Mgr, Revenue Cycle Mgmt (Financial Counseling)

Overview

This role involves managing and optimizing front-end financial counseling services within a large, multi-site oncology Management Services Organization (MSO). The position is highly patient- and provider-facing, focusing on delivering immediate, high-touch financial support to patients and oncology care teams at the point of care. The manager ensures timely, accurate, and compassionate financial guidance related to insurance coverage, benefits, prior authorizations, estimates, and financial assistance programs. This role partners closely with clinical teams to remove financial barriers to care, improve patient access, and support informed treatment decisions while driving revenue cycle management (RCM) performance.

This position requires 50% nationwide travel, specifically within California.

Responsibilities

Patient & Care Team Support

• 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.

Revenue Cycle Leadership

• 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 (coding, billing, collections, denial management) to ensure continuity and accuracy across the revenue cycle.
• Monitor key performance indicators related to access, counseling timeliness, authorization turnaround, point-of-service collections, and financial clearance rates.

Financial Assistance & Access Programs

• Manage processes for screening and enrolling patients into financial assistance programs, including 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.

Team Leadership & Development

• 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.
• Foster strong communication, accountability, and service excellence within the team.

Provider & Operational Partnership

• Act as a trusted operational partner to physicians, advanced practice providers (APPs), nursing leaders, and practice administrators.
• Translate financial and coverage information into clear, actionable guidance for care teams.
• Participate in clinic leadership meetings and cross-functional initiatives focused on access, growth, and patient experience.

Compliance & Quality

• Ensure all 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.

Qualifications

• Bachelor’s degree in healthcare administration, business, finance, or a related field preferred (or equivalent experience).
• Minimum 5 years of progressive experience in healthcare revenue cycle or financial counseling, preferably in oncology.
• At least 3 years of people management or team leadership experience preferred.
• Strong knowledge of insurance plans, oncology benefits, prior authorizations, and patient financial responsibility.
• Ability to travel 20% domestically.
• 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 such as 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.

Role Expectations

• Manage department operations and supervise professional employees, front-line supervisors, and/or business support staff.
• Participate in the development of policies and procedures to achieve specific goals.
• Ensure employees operate within guidelines.
• Make decisions with short-term impact on work processes, outcomes, and customers.
• Interact with subordinates, peers, customers, and suppliers at various management levels; may interact with senior management.
• Resolve issues related to operations and/or projects.
• Gain consensus from various parties involved.

Compensation & Benefits

• Anticipated salary range: $87,700.00 - $100,240.00
• Bonus eligible: No
• Benefits include:
  • Medical, dental, and vision coverage
  • Paid time off plan
  • Health savings account (HSA)
  • 401(k) savings plan
  • Access to wages before payday with flexible pay options
  • Flexible spending accounts (FSAs)
  • Short- and long-term disability coverage
  • Work-life resources
  • Paid parental leave
  • Healthy lifestyle programs

Location

• Nationwide travel required 50%, specifically California

Additional Information

Candidates who are returning to work, people with disabilities, those without a college degree, and veterans are encouraged to apply. The employer supports an inclusive workplace valuing diversity of thought, experience, and background. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status, or any other status protected by federal, state, or local law.

The salary range listed is an estimate. Pay is determined by multiple factors including geographical location, relevant education, experience, skills, and internal pay equity.

Application window anticipated to close: 6/1/2026. Interested candidates are encouraged to submit applications as soon as possible.