Director of Revenue Cycle

Columbus Oncology & Hematology

Dublin, OH

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JOB DETAILS

JOB TYPE

Full-time

SKILLS

Accreditation Standards, Alliance/Partner Management, Billing, Budget Reporting, Budgeting, Business Administration, Business Case, Charge Capture, Coaching, Coding Standards, Communication Skills, Content Management Systems (CMS), Contract Negotiation, Contract Requirements, Credit and Collections, Cross-Functional, Current Procedural Terminology (CPT), Customer Support/Service, Establish Priorities, Fee Schedule, Financial Analysis, Financial Operations, Financial Planning, Financial Reporting, Financial Trend Analysis, Forecasting, HIPAA (Health Insurance Portability and Accountability Act), Health Economics, Healthcare, Healthcare Administration, Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD), Leadership, Maintain Compliance, Managed Care, Medicaid, Medical Billing, Medicare, Oncology, Operational Support, Operations Management, Patient Care, Patient Registration, People Management, Performance Analysis, Performance Management, Performance Metrics, Process Improvement, Product/Service Launch, Profit & Loss, Quality Metrics, Regulations, Regulatory Compliance, Regulatory Requirements, Reimbursement, Revenue Management, Safety Standards, Safety/Work Safety, Sales Qualification, Strategic Planning, Sustainability

LOCATION

Dublin, OH

POSTED

30+ days ago

SUMMARY: The Revenue Cycle Director will provide strategic leadership and vision for revenue cycle management of Columbus Oncology Associates, Inc (COA). This role is responsible for overseeing and coordinating all revenue cycle activities with a goal of maximizing reimbursement in a cost effective manner that is in compliance with federal, state and payer-specific billing requirements. The Revenue Cycle Director will collaborate with the executive leadership, physician group, management team and related staff to assure that all aspects of the revenue cycle are compliant and meet the service and quality standards established by the organization.

Further, this position will serve on the administrative and clinical leadership committee to work cross-functionally across the different teams to help Identify and evaluate opportunities that drive impact for COA’s patients and shareholders — including strategic partnerships and new service lines – to assess these opportunities and recommend the most viable options.

ESSENTIAL DUTIES AND RESPONSIBILITIES: The essential duties and responsibilities of this job include the following. These are the duties that define this job and are required to be performed by the incumbent. Other essential duties may be assigned.

Oversee and maintain a robust revenue cycle management infrastructure, including charge capture, billing, collections, posting, and payer engagement, to support the financial health of the practice.
Build, manage, and maintain payer relationships; lead payer contracting, negotiations, compliance, and analysis of financial impact related to managed care contracts and fee schedules.
Monitor, interpret, and ensure compliance with Medicare, Medicaid, and all other payer regulations, billing policies, credentialing standards, and legislative changes; develop action plans, audits, education, and process improvements as needed.
Utilize practice management systems and reporting tools to monitor performance, define KPIs, prepare financial and operational reports, and support budgeting, forecasting, and strategic planning initiatives.
Provide leadership, oversight, and direction to revenue cycle and patient services teams, including patient registration, benefit verification, estimates, financial assistance, and customer service functions.
Manage staff performance and operations by assigning workloads, setting priorities, conducting evaluations, providing coaching and orientation, supporting morale, and ensuring adequate coverage during absences or high patient volume.
Serve as a key liaison with executive leadership, physicians, managers, and staff to ensure effective communication, operational alignment, and accurate handling of billing and payment activities.
Own the end-to-end build of new initiatives within the revenue cycle team— from validating team needs, providing input into the business case, overseeing implementation, and defining what success looks like.
Promote and model patient-centered customer service, addressing complex patient concerns and ensuring staff engagement in service excellence.
Develop and maintain the revenue cycle budget and operating plan; analyze trends and adverse impacts to support financial planning and sustainability.
Actively participate in practice leadership, strategic initiatives, and long-term planning to support quality care delivery, regulatory compliance, and private practice viability.
Uphold professional ethics, workplace safety standards, and organizational policies at all times.
Perform other related duties as required.

QUALIFICATIONS: In order to qualify for this job, the incumbent must possess the following qualifications or be able to secure them within 90 days.

ESSENTIAL EDUCATION AND/OR EXPERIENCE:
Bachelor’s degree required, preferably in healthcare administration, healthcare economics, business administration or related field.
Minimum of 10 years of progressive leadership experience within revenue cycle, revenue integrity, or middle revenue cycle disciplines.
Working knowledge of medical billing and coding standards including ICD, CPT, HCPCS, CMS regulations, credentialing, contracting, and NPI requirements.
Knowledge of healthcare regulatory requirements, payer rules, and compliance standards, including HIPAA.
ADDITIONAL DESIRABLE EDUCATION AND/OR EXPERIENCE:
MBA or equivalent experience – especially if paired with exposure to P&L ownership or business unit ownership.
Significant experience working in or around oncology fee-for-service and prior authorizations for in-office infusions.


Columbus Oncology Associates is an Equal Opportunity Employer and proudly a Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.

About the Company

Columbus Oncology & Hematology

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