Director, Business Operations at RPCI Oncology PC

Town of Amherst, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

03 Jun, 26

Salary

150000.0

Posted On

05 Mar, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Revenue Cycle Management, Revenue Integrity, Authorization, Coding, Billing, Denial Management, Cash Flow Optimization, Net Revenue Realization, Process Standardization, Regulatory Compliance, Eligibility Verification, Change Management, Data-Driven Decision-Making, Financial Acumen, System Configuration, Audit Preparedness

Industry

Medical Practices

Description

Description WE are GROWING! Roswell Park Care Network has an exciting new opportunity for a Director, Business Operations/Revenue Cycle Management role open with our Administrative Team located in Williamsville, NY. Excellent Benefits Package: · Medical Insurance via Highmark Blue Cross Blue Shield · HRA - employer funded! · Dental Insurance and Vision Insurance via SunLife · 401(k) with company match - 100% vested upon start · Company paid life insurance, options for LTD, Critical Illness, Accident · Generous Vacation and Sick time · 11 Holidays JOB SUMMARY Responsible for leading and optimizing the end-to-end revenue cycle and revenue integrity functions of the organization. This role oversees authorization, coding, billing, denial management, and front-end revenue capture processes, ensuring alignment between pre-service, point-of-service, and post-service operations. This leader is accountable for revenue cycle performance, process standardization, regulatory compliance, and financial optimization across the organization. Serves as the strategic and operational authority for revenue integrity and partners closely with practice leadership, finance, and clinical teams to drive measurable improvement in cash flow, net revenue realization, and operational efficiency. Revenue Cycle Leadership & Accountability Provide executive-level oversight of authorization, coding, billing, and denial management functions. Establish and monitor key performance indicators including charge lag, clean claim rate, denial rate, net collection rate, days in AR, and authorization accuracy. Drive revenue cycle performance improvement initiatives aligned with organizational financial goals. Lead root cause analysis of denial trends and implement sustainable corrective action plans. Front-End Revenue Integrity Oversight Establish and standardize front-end registration, eligibility verification, insurance coordination, and guarantor verification processes. Develop clear performance expectations and quality standards for pre-service and point-of-service revenue capture activities. Partner with practice operational leadership to ensure consistent execution of front-end workflows. Monitor front-end error rates and their downstream financial impact. Lead initiatives to reduce preventable denials caused by registration and eligibility errors. Financial Performance & Revenue Optimization Partner with Finance leadership to reconcile net revenue performance, identify variances, and optimize reimbursement. Monitor payer trends, reimbursement changes, and regulatory updates impacting revenue. Support budgeting and forecasting efforts related to revenue cycle performance. Provide data-driven recommendations to executive leadership. Cross-Functional Collaboration Work closely with Senior Practice Administrators to ensure operational alignment. Collaborate with the Director of Technology Development to optimize system configuration, automation, reporting, and workflow efficiency. Partner with clinical leadership to ensure documentation integrity and coding accuracy. Engage compliance leadership on audit findings and corrective action planning. Leadership & Team Development Recruit, develop, and evaluate revenue cycle leadership and staff. Establish clear accountability structures and performance standards. Promote a culture of data-driven decision-making and operational discipline. Build internal capability to reduce reliance on external vendors where feasible. Compliance & Risk Management Ensure compliance with CMS, payer, HIPAA, and regulatory requirements. Oversee audit preparedness and remediation efforts. Develop policies and procedures governing revenue cycle and front-end financial processes. Requirements EDUCATION & EXPERIENCE Bachelor’s degree required (Healthcare Administration, Finance, or related field) Master’s degree preferred Minimum 8–10 years of progressive revenue cycle leadership experience Experience overseeing multi-functional revenue cycle teams Experience with oncology or high-cost drug environments strongly preferred Deep expertise in healthcare revenue cycle operations, preferably in oncology or complex specialty care Strong understanding of authorization processes and payer policy Demonstrated success reducing denial rates and improving net revenue realization Advanced analytical and financial acumen Experience integrating front-end and back-end revenue cycle processes Strong leadership and change management capability Ability to influence cross-functional leaders without direct authority

Responsibilities

This role is responsible for leading and optimizing the organization's end-to-end revenue cycle and revenue integrity functions, overseeing authorization, coding, billing, and denial management processes. The director serves as the strategic authority for revenue integrity, driving measurable improvements in cash flow, net revenue realization, and operational efficiency through performance monitoring and improvement initiatives.