The Credentialing Specialist manages all aspects of the privileging and credentialing process for physicians and allied health professionals. This includes processing applications, verifying information, and maintaining confidential provider files and licenses.
OneOncology
31 Remote Job Openings at OneOncology
The Coding Manager oversees the coding and audit department, ensuring corporate compliance with coding guidelines and managing daily operations. This role involves training physicians, mentoring staff, and optimizing clinical documentation workflows to improve accuracy and risk adjustment.
The Insurance AR Supervisor manages the day-to-day operations and staff of the Collections team, focusing on A/R monitoring and payer assignments. Key duties include performing team audits, developing policies, and overseeing collection adjustments and staff performance reviews.
The Authorization Specialist is responsible for obtaining and verifying prior authorizations for oncology treatments and diagnostic imaging. This includes communicating with payers, managing appeals, and maintaining accurate records in the EHR to prevent treatment delays.
The Cash Applications Specialist is responsible for the daily preparation and posting of receipts, balancing payments, and running daily reports. They manage lock boxes, resolve discrepancies in clearing accounts, and ensure proper insurance payment determination using managed care profiles.
The Authorization Specialist is responsible for obtaining and verifying prior authorizations for oncology treatments, imaging, and medications to prevent treatment delays. This includes communicating with payers, submitting appeals for denials, and maintaining accurate records in the EHR system.
The Patient Financial Counselor provides financial guidance to patients regarding insurance benefits, out-of-pocket costs, and payment arrangements. They are responsible for processing financial assistance applications and documenting all account activity in medical record systems.
The specialist is responsible for the accurate and timely posting of medical charges using correct coding guidelines. They must review encounter tracking and communicate with site managers and physicians to resolve billing issues.
The Triage Nurse manages patient communications, assessing symptoms and side effects to provide appropriate interventions and education. They collaborate with physicians and scheduling teams to coordinate care and prevent unnecessary emergency department visits.
The Manager, Insurance AR will oversee accounts receivable and billing processes for OneOncology practices, proactively monitoring AR and identifying root causes of issues. This role involves developing strategies for denial prevention and maintaining relationships with key stakeholders.
Sr. Manager, Clinical Pharmacy Services Pharmacist
OneOncology
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Full Time
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14 days ago
OneOncology
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.
Perform daily charge reviews and assign accurate CPT, ICD-10, and HCPCS codes for oncology visits and surgeries. Conduct audits of clinical documentation and collaborate with leadership to resolve complex coding issues and improve compliance.
Perform daily charge reviews and assign accurate CPT, ICD-10, and HCPCS codes for oncology visits and surgeries. Audit clinical documentation and collaborate with leadership to resolve complex coding issues and improve compliance.
The Triage Nurse monitors and responds to patient communications regarding symptoms and side effects, utilizing approved algorithms to assess urgency. They collaborate with physicians and scheduling teams to coordinate care and prevent unnecessary emergency department visits.
The VP of Pharmacy Services oversees all pharmacy-related services, setting standards for drug and therapeutics management and leading the OneOncology Pathways Program. This role provides strategic leadership to pharmacy staff and serves as the clinical expert for corporate pharmacy decisions and regulatory accreditation.
The Insurance AR Specialist manages monthly accounts receivables, follows up on outstanding balances, and handles claim re-files. They are responsible for researching and resolving insurance payment issues for oncology, radiology, and proton therapy services.
Lead and mentor a team of engineers responsible for the reliability, performance, and scalability of a Databricks-based data platform. Own operational health, incident management, and the establishment of operational KPIs to ensure data pipelines meet business SLAs.
The Patient Financial Counselor provides financial guidance to patients regarding insurance coverage, out-of-pocket costs, and payment arrangements. They are responsible for processing financial assistance applications and documenting all account activity in medical record systems.
The specialist manages fee schedule data for payer reimbursement, ensuring accuracy through loading and auditing. They are also responsible for identifying, researching, and resolving underpayment discrepancies and managing appeals.
Supervise the daily operations of the Patient AR team to ensure accurate, timely, and compliant billing. Manage patient bad debt, maintain AR days benchmarks, and oversee staff performance through audits and counseling.
The Contract Manager is responsible for the full lifecycle and performance of payer contracts for assigned physician practices. This includes leading negotiations, developing payer strategies, and ensuring financial targets and regulatory compliance are met.
Drive the execution of clinical innovation initiatives by guiding cross-functional teams and subject matter experts to improve cancer care. Design and scale innovative clinical services while partnering with practices to optimize workflows and track performance via KPIs.
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 specialist provides coding expertise and auditing for radiation oncology and other specialties to partner practices and internal teams. They are responsible for performing physician audits, providing education, and ensuring compliance with federal and state regulations.
The Radiation Oncology Operations Director optimizes medical documentation and coding workflows across all radiation clinics to ensure compliant billing and maximize financial performance. This role serves as the operational bridge between clinical teams and revenue cycle functions to reduce revenue leakage and drive consistency.
Patient Accounting Liaison (Call Center Based Patient AR)
OneOncology
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Full Time
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3 months ago
OneOncology
The Patient Accounting Liaison manages inbound calls to collect past due balances, establish payment plans, and address billing or coding inquiries. They also assess financial hardship eligibility and maintain accurate patient account documentation.
The Senior Manager is responsible for managing revenue cycle performance, building relationships with practice executives, and implementing standardized workflows across locations. They will analyze performance data to identify gaps and lead initiatives to improve operational efficiency within the oncology practice network.
The Compliance Director will develop, implement, and manage compliance programs for affiliated physician practices, including conducting risk assessments and ensuring regulatory adherence. They will also serve as a subject matter expert on healthcare privacy, billing, and reimbursement while fostering relationships between corporate and practice-level operations.
The specialist will coordinate with providers and staff to identify workflow improvements, integrate technology, and facilitate training sessions, working closely with the Director of Practice Development on strategy implementation. Duties include conducting practice observations, consulting on best practices, reporting project status, and developing scalable policies and procedures.
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.
