OneOncology
Manager, Insurance AR
United States
Sponsorship not specifiedDetected 5 days ago
ExcelAR/VREHR/EMRICD-10LeadershipAccounts Payable
About the role
- This is an exciting time to join OneOncology.
- This position will provide OneOncology practices with oversight of their Accounts Receivable and Billing Processes.
- This role will be a member of the RCM leadership team evaluating AR and Billing performance for both offshore and onshore AR and Billing teams.
Responsibilities
- Lead Billing/AR operations for OneOncology shared services overseeing multiple practices.
- Drive practice Billing/AR KPI's to reach established targets.
- Develop strategy for denial prevention by using system functionality/billing edits.
- Develop long-term relationships and lead through influence with key resources at payers to help drive down Practice AR.
- Create best practices for resolving patient AR including creating workflows that can be done pre and post visit to address AR build up quicker.
- Maintain relationships with key stakeholders at our partner practices to better understand billing processes and system capabilities.
- Strong ability to communicate across all levels of a payer to support AR resolution - including getting in the details of individual claims as well as escalating to more senior resources at the payer.
- We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Requirements
- Solid analytical skills with ability to deep dive into groups of accounts or claims to determine root cause.
- Good skills with Excel with the ability to slice and data from the EMR and Practice Management system to gain better insights into Billing/AR issues.
- Experience with Billing/AR escalations including writing 1st and 2nd level appeals and managing payer escalations with payers.
Nice to have
- 7+ years of experience in community oncology/surgical/urology industry and/or similar field leading AR resolution and Billing processes.
- Working knowledge of Billing, Collections, Government Payers, Managed Care Payers, Private, and Third Party Insurances required.
- Thorough knowledge of ICD10, CPT, HCPCS, and coding guidelines for all lines of business, including but not limited to urology and surgery.
- Coding certification preferred.
- Ability to multi-task and oversee multiple projects at once.
- Knowledge of OncoEMR, Modernizing Medicine (EMMA), Candid, and Intergy a plus.
- Essential Competencies:
- Deep understanding of physician practice operations.
Benefits
- Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision.
- Bachelor's degree or equivalent healthcare related experience required.
- Ability to grasp clinical concepts that may be leading to AR build up - i.e. Medical Record requests and rationale by the payer.
Company info
- Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.
- Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance.
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This listing is sourced directly from OneOncology's careers page and normalized into a canonical job model.