Revenue Cycle Manager – Medical Oncology Billing

Role Overview

• Oversee end-to-end revenue cycle operations, including coding, charge capture, billing, AR, and collections within oncology services
• Manage and support billing staff; provide coaching, workflow oversight, and performance monitoring
• Ensure accurate billing for oncology-specific services (e.g., infusion, drug administration, J-codes, prior authorizations)
• Identify and resolve denials, underpayments, and payer-specific issues, especially across Medicare, Medicaid, and commercial plans
• Analyze KPIs (e.g., days in AR, clean claim rate, denial rates) and implement process improvements
• Partner with clinical, finance, and compliance teams to ensure proper documentation and regulatory adherence
• Support audits and ensure compliance with CMS guidelines and oncology billing regulations
• Optimize revenue cycle systems and workflows; recommend best practices and efficiencies

Requirements

• 5+ years of revenue cycle experience, with a strong focus in medical oncology billing
• Prior management or supervisory experience required
• Deep knowledge of oncology coding and billing, including chemotherapy/infusion services and drug reimbursement
• Strong understanding of payer rules, reimbursement models, and denial management strategies
• Experience working with EMR/PM systems (e.g., Epic, Cerner, OncoEMR preferred)
• Proven ability to analyze data and drive measurable improvements
• Excellent communication and leadership skills