Associate Director - Physician Patient Access
As an Associate Director - Physician Patient Access 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 companyWhat 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 operationsFlexibility and ability to handle multiple concurrent activities and change.Ability to work independently and meet deadline constraints.Degree in finance, accounting or healthcareThe 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.
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.
Medical, Rx, Dental & Vision InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account, Dental / Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement, Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare ProgramGuidehouse is an Equal Opportunity EmployerProtected 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 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.
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.