Director, RCM Shared Services

One Oncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive One Oncology’s mission and vision.

Why join us? This is an exciting time to join One Oncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. 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.

Job Description:

Role Summary The Director, RCM Shared Services (Urology) is responsible for leading strategic and operational initiatives for practice-based revenue cycle management (RCM) teams, third-party RCM vendors, and internal One Oncology stakeholders supporting urology practices. This position drives revenue cycle projects, utilizes analytics to optimize performance, implements best-practice workflows, and leads corporate in-house RCM teams focused on maximizing financial outcomes while maintaining exceptional patient and provider experiences.

Responsibilities Ensure accurate coding, charge capture, and reimbursement for urology office visits, diagnostic testing, surgical procedures, surgeries and ancillary services.

Manage relationships with third-party revenue cycle vendors and global service partners as well as leading a US-based team.

Oversee revenue cycle processes related to cystoscopy, prostate biopsy, urodynamics, imaging, ultrasound, lithotripsy, vasectomy, catheter management, and other common urologic procedures and surgeries.

Manage pre-authorization and medical necessity workflows for surgical and procedural services, including hospital and ambulatory surgery center cases.

Monitor payer reimbursement trends and regulatory changes impacting urology services and develop strategies to mitigate financial risks.

Partner with management, coding, compliance, and provider leadership to ensure appropriate application of CPT, HCPCS, ICD-10-CM, and modifier usage specific to urology services.

Oversee denial prevention and appeals processes for specialty-specific procedures, surgical claims, medical necessity denials, and bundled service edits.

Ensure optimization of ancillary revenue streams, including pathology, laboratory, imaging, dispensing pharmacy, and other practice-based services.

Collaborate with management, providers and practice leaders to improve charge capture, documentation quality, and reimbursement outcomes.

Analyze procedure utilization, reimbursement performance, RVU productivity, denial trends, and net collection metrics to identify opportunities for improvement and report out on these metrics.

Support implementation and optimization of practice management systems, EMRs, coding edits, and automation tools to improve revenue cycle effectiveness.

Serve as a subject matter expert regarding urology/surgery reimbursement regulations, payer policies, fee schedules, and revenue cycle best practices.

Ensure compliance with Medicare, Medicaid, commercial payer, and governmental regulations related to urologic services and physician practice billing.

Lead revenue cycle readiness and integration efforts for acquisitions, new providers, service line expansions, and newly implemented ancillary services and any assigned lines of business.

Monitor vendor performance using established KPIs, SLAs, and operational metrics.

Collaborate with RCM team to improve reimbursement, collections, denial management, and workflow efficiency.

Serve as the…