Revenue Cycle Manager​/Pre-Certification

Overview

We are seeking an experienced and detail‑oriented Revenue Cycle Manager / Pre‑Certification to oversee front‑end revenue cycle operations across multiple practice sites. This role ensures efficient, compliant, and accurate processes that support optimal financial performance and an exceptional patient experience.

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• Employment Type:
  
  Full‑Time
• Location:
  
  Teaneck, NJ - Remote
• Compensation: $81,685 - $85,000 Annual

• Health, dental, and vision plans
• Wellness program
• Health savings account – Flexible spending accounts
• 401(k) retirement plan
• Life insurance
• Short‑term disability insurance
• Long‑term disability insurance
• Employee Assistance Program (EAP)
• Paid Time Off (PTO) and holiday pay
• Tuition discounts with numerous universities

We believe these benefits underscore our commitment to the well‑being and professional growth of our employees.

• Oversee the Eligibility and Pre‑authorization teams for Oncology treatments and oral pharmacy services, ensuring all patient eligibility is verified accurately and promptly.
• Function as a liaison between Central Business Office, physicians, and practice sites to resolve accounts receivable issues and questions.
• Develop and maintain relationships with insurance providers to facilitate efficient eligibility verification processes and pre‑authorization submissions.
• Collaborate with healthcare providers to gather necessary documentation required for pre‑authorization and ensure timely approval of oncology treatments and oral pharmacy prescriptions.
• Implement and oversee technology solutions to streamline eligibility checks, pre‑authorization processes, and reduce manual errors.
• Monitor and report on pre‑authorization approval rates and turnaround times, identifying areas for improvement.
• Coordinate with the billing department to ensure that pre‑authorized treatments are billed correctly and in a timely manner.
• Conduct regular audits to ensure adherence to internal policies and external regulations, staying informed about changes in healthcare regulations related to oncology and pharmacy services.
• Assist in the development and implementation of training programs for corporate and practice employees, including training on eligibility and pre‑authorization procedures, to improve A/R and billing functions.
• Maintain a working knowledge of applicable laws and regulations as they relate to assigned responsibilities and communicate regulatory and industry standards to employees.
• Conduct audits to ensure compliance and monitor productivity in the A/R, eligibility, and pre‑authorization functions.
• May coordinate facilities and office management functions including payroll submission.
• Supervise, through multiple subordinate supervisors, teams of employees involved in the Pre‑authorization and eligibility of Accounts Receivable for the Central Business Office.
• Provide on‑going front‑office process review and implement process revisions as needed.
• Coordinate and or provide training for new front office staff, and retraining as needed.
• Super User of Practice Management System and interfaced systems.
• Ensures roll‑out of System updates to front‑office team.
• Chairs Revenue Cycle Front Office task teams. Co‑chairs C2C

• High school diploma or equivalent required
• Bachelor’s degree preferred
• Oncology Experience preferred
• Minimum seven years of medical business office experience
• Two years experience managing, delegating, and following up on work priorities of others
• Strong knowledge of medical insurance billing and collections with CPT, ICD9, and HCPC coding and medical terminology, as well as an overall understanding of…