Title: Associate Director - Physician Revenue Cycle - Healthcare

Location:

US - Remote (Any location)

time type

Full time

job requisition id

28247

Job Description:

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&#39;s Degree and a minimum 10 years of prior relevant experience or Associate&#39;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 Program

Corporate Sponsored Events & Community Outreach

Emergency Back-Up Childcare Program

About Guidehouse Guidehouse is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

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