The role involves providing financial counseling to patients regarding insurance coverage, out-of-pocket costs, and payment arrangements. It also requires documenting account activity and assisting with financial assistance applications to ensure patients understand their financial liabilities.
The Accounts Receivable Insurance Analyst manages and resolves outstanding insurance balances to ensure timely reimbursement for oncology services. This role involves analyzing payer activity, investigating claim denials, and collaborating with clinical teams to optimize revenue cycle performance.
The specialist is responsible for managing accounts receivable, including following up on outstanding balances, resolving insurance claim issues, and performing claim re-files. They will also interact with patients, physicians, and insurance carriers to ensure accurate and timely reimbursement for oncology services.
The RCM Research Specialist reviews clinical trial protocols to ensure compliance with payer policies and practice requirements. They also manage non-billable grids, track patient enrollments, and provide operational support for billing and financial reporting.
The Product Specialist will lead the implementation, configuration, and integration of clinical research products within partner practices. They will also serve as a technical liaison to address issues, support process improvements, and ensure product optimization and compliance.
The Authorization Specialist manages administrative aspects of benefit verification and pre-authorizations for outpatient diagnostic testing and procedures. They ensure financial feasibility by coordinating with clinical staff, patients, and insurance carriers while maintaining accurate documentation in the Electronic Medical Record.
The Medical Billing Specialist is responsible for accurate charge capture, auditing, and entry for medical oncology services. They must reconcile appointments, resolve billing denials, and collaborate with clinical staff to ensure timely revenue cycle management.
Manage credentialing and re-credentialing for physicians and allied health professionals, including applications, verification, hospital privileges, insurance, and provider records. Track licenses and continuing education, notify relevant teams of credentialing status, and coordinate provider removals from managed care organizations, hospitals, and electronic medical records after termination.
Lead enterprise-wide strategy and operations for the urology service line, partnering with the Chief Medical Officer to grow and standardize services across the network. Oversee operational performance, quality and compliance, ancillary service integration, technology adoption, team development, and collaboration with clinical and business stakeholders.
The Director is responsible for building and deploying a playbook to enable community oncology practices to design and launch Phase I clinical trial units. This role involves managing site readiness, defining operational workflows, and serving as a subject matter expert to ensure successful program implementation.
The Clinical Program Specialist is responsible for coordinating, implementing, and optimizing strategic clinical programs across the OneOncology network. This role manages day-to-day project execution, maintains project governance, and ensures cross-functional collaboration to drive enterprise-wide clinical initiatives.
The specialist is responsible for managing accounts receivable, including following up on insurance claims, resolving billing issues, and coordinating with payers. They also handle patient inquiries regarding self-pay balances and ensure accurate documentation of all collection activities.
The Director of RCM Shared Services leads strategic and operational initiatives for revenue cycle management within urology practices. This role oversees third-party vendors, manages internal teams, and optimizes financial outcomes through data-driven process improvements.
The Senior Manager of Medical Coding oversees coding and charge capture specialists to ensure accurate and timely submission of charges. They are responsible for designing efficient workflows, monitoring KPIs, and collaborating with practice leadership to improve documentation and coding compliance.
The Medical Coding Specialist performs daily charge reviews and audits physician documentation to ensure accurate coding of visits, surgeries, and procedures. They also assist practice leadership in analyzing coding data and resolving complex compliance issues.
The Pre-Certification Manager oversees the daily operations of the pre-certification team to ensure accurate verification of patient eligibility, benefits, and procedure estimates. They act as the primary liaison with vendor partners and collaborate with provider staff to resolve issues, ensuring compliance with payer policies and minimizing revenue loss.
The specialist is responsible for managing accounts receivables, including insurance follow-ups, claim re-files, and resolving billing edits. They will also interact with patients, physicians, and insurance companies to ensure timely payments and accurate account documentation.
