Associate Director, Physician Operations

Job Family:

Patient Access General

Travel Required:

Up to 75%+

Clearance Required:

None

What You Will Do:
As an Associate Director 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:

• Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service.
• 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 is highly desired.
• 10 years in front end and back end revenue cycle operations
• 3 years in a management operations position
• Bachelor’s Degree
• Advanced skills in MS Office (i.e. Excel, PowerPoint, Word)
• Travel within the assigned region 50-75%

What Would Be Nice To Have:

• 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

The annual salary range for this position is $100,200.00-$150,200.00. 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 Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment withou