Director, Patient Financial Services – Healthcare CBO

🕒 3 days ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $106k - $176k / year

⏰ Full Time

🔴 Lead

💸 Financial Planning and Analysis (FP&A)

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Guidehouse

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

🏥 Healthcare

🎖️ Defense

📦 Logistics

💰 Grant on 2023-02

Healthcare • Defense • Logistics

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

📋 Description

• Manage overall Hospital Client Patient Financial Services department operations • Oversee patient accounting, credit and collections, denial management, billing and follow-up of patient accounts • Ensure compliance with third-party payer regulations and applicable Hospital PFS standards • Drive improvements to key revenue cycle indicators, revenue and cash flows • Review data to identify operational impacts, issues, trends, improvement areas and opportunities • Research issues and facilitate communication and resolution with Revenue Cycle leadership • Establish collaborative relationships with Revenue Cycle leaders • Work with Managed Care Department on underpayment analysis • Attend and participate in committees and task forces • Prepare materials for, conduct and chair project meetings • Participate in development of PFS policies and procedures • Collaborate, mediate and resolve issues between Finance and Hospital PFS • Plan, coordinate, implement and control Hospital Billing and Collection services • Hire, review, discipline and separate employees • Monitor and report daily/monthly productivity • Ensure team-member compliance with company policies and procedures • Verify and monitor time-off requests • Fill in for Managers as needed • Perform other related job functions

🎯 Requirements

• Requires a Bachelor's Degree and a minimum 12 years of prior relevant experience or Associate's Degree and a minimum 14 years of prior relevant experience • Relevant experience may be substituted for formal education or advanced degree • Relevant experience from a healthcare provider, payor, CBO, business office environment or an outsourcing company • Experience in AR follow up, Denials management, and driving client engagement • Understanding of healthcare revenue cycle, payer contracts and regulation affecting reimbursement for healthcare services • Excellent verbal, written, analytical and interpersonal skills • Ability to handle multiple concurrent activities and change • Extensive experience with healthcare hospital billing systems including electronic claims and authorizations • Extensive knowledge of front and back end billing operations • Knowledge of billing and coding regulations • Proficiency with registration, eligibility, third party verification, billing and collections • Comprehensive knowledge of healthcare, billing, finance and accounting principles • Detailed knowledge of standard forms and data, coordination of benefits, third party liability, billing and collection • Comprehensive knowledge of HFMA MAP metrics • Ability to review data, determine operational impacts, identify trends and opportunities, and escalate issues • Ability to prioritize and manage numerous tasks simultaneously • Must maintain current knowledge of regulatory standards affecting processes and systems

🏖️ Benefits

• 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 • Flexible benefits package

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