"You can make a difference in the life of an oncology patient and find your career satisfaction by joining our team of healthcare professionals today."
About Oncology Consultants
Oncology Consultants has been a premier adult medical oncology & hematology practice in Houston, TX for over 35 years. Our healthcare team is committed to provide state of the art cancer treatment in a caring environment as we continue to expand our oncology services in the memorial city location.
About the Position:
Responsible for overall revenue cycle operations of the practice. (Pharmacy maintains separate revenue cycle operations)
Mon - Fri: 8am - 5pm
Insurances: Life, medical, dental, short term and long term disability
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Supervise all revenue cycle staff, including hiring, terminations, adherence to company policies, and training. Plan for future growth and future skillset needs.
Ensure staff is performing optimally by reviewing staffing ratios and productivity reports, while mentoring and motivating them.
Weekly, monitor Denials Report, Aging by Payer Report, Aging by Patient report, billing holds, rejections and denials, Bank Report, Glide, AC3, staff productivity and other recommended reports and then enact changes to response to the data.
Provide daily, weekly and monthly feedback to billing, payment posting, collections and financial assistance staff to improve accuracy and efficiency of revenue cycle.
Provide feedback to operations, contracting, verification and authorization managers to improve accuracy and efficiency of revenue cycle.
Identify payer trends and enact changes and staff training accordingly. Share findings with other departments, including clinical managers and physicians, as appropriate.
Monthly, monitor Connect Center reports, KPIs, month end close reports, unposted EOBs, Aging by Provider, MIPCN aging, self-pay aging, and credit balance aging. Enact changes and train staff accordingly. Update policies and procedures as needed.
Identify areas of weakness and enact immediate responses, such as a marked decrease in collection rate from a particular payer.
Work closely with accounting and accounts payable to ensure payments balance back to the bank and refunds are processed timely.
Avoid any timely filing denials.
Denial trends should be identified within 90 days. Develop supervisors and staff to resolve issues in a timely manner.
Reach monthly KPI goals and demonstrate continued improvement. Present KPIs to Director of Finance and explain the drivers of improvement or deterioration.
Strategically assign tasks to ensure highest dollar and best outcomes for the practice.
Mentor and motivate the immediate reporting staff for better performance and effective service.
Provide up to date education for clinical, billing, and other staff on coding trends and payer policies, especially step therapy, authorization and modifier policies.
Develops, evaluates, implements, and revises policies and procedures related to billing, coding, reimbursement activities and improvement strategies
At month end, reconcile all receivables and revenue reports and work closely with the finance department in the development of the monthly financial statements.
ADDITIONAL DUTIES AND RESPONSIBILITIES:
In coordination with the contracting department, develop relationships with payer representatives to resolve payment issues, whether denials, rejections or contract compliance.
Work with vendors to stay up to date with new indications and new to market drugs, assisting with fast adoption by the practice when appropriate. Ensure challenging cases are in enrolled in vendor programs. Ensure vendor provided billing and reimbursement guides are followed.
Communicate to physicians when account balances have reached a certain threshold, as determined in coordination with the Director of Finance, no less than 60 to 90 days from the first denial.
Oversight of software systems used by revenue cycle including architecture and relationships with vendors.
Ensure staff follows AIDET for all patient interactions. Provide customer service and telephone etiquette training.
Requires high level of detail work, and ability to review own work.
Requires basic computer skills including Word, Excel, Outlook and PowerPoint.
Must be comfortable with office technology and equipment.
Requires excellent verbal and written skills, including correct grammar and spelling.
Must be flexible, as priorities and assignments can change quickly.
Must be comfortable performing tasks with minimal supervision.
EDUCATION and/or EXPERIENCE
Four-year degree required.
Must have 7-plus years of healthcare revenue cycle experience.
Must have managed a staff of at least 12.
Verbal and written communication skills
Oncology Consultants is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
PHYSICAL DEMANDS: Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.
COMMENTS: This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.
Medical Center | Memorial City | Sugar Land | Katy | Willowbrook | Southwest Northwest | West Houston
Apply today. Our short application process takes less than 5 minutes with your phone, tablet or computer.