Director - Ambulatory / Physician PFS - Lewisville, United States - Guidehouse

Description

What You Will Do:

Working under the general direction of the Senior Vice President of Operations and/or the Account Executive, the Director, Revenue Cycle serves as the primary liaison between the Revenue Cycle Operations teams and his/her assigned Client for all aspects of the Revenue Cycle. This position will be responsible for the proactive oversight of the Revenue Cycle process and maintain a successful client relationship and client strategies. In addition, this position will develop a deep understanding of the Client's Revenue Cycle to ensure KPI's and quality measures are met at both their assigned location and at Service Center. This position will also supervise assigned Revenue Cycle Leaders at CBO and/or Client Site. The Director, Revenue Cycle will monitor compliance with State and Federal laws and guidelines. This position will proactively identify opportunities for revenue cycle improvement initiatives and partner with the AE and Client leadership to develop and execute these plans. The Director, Revenue Cycle will possess both technical and business skills to recommend, engage and manage their client's strategic initiatives. The Director, Revenue Cycle will perform any and all job-related duties as assigned.

Questions regarding this position, you may contact Chris Rivera (Manager, Talent Acquisition) at

Essential Job Functions:

• Comprehensive knowledge of healthcare access management, billing, finance and accounting principles.
• Excellent verbal and written communication skills.
• Comprehensive knowledge of Physician Revenue Cycle and related metrics and KPI's.
• Strong attention to details and accuracy, using problem-solving skills and analytical thinking.
• Ability to successfully prioritize and manage numerous tasks simultaneously.
• Excellent strategic planning, management and implementation skills.
• Meet and anticipate Client needs.
• Well versed in developing and sustaining effective relationships with senior management & identifying opportunities within the client's network.
• Deep leadership skills that can lead and drive change throughout complex organizations.

Duties and Responsibilities:

• Leading multi-disciplined teams to integrate their solutions & services.
• Direct implementation projects & liaise with Client Project Directors.
• Build & maintain relationships with key clients covering a range of business sectors.
• Provide insights to enhance delivery models & outcomes that meet their client's needs.
• Collaborate with implementation & development teams to enhance service delivery.
• Responsible for the maintenance of the governance model and meeting structure.
• Understand, meet and exceed set department goals.
• Gatekeeper of client site access.
• Responsible for special client projects.
• Apply legal compliance and compliance with client policies & procedures.
• Provide reports and statistical/analytical information for management and clients.
• Process month-end reports for Guidehouse and Client.
• Post payments, load business and transaction files as required.
• Promote Guidehouse and Client values; overall team work and a positive work environment.
• Ensure appropriate contractual discounts are applied.
• Review adjustments and refund requests.
• Maintain continual communication with Service Center to identify areas for improvement from client to improve productivity and results.
• Attend meetings with both the client and the Service Center.
• A/R Analysis, including but not limited to: Bad Debt, Aging, Cash Collections, Payer Realization Rates, Credit Balances, Denial Trending and Fatal Denials,
• Monitor unbilled inventory and work with client and Service Center to ensure compliance with targets.
• Establishes and manages effective, consistent communication with assigned Entity.
• Identifies and address business needs; provides guidance and timely responses to questions and requests.
• Provides analysis and context for monthly performance data.
• Maintains ongoing issues and priority list for internal and Client operations
• Completes analysis of issues for action, presents this information and assists the Entity implement action plans.
• Provides and implements plans to improve billing performance.
• Works with Managed Care Department for Underpayment Analysis.
• Works with Service Center Teams and Client to research and resolve denials.
• Upon identification of issues, researches issue to determine whether it is an isolated instance or a trend and follows up the appropriate Revenue Cycle Directors, Client Analyst team, Client Leadership team, and AE as appropriate or to facilitate communication and resolution of the issues.
• Attends and participates in committees and task forces as assigned.

Staff:

• Hire, review, discipline and separate employment.
• Monitor and report daily/monthly productivity.
• Ensure Team Member compliance with Guidehouse and Client policies and procedures.
• Compile and forward Team Member timesheets to Guidehouse payroll for processing.
• Verify and monitor time off requests.
• Able to fill in for Project Supervisors.

What You Will Need:

• Bachelor's Degree
• 12 years' experience with a healthcare provider or an outsourcing company

What Would Be Nice To Have:

• Has held a leadership role (preferably Director) in a Healthcare Organization, preferably one that includes a Physician/Faculty Practice as well.
• PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.
• Innovative, motivated & able to lead by example.
• Excellent verbal and written communication skills.
• Ability to initiate and follow through on projects and work independently with minimal supervision required.

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 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.

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 or via email at All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

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.