Manager, Revenue Cycle Management

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 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