • Establish standard operating procedures and best practices for immediate patient and provider support
  • Foster 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 administrators
  • Translate financial and coverage information into clear, actionable guidance for care teams
  • Participate 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 requirements
  • Support internal and external audits related to financial clearance, authorizations, and assistance programs
  • Continuously 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 oncology
• 3+ years of people management or team leadership experience
• Strong knowledge of insurance plans, oncology benefits, prior authorizations, and patient financial responsibility
• Demonstrated ability to work directly with clinical teams in fast‑paced care environments
• Experience in a large MSO, multi‑site oncology practice, or complex specialty setting
• Familiarity 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 pathways
• Knowledge of ASP, WAC, AWP, and other drug pricing methodologies and their impact on charge capture and margin
• Familiarity 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 staff
• Participates in the development of policies and procedures to achieve specific goals
• Ensures employees operate within guidelines
• Decisions have a short term impact on work processes, outcomes and customers
• Interacts with subordinates, peers, customers, and suppliers at various management levels; may interact with senior management
• Interactions normally involve resolution of issues related to operations and/or projects
• Gains consensus from various parties involved

Pay

Anticipated salary range: $98,200.00 - $126,270.00

Bonus Eligible: No

Benefits

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs