Director, RCM Radiation and Medical Oncology Services

Job Details

Level: Experienced

Job Location: OneOncologyFifth Third Center Nashville, TN

Position Type: Full Time

Education Level: 4 Year Degree

Salary Range: $155000.00 $175000.00 Salaryyear

Travel Percentage: Up to 25%

Job Category: Revenue Cycle Management

Description

Are you interested in making a difference in patient care? Learn about our unique culture of respect, growth, innovation, the best patient care, and how we give back to the community.

At United Urology Group, our employees are at the heart of our mission and have incredible opportunities to impact our patients lives with their urologic care.

• We foster a culture that thrives on compassion, teamwork, integrity, and diversity, all of which start with our staff!
• We deliver a cohesive approach to urologic care that provides patients with access to experienced specialists, a superb team of healthcare professionals, and the most advanced technology for patient treatments and therapies.
• We offer competitive salaries and a great worklife balance: enjoy your weekends!
• UUG offers outstanding benefits, including tuition reimbursement, health, dental, and vision insurance, corporate discounts, and much more!

• United Urology Group is regarded as the leading urology network in the country. Our Affiliates include Chesapeake Urology, Arizona Urology—Phoenix & Scottsdale, Arizona Urology—Tucson, Colorado Urology, and Tennessee Urology.

  Position Summary:

  The Director, RCM Radiation and Medical Oncology Services, will be responsible for overseeing the endtoend revenue cycle operations for Oncology services, including Radiation and Medical Oncology.

  This position will lead the RCM functions of eligibility, benefits, precertification, patient estimates, financial counseling (precollections), funding, and accounts receivable related specifically to Radiation and Medical Oncology services. The Director will also serve as the primary RCM liaison to oncologyfacing partners.

  Primary Duties & Responsibilities:

  Revenue Cycle Leadership – Oncology Services

  • Oversee all RCM functions specific to Radiation and Medical Oncology, including:
    • Insurance eligibility verification
    • Benefit investigations and documentation
    • Payer medical necessity guidelines and preferred drug usage
    • Drug reconciliation processes: Precertification and authorization management
    • Patient cost estimates and financial counseling
    • Precollections
    • Funding coordination
    • Accounts receivable management and denial followup
    • • Develop and implement oncologyspecific RCM workflows that align with payer requirements, internal policies, and compliance standards.
      • Serve as the practicefacing RCM leader for Radiation and Medical Oncology providers, facilitating seamless communication and collaboration across systems and teams.
      • Establish KPIs and monitor RCM performance metrics across all Oncology revenue cycle functions; drive improvement plans where needed.
      • Collaborate closely with clinical operations, finance, and executive leadership to ensure revenue integrity and process alignment.

      • Collaboration & Partnership

        • Partner with the other RCM leadership to align practices, share knowledge, and ensure consistency across the organization.
        • Maintain open communication with physician leaders, frontend teams, and external partners to proactively resolve revenue cycle issues.
        • Ensure internal teams are educated on payer guidelines, documentation requirements, and reimbursement changes impacting Oncology services.

        • Compliance & Optimization

          • Ensure all Oncology revenue cycle functions operate in accordance with federal and state regulations, payer rules, and organizational policies.
          • Continuously evaluate and improve processes, systems, and technologies to enhance revenue capture, billing efficiency, and patient experience.
          • Provide leadership during audits, compliance reviews, and payer escalations related to Oncology services.
          • Ensure internal teams are educated on payer guidelines, documentation requirements, and reimbursement changes impacting Oncology services.

          • Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.

            Qualifications

            
            

            Qualifications:

            • Bachelor’s Degree in Healthcare Administration, business, or another related field, or equivalent required.
            • Five (5) years of management experience with progressive experience in dealing and negotiating contracts, medical billing, and credentialing.
            • Experience with Radiation and Medical Oncology service lines. Including medical necessity guidelines, payer coverage guidelines, authorization processes, financial assistance through funding, financial counseling, and denial management.
            • Experience in the revenue cycle management of a multisite healthcare delivery system, including ambulatory surgical centers.
            • A successful track record of collaborative leadership of a management team to achieve strategic objectives, as well as to ensure quality services and compliance with relevant contractual and regulatory requirements.

            • Knowledge, Competencies & Skills:

              • Superior leadership, problemsolving, team building, and decisionmaking skills.
              • Exceptionally wellorganized and superior written, verbal, and interpersonal communication skills.
              • Proficient computer software and database skills.
              • Exceptional business and financial acumen.

              • Tech Requirements for the Job:

                • Highspeed, reliable internet connection to ensure uninterrupted communication and access to necessary systems and tools.
                • Quiet and private work environment to maintain the confidentiality of patient information and minimize background noise during calls.
                • Proficiency in using remote collaboration tools, such as video conferencing software, instant messaging platforms, and customer relationship management systems.
                • Compliance with all security and privacy policies and protocols, including safeguarding patient information and maintaining HIPAA compliance.

                • Direct Reports:

                  Leaders overseeing EVBV, PreAuth, and Financial Counseling, as well as AR leadership.

                  Travel:

                  • Must have the ability & willingness to travel to other sites as necessary within a geographic region.

                  • Physical Requirements for the Job:

                    • Regularly required to sit and stand for extended periods.
                    • Involves standing, sitting, walking, bending, stooping, and twisting.
                    • Requires full range of body motion, including manual and finger dexterity and eyehand coordination.
                    • Occasionally lifts and carries items weighing up to 25 lbs.

                    • Equal Opportunity Employer: United Urology Group and its affiliate practices are an equal opportunity employer. We do not discriminate based on race, color, religion, age, sex, national origin, disability, veteran status, or sexual orientation.

                      The successful candidate(s) for any UUG position will be subject to a preemployment background check.

                      Actual compensation offered to candidates is based on work experience, education, skill level, and geographic location. Compensation may vary depending on the state or region in which the position is located, in accordance with applicable laws. Applications for this position are accepted on an ongoing basis until the role is filled. There is no specific application deadline.