Manager, Revenue Cycle Management

🔥 41 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $98.2k - $126.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💹 Revenue Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Cardinal Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1971

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

💰 $78M Post-IPO Debt on 2006-08

Logistics • Manufacturing • Healthcare

Cardinal Health is a global healthcare services and products company. It provides a comprehensive range of healthcare services, including medical supply distribution, pharmaceutical distribution, and logistics solutions to various healthcare facilities such as hospitals, community health centers, and ambulatory surgery centers. Additionally, Cardinal Health offers a variety of medical products and pharmaceutical services. The company also focuses on innovative solutions to enhance healthcare delivery, through services like patient support, pharmacy management, and advanced therapy solutions. Cardinal Health is committed to supporting healthcare providers in delivering quality patient care while optimizing operational efficiency.

📋 Description

• 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 balancing financial clarity, empathy, and access to care • 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 on coding, billing, collections, denial management, continuity, and accuracy • Monitor KPIs related to access, counseling timeliness, authorization turnaround, point-of-service collections, and financial clearance rates • Manage screening and enrollment processes for 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 • 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 • Act as an operational partner to physicians, APPs, nursing leaders, and practice administrators • Translate financial and coverage information into actionable guidance for care teams • Participate in clinic leadership meetings and cross-functional initiatives focused on access, growth, and patient experience • Ensure 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

🎯 Requirements

• Bachelor’s degree in healthcare administration, business, finance, or a related field (or equivalent experience) preferred • 5+ years of progressive experience in healthcare revenue cycle or financial counseling, preferably in oncology preferred • 3+ years of people management or team leadership experience preferred • Strong knowledge of insurance plans, oncology benefits, prior authorizations, and patient financial responsibility preferred • 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

🏖️ Benefits

• Medical, dental and vision coverage • Paid time off plan • Health savings account (HSA) • 401k savings plan • Access to wages before pay day with myFlexPay • Flexible spending accounts (FSAs) • Short- and long-term disability coverage • Work-Life resources • Paid parental leave • Healthy lifestyle programs