Tahoe Forest Health System
Operations Manager - Cancer Center
Tahoe Forest Health System, Truckee, California, United States, 96161
Bargaining Unit:
Non Represented - Manager Rate of Pay:
$96,075 annually + DOE Summary
Responsible for oversite of all Cancer Center support services to include: scheduling, reception, new patient referrals, operator, financial navigation and the fax/file role. Works to maintain the highest level of customer service to Tahoe Forest Hospital System (TFHS) customers, internal and external. Reviews and leads efforts to optimize the Cancer Center revenue cycle through data collection, monitoring, analyzing and process improvement. Works collaboratively with the TFHS Business Office and Revenue cycle teams. Essential Duties and Responsibilities
Provide oversight of all Cancer Center support services, ensuring efficient daily operations while applying an oncology business perspective to optimize financial outcomes for both patients and TFHD. Supervise the Non-Clinical Supervisor and support department staff through coaching, training, and constructive feedback to drive team performance. Partner with leadership on disciplinary actions in alignment with system policies. Lead initiatives to optimize Cancer Center charge capture by collaborating with Directors, Managers, Physicians, and Nurse Practitioners to implement best practices in demographic and insurance data collection, clinical documentation, and patient payment processes. Monitor performance and provide regular feedback to support continuous improvement. Establish, monitor, and refine processes and workflows for all revenue cycle functions, including CPT and ICD-10 coding, eligibility verification, denial management, and timely resolution of issues. Monitor accounts receivable balances, aging, collections, billing backlog, reimbursement changes, denials, appeals, unbilled revenue, credit balances, and coding issues on a daily basis. Partner closely with the TFHD revenue cycle team to ensure timely resolution of discrepancies or billing issues. Oversee and manage provider referrals to ensure equitable distribution of patient volumes and case types. Track referral activity and case assignments. Develop and maintain Cancer Center policies and procedures tailored to the patient population while remaining consistent with TFHD revenue cycle practices. Review financial data regularly with the Director and Medical Director to identify opportunities for improvement. Communicate and educate providers and staff on regulatory, coding, or insurance changes that impact billing, delivering updates in person or by email. Contact insurance payer groups directly to resolve claim issues when necessary. Review all requests for refunds and adjustments, collaborating with the finance team for approval. Personally manage problem accounts when needed to maintain positive public relations and maximize collections. Ensure robust internal controls to protect the integrity of all billing and collection activities. Serve as a collaborative member of the clinic and system management team, escalating barriers or problems through the appropriate chain of command. Oversee timely and accurate completion of reports, ensuring clear understanding across the team. Maintain compliance with HIPAA regulations and protect the confidentiality of all protected health information. Manage competing priorities effectively, leveraging available tools and resources to complete responsibilities accurately and on time. Collaborate with cross-functional TFHD teams to strengthen communication and operational efficiency. Assist the Director in developing and administering capital and operating budgets. Partner with the supervisor to ensure compliance with HFAP, Title 22, and other applicable regulatory standards. Apply oncology operations expertise in collaboration with TFHD hospitals and telemedicine programs, ensuring workflows are followed and institutional commitments are met. Provide training to TFHD teams as needed to deepen organizational knowledge in oncology billing, coding, and denial management. Foster a positive team environment by consistently demonstrating integrity, professionalism, kindness, courtesy, cooperation, and sensitivity toward patients and colleagues. Demonstrate alignment with System Values through performance and behavior. Ensure compliance with all System policies and procedures. Oversee timely submission and receipt of supply orders to maintain operational efficiency. Manage provider credentialing and tracking, ensuring timely awareness of upcoming license expirations. Perform other duties as assigned. Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Supervisory Responsibilities
Carries out supervisory responsibility in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, training, assigning, coaching, counseling, and disciplining employees; administering scheduling systems; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; enforcing policies and procedures. Minimum Education/Experience
Bachelor\'s Degree Related study through college or university or 2-3 years relevant experience Required Licenses/Certifications
None Other Experience/Qualifications
Preferred: Oncology Billing & Authorization Experience
Strong knowledge of oncology-specific authorization and billing practices, including E/M services and pharmacy billing is preferred. Proven understanding of third-party oncology payers, including managed care, Medicare, and Medicaid.
Coding & Denial Management
Demonstrated experience with oncology ICD-10 coding. Hands-on experience working with insurance claims, payer correspondence, and denial resolution processes. In-depth knowledge of oncology-specific denial management and appeals strategies.
Leadership & Experience
Two or more years of progressive leadership experience in an oncology outpatient or support services environment. Ability to lead teams in revenue cycle functions, fostering collaboration and accountability.
