Job Description

Overview:

Employment Type : Full Time

In-Office Position

Benefits : M/D/V, Life Ins., 401(k)

Evansville, IN

JOB SCOPE: Supervises the day-to-day revenue cycle operations in order to maximize the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors. Supports and adheres to the US Oncology Compliance Program, to include Code of Ethics and Business Standards, and US Oncology's Shared Values.



The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!

About US Oncology
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. For more information, visit www.usoncology.com . We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.
Responsibilities:

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Supervises the daily business functions of the patient visit from point of entry to accurate adjudication of the patients' accounts.
• Scope of responsibilities includes appointment scheduling, insurance eligibility processes; charge processing; claim submission and processing; payment processing; collections and accounts receivable management; denial management; reporting of results and analysis; concurrent and retrospective auditing; proper coding; credentialing; customer services relative to revenue cycle; training and development relative to revenue cycle; analytics, and all other revenue cycle management activities.
• Resolves escalated and unique revenue cycle issues.
• Responsible for quality work, meeting deadlines, and adherence to the Practices Standard Operating Procedures (SOPs); regularly audits staffs work to ensure compliance.
• Monthly, prepares revenue cycle financial analysis, including aged accounts.
• Monitors and assesses business metrics to refine processes and improve efficiencies.
• Guides individuals and teams toward priorities; clarifies roles and responsibilities of others; coordinates resources to meet objectives.
• Cascades goals down to staff's annual objectives.
• Champions new initiatives: acts as a catalyst of change and stimulates others to change; paves the way for needed changes; manages implementation effectively. Steps forward to address difficult issues; puts self on the line to deal with important problems; takes ownership and accountability.
• Develops, implements, and maintains the Practice's revenue cycle training materials. Conducts training of SOPs, systems, metrics, government regulations, etc.
• Responsible for the overall coordination of front office duties to include scheduling, check-in, and co-pay/co-insurance collection.
• Attracts high caliber people, accurately assesses strengths and development needs of employees; provides timely, specific feedback and helpful coaching; provides challenging assignments and opportunities for development.
• Responsible for interviewing, recommending hires, assessing performance, recommending salary changes, and progressive discipline.
• Enforces adherence to the Practice's and US Oncology policies.
• Other duties as requested or assigned.

• Associates degree in Finance, Business or equivalent OR four years revenue cycle experience required.
• At least four (4) years of medical revenue cycle work experience required with a consistent track record of achieving metrics.
• 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, ICD9, and HCPC coding and medical terminology, as well as an overall understanding of managed care products (HMO, PPO, etc.).
• Proficiency in Microsoft Office (Outlook, Excel, Word, and PowerPoint).