Associate Director - Patient Access Operations, Education & Quality
US104 Guidehouse Managed Services LLCJob Family:
Patient Access General
Travel Required:
Clearance Required:
What You Will Do:
As an Associate Director- Patient Access Operations, Education and Quality, 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
Develop and oversee Patient Access education and quality programs across both onshore and offshore teams.
Develops standardized operational procedures and supporting materials related to Patient Access Department.
Leverage extensive knowledge of front and back-end billing operations
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 utilizing client specific registration system.
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
A minimum of two years of people leadership experience is required.
Be able to travel 75% of the time.
What Would Be Nice To Have:
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.
Experience in team education, training, and the development and implementation of quality performance initiatives.
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.
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
Experience utilizing multiple EMR and registration systems
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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 Opportunity Employer–Protected Veterans, Individuals with Disabilities 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.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
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.