Certifications & Education
Certified Professional Coder (CPC) credential preferred.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr
Non Represented - Manager Rate of Pay:
$96,075 annually + DOE Summary
Responsible for oversite of all Cancer Center support services to include: scheduling, reception, new patient referrals, operator, financial navigation and the fax/file role. Works to maintain the highest level of customer service to Tahoe Forest Hospital System (TFHS) customers, internal and external. Reviews and leads efforts to optimize the Cancer Center revenue cycle through data collection, monitoring, analyzing and process improvement. Works collaboratively with the TFHS Business Office and Revenue cycle teams. Essential Duties and Responsibilities
Provide oversight of all Cancer Center support services, ensuring efficient daily operations while applying an oncology business perspective to optimize financial outcomes for both patients and TFHD. Supervise the Non-Clinical Supervisor and support department staff through coaching, training, and constructive feedback to drive team performance. Partner with leadership on disciplinary actions in alignment with system policies. Lead initiatives to optimize Cancer Center charge capture by collaborating with Directors, Managers, Physicians, and Nurse Practitioners to implement best practices in demographic and insurance data collection, clinical documentation, and patient payment processes. Monitor performance and provide regular feedback to support continuous improvement. Establish, monitor, and refine processes and workflows for all revenue cycle functions, including CPT and ICD-10 coding, eligibility verification, denial management, and timely resolution of issues. Monitor accounts receivable balances, aging, collections, billing backlog, reimbursement changes, denials, appeals, unbilled revenue, credit balances, and coding issues on a daily basis. Partner closely with the TFHD revenue cycle team to ensure timely resolution of discrepancies or billing issues. Oversee and manage provider referrals to ensure equitable distribution of patient volumes and case types. Track referral activity and case assignments. Develop and maintain Cancer Center policies and procedures tailored to the patient population while remaining consistent with TFHD revenue cycle practices. Review financial data regularly with the Director and Medical Director to identify opportunities for improvement. Communicate and educate providers and staff on regulatory, coding, or insurance changes that impact billing, delivering updates in person or by email. Contact insurance payer groups directly to resolve claim issues when necessary. Review all requests for refunds and adjustments, collaborating with the finance team for approval. Personally manage problem accounts when needed to maintain positive public relations and maximize collections. Ensure robust internal controls to protect the integrity of all billing and collection activities. Serve as a collaborative member of the clinic and system management team, escalating barriers or problems through the appropriate chain of command. Oversee timely and accurate completion of reports, ensuring clear understanding across the team. Maintain compliance with HIPAA regulations and protect the confidentiality of all protected health information. Manage competing priorities effectively, leveraging available tools and resources to complete responsibilities accurately and on time. Collaborate with cross-functional TFHD teams to strengthen communication and operational efficiency. Assist the Director in developing and administering capital and operating budgets. Partner with the supervisor to ensure compliance with HFAP, Title 22, and other applicable regulatory standards. Apply oncology operations expertise in collaboration with TFHD hospitals and telemedicine programs, ensuring workflows are followed and institutional commitments are met. Provide training to TFHD teams as needed to deepen organizational knowledge in oncology billing, coding, and denial management. Foster a positive team environment by consistently demonstrating integrity, professionalism, kindness, courtesy, cooperation, and sensitivity toward patients and colleagues. Demonstrate alignment with System Values through performance and behavior. Ensure compliance with all System policies and procedures. Oversee timely submission and receipt of supply orders to maintain operational efficiency. Manage provider credentialing and tracking, ensuring timely awareness of upcoming license expirations. Perform other duties as assigned. Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Supervisory Responsibilities
Carries out supervisory responsibility in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, training, assigning, coaching, counseling, and disciplining employees; administering scheduling systems; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; enforcing policies and procedures. Minimum Education/Experience
Bachelor\'s Degree Related study through college or university or 2-3 years relevant experience Required Licenses/Certifications
None Other Experience/Qualifications
Preferred: Oncology Billing & Authorization Experience
Strong knowledge of oncology-specific authorization and billing practices, including E/M services and pharmacy billing is preferred. Proven understanding of third-party oncology payers, including managed care, Medicare, and Medicaid.
Coding & Denial Management
Demonstrated experience with oncology ICD-10 coding. Hands-on experience working with insurance claims, payer correspondence, and denial resolution processes. In-depth knowledge of oncology-specific denial management and appeals strategies.
Leadership & Experience
Two or more years of progressive leadership experience in an oncology outpatient or support services environment. Ability to lead teams in revenue cycle functions, fostering collaboration and accountability.
Certifications & Education
Certified Professional Coder (CPC) credential preferred.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr