Associate Director - Physician Revenue Cycle - Healthcare

Job Family:

Patient Access General

Travel Required:

Up to 25%

Clearance Required:

None

What You Will Do:
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.

Specific roles and responsibilities include:

• 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.

What You Will Need:

• 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

What Would Be Nice To Have:

• 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

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The annual salary range for this position is $89,000.00-$148,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• 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 Progr