Oncology Revenue Cycle Manager | University of California, San Diego - Military Veterans

at HERC - Southern California

San Diego, California

Special Selection Applicants : Apply by 05/12/21. Eligible Special Selection clients should contact their Disability Counselor for assistance. This position will remain open until filled. DESCRIPTION Under the direction of the Associate Chief Financial Officer and System Director of Patient Access, the Oncology Revenue Cycle Supervisor has primary responsibility for the revenue cycle functions for oncology services within UCSD Health. This position will work with key stakeholders across the enterprise to ensure that UCSD receives optimal reimbursement for oncology services. This includes the coordination/integration of best practices with other departments, optimizing processes for authorizations, insurance identification and verification, charge capture, coding, monitoring denial trends, and collaborating with relevant teams to improve appeal processes. The position is also responsible for analyzing monthly reports for claims, receipts, revenue, denials, meaningful use, and other pertinent data sets to identify opportunities and implement change management. The position supervises the authorization teams for infusion, radiation oncology, and ancillary services that support oncology care for UCSD Health. The incumbent will establish and monitor productivity metrics for authorization staff and ensure accountability for the unit. Provides direction, sets priorities, and analyzes workflow for subordinate revenue cycle activities, according to established policies and management guidance. Recommends, develops and implements new and revised procedures as needed. The incumbent: Stays current with regulatory revisions in payment methodologies, policy and procedures, and reimbursement policies via seminars, websites, etc. Communicates effectively and interacts with providers, staff and health plans daily or as indicated regarding referral authorization issues. Maintains current knowledge of various insurance carrier processes necessary to obtain prior authorization. Champions new initiatives: act as a catalyst of change and stimulate others to change; pave the way for needed changes; and manage change implementation effectively. Steps forward to address difficult issues; put self on the line to deal with important problems; take ownership and accountability. MINIMUM QUALIFICATIONS Nine (9) years of related experience, education/training within healthcare revenue cycle – supervisory/management experience in authorizations, billing/coding, charge capture, and denials OR a Bachelor's degree in related area plus five (5) years of related experience experience/training within healthcare revenue cycle – supervisory/management experience in authorizations, billing/coding, charge capture, and denials. Demonstrated experience and proven success in supervisory and organizational skills. Strong ability to effectively manage multiple priorities in a fast-paced environment. PREFERRED QUALIFICATIONS Oncology experience. Process improvement and/or change management experience. Registered Nurse experience. SPECIAL CONDITIONS Must be able to work various hours and locations based on business needs. Employment is subject to a criminal background check and pre-employment physical.

San Diego, California

Southern California HERC, established in 2003, is a non-profit organization composed of a diverse group of colleges and universities, and research, medical, and cultural institutions. Our institutions are committed to diversity, equity, and inclusion in the recruitment process and providing a work environment sensitive to work/life balance. We also understand that employment decisions often involve two careers and offer state of the art dual career resources and solutions. SoCal HERC includes members from the Central Coast, Los Angeles, Orange County, Inland Empire, and San Diego.

HERC is a gateway to more jobs in higher education and related fields than any other website. HERC provides job seekers with comprehensive and transparent access to job opportunities, daily job alerts, career advice news and webinars, dual career support, and regional multicultural resources to help with relocating to a new community.

SoCal HERC Member Institutions:

Antioch University, Azusa Pacific, University Cal Tech

CSU Fullerton, CSU Northridge,  CSU San Bernardino 

Cedars-Sinai Medical Center, Chapman University, Citrus College

Concordia University Irvine, Grossmont-Cuyamaca CCD, Kaiser Permanente School of Medicine 

Loyola Marymount University, MiraCosta Community College, Mount St. Mary’s University

North Orange County CCD, Occidental College,  Pacific Oaks College & Childrens School 

Point Loma Nazarene University, San Diego State University, Soka University of America

The Claremont Colleges, The Salk Institute for Biological Sciences, UC Path Center

UC Irvine, UCLA, UC Riverside

UCSD, University of Redlands, University of San Diego

University of Southern California, Vanguard University, Whittier College

While there are certainly wonderful opportunities to teach and conduct research at HERC campuses, of the 42,000 jobs on hercjobs.org, over 24,000 (or 57%) are non-teaching positions. You will find jobs in healthcare, administration, software, information technology, finance, technical and trades, social work, student affairs, and much, much more.

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