What are the responsibilities and job description for the Revenue Cycle Supervisor position at Arizona Blood & Cancer Specialist?
Our practice is built on a foundation of clinical excellence, compassionate support, and commitment to helping our patients through very difficult times in their lives.
Every member of our team shares and is dedicated to our common goal of improving our patients’ experience, lives and outcomes. This ambitious and important goal is what motivates the selfless, collaborative, courageous and exceptional people who make up our organization.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
REVENUE CYCLE SUPERVISOR
OneOncology, a partnership of independent community oncology practices and finance and technology experts, is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our founding team is bringing together leaders to the marketplace to help drive OneOncology’s mission and vision.
Summary
The REVENUE CYCLE SUPERVISOR will report to OneOncology’s PRACTICE DIRECTOR. The Revenue Cycle Supervisor acts as the primary liaison between the RC team and the practice as it relates to RCM operations and processes. Coordinate cross-functional activities among nursing, physicians, front office, scheduling, administration, and billing teams to support Revenue Cycle Management (RCM) operations. The position is also responsible for staff management, working on strategic projects (typically with specific payers), supporting new growth opportunities, and following up on outstanding open items impacting RCM.
- Conduct denial management reviews focused on identifying and addressing root causes related to Eligibility or Authorization issues.
- Monitor and analyze practice performance metrics, including charges, payments, and adjustments.
- Payer trends and insights.
The REVENUE CYCLE SUPERVISOR serves as the primary liaison for Insurance Verification, Benefits Verification, and Authorization and the RCM team. The position will coordinate multiple activities across various groups in the practice, including (but not limited to) front office, scheduling, administration, clinical and billing to support RCM operations. The position is responsible for working on strategic projects (typically on continuous improvement opportunities) and following up on outstanding open items impacting RCM (i.e., new payer rule changes for Auth, payer insurance card changes, etc.).
Duties and Responsibilities:
- Serve as the primary liaison between practice staff and the RCM team, addressing and resolving process-related or patient-specific concerns, with a focus on Eligibility and Authorization.
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Coordinate with staff on STAT Eligibility and Authorization, ensuring urgent cases are addressed promptly.
Act as the escalation point for Eligibility and Authorization issues raised by practice staff. - Verify patient eligibility with payers for unresolved eligibility queries at least one day prior to the patient’s visit.
- Respond accurately and efficiently to RCM team queries related to Eligibility Verification, Benefits Verification, and Authorization, including handling denied authorization requests and scheduling Peer-to-Peer reviews when necessary.
- Facilitates implementation of best practices for Authorization to adequate time to obtain Auth (improve workflows to reduce # of Stat AUTH’s by collaborating with Clinicians and Ordering MDs, etc.)
- Responsible for managing the financial counselor team.
Qualifications:
- High school or equivalent.
- Prefer at least 3 years’ experience managing oncology administrative staff.
- 5 years’ experience working revenue cycle duties in the medical field.