The Benefit Verification Specialist is responsible for verifying patient insurance eligibility and coverage details prior to services to ensure accurate billing. They also communicate these details to internal teams and patients while maintaining compliance with HIPAA and organizational policies.
The RCM Coding Education Specialist is responsible for developing and delivering provider-focused coding and documentation education programs to ensure compliance and accuracy. They will also conduct coding audits, analyze denial patterns, and collaborate with operational leaders to optimize charge capture and documentation excellence.
The Sr. Study Operations Specialist coordinates clinical study execution, ensuring adherence to protocols, GCP, and regulatory guidelines. They also manage patient recruitment, prescreening, and data documentation while collaborating with cross-functional teams to improve study efficiency.
The Senior Director provides strategic and operational leadership for site-based research programs, ensuring high-quality study execution and performance. They act as the primary liaison between the research platform and community oncology practices to drive enrollment, infrastructure growth, and operational excellence.
The Senior Director will provide strategic leadership for enterprise-wide credentialing, enrollment, and provider onboarding operations to ensure compliance and efficiency. They are responsible for driving process transformation, managing high-performing teams, and collaborating with cross-functional stakeholders to support organizational growth.
This position is responsible for auditing physician documentation to ensure coding compliance and reporting findings to management. The role involves assigning accurate medical codes, collaborating with providers to resolve documentation deficiencies, and supporting the practice's compliance program.
The Research Finance Specialist manages clinical trial financials, including invoicing, revenue reporting, and financial reconciliations within the CTMS. They also collaborate with research sites to ensure billing accuracy and resolve discrepancies with sponsors and CROs.
The Contract Adherence Specialist manages and maintains fee schedule data for payer reimbursement while auditing for accuracy. They are responsible for identifying underpayment trends, resolving payment discrepancies, and managing appeals to ensure proper revenue recovery.
The Medical Dosimetrist designs safe and accurate radiation therapy plans using modern treatment planning systems in collaboration with a multidisciplinary team. They are responsible for maintaining accurate medical records, performing image fusion, and ensuring the effective implementation of treatment plans.
The Sr. RCM Coding Coordinator manages administrative coding functions, develops departmental documentation, and supports operational initiatives. This role also conducts regulatory research, facilitates team communications, and analyzes coding performance trends to ensure compliance.
The Senior Manager, RCM is responsible for overseeing daily operations, project initiatives, and performance metrics for practice-based revenue cycle management teams. This role involves collaborating with leadership to optimize workflows, manage staff, and ensure compliance across all RCM service lines.
The Medical Coding Specialist performs daily charge reviews and audits physician documentation to ensure accurate coding of CPT, ICD-10, and HCPCS. They also assist practice leadership in analyzing coding data and resolving complex compliance issues.
The Service Desk Technician I serves as the primary point of contact for technology issues, managing incident tickets and providing technical support to end users. They are responsible for documenting resolutions, triaging issues, and coordinating with other technical teams to ensure efficient service delivery.
The Sr. Manager, RCM will oversee daily revenue cycle operations, including pre-billing, EDI, and accounts receivable teams for the Urology specialty. They are responsible for developing sustainable workflows, managing staff performance, and collaborating with leadership to reduce revenue leakage and improve financial health.
Lead the implementation and improvement of clinical pharmacy services and the Shared Pharmacy Services model. Manage regimen build teams and provide clinical resource support for oncology pharmacotherapy across the network.
Directs pharmacy operations and develops strategies to enhance in-office dispensing across the United Urology Group network. Collaborates with clinical teams to implement quality assurance programs and ensure compliance with USP standards.
Coordinate day-to-day execution of all RCM functions and optimize performance through KPI development and monitoring. Manage operational infrastructure to support growth via practice acquisition and integration while ensuring regulatory compliance.
The Contract Manager will oversee the contract life cycle and performance of assigned physician practices, including negotiations and strategy development. This role involves ensuring compliance with financial targets and legal requirements while providing support for payer-related issues.
