The West Clinic · 19 hours ago
Director of Oncology Revenue Cycle Management - Full Time - Germantown, TN
Germantown, TN
Full-time
Onsite
Lead/Staff, Director/Executive
5+ years expThe West Clinic is dedicated to providing compassionate, patient-centered care while advancing groundbreaking research. The Director of Oncology Revenue Cycle Management will lead oncology revenue cycle teams, ensuring appropriate billing practices and maximizing revenue opportunities while collaborating with various stakeholders to enhance revenue-related processes.
Hospital & Health Care
Responsibilities
Direct all revenue cycle teams and processes across West Cancer Center and affiliated sites
Ensure accurate charge capture, processing, and reconciliation across multiple systems and entities related to oncology services
Maintain knowledge of and ensure compliance with local, state, and federal regulations
Collaborate with clinical, operational, and revenue cycle teams to identify revenue enhancement opportunities while maintaining regulatory compliance
Implement internal compliance audits and assist with external audits; analyze findings and implement safeguards to improve outcomes
Review monthly financial and revenue cycle reports with the Finance team to identify trends and revenue capture opportunities
Ensure reimbursement aligns with payer contracts and identify opportunities for improvement through revenue cycle processes or managed care agreements
Perform contracting and administrative functions on behalf of West Cancer Center
Assist with coordination and negotiation of inter-facility and managed care contracts
Identify opportunities for new managed care relationships and participate in contract review, negotiation, and analysis
Establish and negotiate pricing for out-of-network and new managed care relationships, including development and maintenance of pricing models
Assist with education of clinical staff regarding charging practices and follow-up on changes
Qualification
Required
Bachelor's degree in finance, business, healthcare, or a related field
Minimum of five (5) years of progressively responsible healthcare revenue cycle and management experience
In-depth knowledge of healthcare revenue cycle processes, including managed care, pre-certification, charge and claim processing, and accounts receivable
Knowledge of EDI and clearinghouse requirements
Strong analytical and reporting skills related to revenue cycle and financial data
Knowledge of healthcare clinical operations and financial management practices
Strong leadership and management skills
Excellent written, verbal, and group presentation skills
Ability to communicate and collaborate effectively with internal and external stakeholders
High level of results orientation and ability to work collaboratively across departments
Strong Microsoft Word, Excel, and Access skills
Ability to retrieve, organize, and analyze data
Ability to facilitate education and training sessions at multiple organizational levels
Ability to work independently and exercise sound judgment
Ability to manage multiple tasks and projects while maintaining workflow control
Ability to lead and motivate individuals and teams toward organizational goals
Preferred
Master's degree in a related field
Experience in healthcare clinical operations and financial management methods and techniques
Benefits
Comprehensive Benefits Package
Company
The West Clinic
The West Clinic has been the region’s premier provider of cancer care in the Mid-South for over 35 years.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase