[Hiring] Director, Accounts Receivable Management @The US Oncology Network

Role Description

Responsible for leading and directing the Accounts Receivable (AR) Management function across the Network Business Office – Center of Revenue Excellence. Accountable for optimizing AR performance and reimbursement outcomes through effective claim follow-up, denial management, payer escalation, collections, and aging reduction strategies. Leads a standardized, data-driven approach to AR management that supports operational excellence, continuous improvement, and the ongoing transformation of the Center of Revenue Excellence. Provides leadership to AR management teams and partners across the revenue cycle to drive performance, accountability, and financial results.

Salary Range: $115,000–$160,000 annually. Actual compensation will be determined based on experience, skills, and location.

Qualifications

• Bachelor's degree in Business Administration, Health Administration, or related discipline. Additional experience will be considered in lieu of a degree.
• Minimum ten years of medical office or revenue cycle management experience, including five years of prior supervisory experience, with significant experience in AR management, denial management, and payer follow-up.
• Demonstrated experience leading AR and collections teams, including managing outsourced or vendor AR support.
• Knowledge of federal and state laws and regulations governing medical collections, payer timely filing, and appeals.
• Knowledge of fiscal management and human resources management practices.
• Knowledge of organization policies and procedures.
• Knowledge of health care administration principles.
• Knowledge of commercial and government payor operating procedures, reimbursement methodologies, and claim adjudication practices.
• Proficiency in revenue cycle and practice management with the ability to interpret AR, denial, and cash metrics and translate them into action plans.
• Ability to communicate effectively with physicians, practice leaders, and executives regarding AR performance and fiscal policies.
• Knowledge of CPT and diagnosis coding.

Requirements

• Directs the operational performance and overall management of the AR Management function across the Network Business Office – Center of Revenue Excellence and practice locations.
• Performs all functions necessary to meet company DSO, AR aging, and cash collection standards.
• Develops, implements, and monitors adherence to AR follow-up, denial management, and reimbursement policies, procedures, and workflows.
• Directs AR follow-up and aging reduction strategies, including prioritization of high-dollar and aged balances (e.g., AR greater than 120 and 360 days), to reduce days in AR and mitigate bad debt risk.
• Directs denial management, including trend analysis, root-cause identification, appeals, and corrective action plans in partnership with practices, coding, billing, and front office leaders.
• Coordinates with practices and Managed Care to develop and implement payor escalation and action plans to resolve AR issues, including underpayments, timely filing, and claims processing backlogs.
• Develops and implements action plans to improve AR performance, including addressing front-end processes that contribute to downstream AR and denials.
• Directs AR staffing and workload models, including allocation of resources by payor, practice, or aging bucket, and manages the performance of internal teams and external AR support vendors against defined deliverables and productivity benchmarks.
• Collaboratively leads the development and execution of AR process standardization and optimization initiatives supporting Center of Revenue Excellence transformation, including identifying automation opportunities and aligning AR workflows to standardized operating models.
• Provides ongoing information and operations insights to Practice Relations Directors and revenue cycle leadership regarding overall AR performance, risks, and improvement initiatives.
• Represents AR Management in practice operations meetings and Joint Policy Boards, as needed, providing data, insights, and recommendations regarding AR performance, payer trends, risks, and improvement plans.
• Directs the maintenance of AR work queues, system parameters, and reporting tools, and partners with IT, analytics, and system support teams on AR-related system and process changes.
• Directly supervises AR management and supervisory staff. Prepares budget, staffing plans, and goals for the AR Management function.

Benefits

• M/D/V, Life Ins., 401(k)

Company Description

The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

We extend an extremely competitive offering of benefits to employees, including:

• Medical Health Care
• Dental Care
• Vision Plan
• 401-K with a matching component
• Life Insurance
• Short-term and Long-term disability
• Wellness & Perks Programs