Associate Director - Physician Revenue Cycle

March 26

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Guidehouse

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Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

consulting • advisory • digital • technology • managed services

10,000+ employees

Founded 2018

💰 Grant on 2023-02

📋 Description

• As an Associate Director - Physician Revenue Cycle you will Act and lead in a manner that is reflective of the philosophy, vision, and values of Healthcare Management Solutions. • Integrates these values throughout all initiatives and efforts. • Uses a proactive leadership style to model and promote a culture of trust and communication. • Building relationships and managing client relationships while growing the Guidehouse portfolio. • Serve as client services liaison. • Create, provide, and present reports and statistical information for clients and senior management. • Monitor client revenue, metrics and financial performance. • Demonstrate knowledge of billing and coding regulations. • Demonstrate proficiency with registration, eligibility, and third-party verification, billing and collections. • Extensive experience with healthcare hospital billing systems including electronic claims and authorizations, to maximize revenue and cash flows. • Ability to demonstrate strong communication skills both written and oral. • Ability to exhibit leadership skills. • Producing engagement deliverables. • Working collaboratively within a team setting. • Influencing a team direction. • Develops operational procedures related to Patient Access Department. • Leverage extensive knowledge of front and back-end billing operations. • Reviews all hospital admissions and maternity accounts to verify insurance eligibility and benefits. • Documents patient benefits and patient financial responsibility in the patient registration system. • Performs registration functions consistent with Federal, State and Local regulatory agencies and payer requirements, and organizational policies and procedures, including but not limited to HIPAA privacy and security regulations. • Ability to maintain Quality Assurance, Productivity and other Key Performance Indicator (KPI) expectations/standards.

🎯 Requirements

• Requires a Bachelor's Degree and a minimum 10 years of prior relevant experience or Associate's Degree and a minimum 12 years of prior relevant experience. • Relevant experience may be substituted for formal education or advanced degree. • Relevant experience coming from a healthcare provider, payor, CBO, business office environment or an outsourcing company. • Knowledge of insurance and governmental programs, regulations, and billing processes e.g., Medicare, Medicaid/Medi-Cal, Social Security Disability, Champ VA, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits. • Advanced skills in MS Office (i.e. Excel, PowerPoint, Word) • Experience in pediatric revenue cycle services or operations • Flexibility and ability to handle multiple concurrent activities and change. • Ability to work independently and meet deadline constraints. • Degree in finance, accounting or healthcare

🏖️ Benefits

• Medical, Rx, Dental & Vision Insurance • Personal and Family Sick Time & Company Paid Holidays • Position may be eligible for a discretionary variable incentive bonus • Parental Leave • 401(k) Retirement Plan • Basic Life & Supplemental Life • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts • Short-Term & Long-Term Disability • Tuition Reimbursement, Personal Development & Learning Opportunities • Skills Development & Certifications • Employee Referral Program • Corporate Sponsored Events & Community Outreach • Emergency Back-Up Childcare Program