Revenue Cycle Manager

Overview

Full-Time

On-Site Position

Winchester, Virginia

Job Summary: Shenandoah Oncology is looking for a Revenue Cycle Manager that will oversee all business and front office operations, including billing, reimbursement, collections, and computer systems. This role ensures accurate and timely charge capture, claim submission, and reporting to maximize reimbursement and reduce accounts receivable. The Revenue Cycle Manager directly supervises accounts receivable, Front Office Supervisor, produces accurate monthly reports, and drives process improvements to enhance efficiency, financial performance, and patient experience.

Pay Range: $100,000.00 - $125,000.00 a performance management bonus opportunity (PMBO). The actual hiring rate may vary based on several factors, including your previous work experience, educational background, the responsibilities of the position, and demonstrated performance. These elements help us ensure a fair and competitive offer aligned with your qualifications and the role's requirements.

Benefits: We offer a competitive benefits package that includes medical, dental, vision, life insurance, short-term and long-term disability coverage, generous PTO, an employer match 401K plan, a wellness program, tuition reimbursement, an employee assistance program (EAP), and retail discounts.

Responsibilities

ESSENTIAL RESPONSIBILITIES:

• Leads a full-cycle revenue team, including Billers, Insurance Specialists, Payment Posters, Eligibility Specialists, and Coders, responsible for patient cost estimation, payment arrangements, and identification of financial assistance resources
• Leads team of coders to ensure accurate, timely and efficient charge capture
• Manages revenue cycle projects at the Practice level.
• Leads strategic initiatives to optimize revenue cycle performance, including process redesign, leveraging technology, and metric-driven management.
• Accountable for achieving key performance indicators (KPIs) in revenue capture, collections, and compliance.
• Serves as a central resource for relevant processes.
• Ensures compliance with The US Oncology Network and Practice operating procedures.
• Verifies appropriate collections procedures are being followed.
• Optimize point-of-service collections.
• Develops, monitors, and assesses business metrics to refine processes and improve efficiencies. 
• Regularly provides revenue cycle status including reports, metrics, and presentations.
• Collaborates with Physicians, various practice departments, and RBO management to identify areas of exposure and to design processes to increase knowledge and improve outcomes in service, quality and accuracy, including patient accounting and revenue compliance.
• Oversees the talent acquisition process for direct and indirect reports.
• Develops and modifies training curriculum for new staff, oversees new staff onboarding process.
• Enforces adherence to Practice and The US Oncology Network's policies; maintains compliance with state and federal guidelines
  

Qualifications

• MINIMUM QUALIFICATIONS:
• High School Diploma or GED
• Bachelor’s degree in Finance, Business preferred.
• Minimum 8-10 years of multi-specialty medical revenue cycle management experience required with a consistent track record of achieving metrics.
• Minimum  4 years of supervisory experience successfully resolving a variety of people issues.
  

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 accommodation 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 lift and carry 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 accommodation may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients and the public.