Associate Director – Ambulatory, Physician PFS

This is a fully remote position, open to applicants in Texas.

📋 Description

• Act as the main point of contact between Revenue Cycle Operations teams and the designated client.

• Take the initiative to oversee the Revenue Cycle process while nurturing client relationships and strategies.

• Acquire a comprehensive understanding of the client’s Revenue Cycle to ensure that KPIs and quality standards are achieved.

• Guide the Revenue Cycle leaders assigned at the CBO and/or client location.

• Ensure compliance with state and federal regulations, guidelines, and client policies.

• Identify opportunities for revenue cycle enhancements and formulate and implement improvement strategies.

• Lead cross-functional teams that integrate solutions and services.

• Manage implementation projects and coordinate with client project directors.

• Establish and sustain relationships with key clients.

• Work alongside implementation and development teams to improve service delivery.

• Maintain the governance framework and meeting structure.

• Provide management and clients with reports and statistical/analytical data.

• Process month-end reporting for Guidehouse and the client.

• Review adjustments and authorize requests.

• Analyze accounts receivable, including aspects such as bad debt, aging, cash collections, payer realization rates, credit balances, denial trends, and critical denials.

• Oversee unbilled inventory and collaborate with the client and Service Center to meet objectives.

• Investigate and resolve denials with Service Center teams and the client.

• Deliver monthly performance evaluations and contextual insights.

• Create and execute plans aimed at enhancing billing performance.

• Conduct underpayment assessments alongside the Managed Care Department.

• Participate in client meetings, committees, and task forces.

• Recruit, assess, discipline, and separate staff as necessary.

• Monitor and report on daily/monthly productivity and quality metrics.

• Ensure compliance of team members with Guidehouse and client policies and procedures.

• Compile team member timesheets for payroll and oversee time-off requests.

• Provide support for Project Supervisors as required.

⛳️ Requirements

• Bachelor's Degree along with a minimum of 10 years of relevant experience, or an Associate's Degree with a minimum of 12 years of relevant experience.

• Relevant experience can substitute for formal education or an advanced degree.

• Relevant background in a healthcare provider, payor, CBO, business office setting, or outsourcing firm.

• At least two years of experience in a leadership role.

• Leadership experience within a healthcare organization, preferably including a Physician/Faculty Practice.

• Extensive knowledge of healthcare access management, billing, finance, and accounting principles.

• In-depth understanding of the physician revenue cycle along with its associated metrics and KPIs.

• Proficient PC skills in a Windows environment.

• Expertise in Word and Excel.

• Exceptional attention to detail and precision.

• Strong analytical and problem-solving skills.

• Capability to prioritize and manage multiple tasks at once.

• Skills in strategic planning, management, and implementation.

• Ability to cultivate and maintain relationships with senior management.

• Leadership qualities to drive change within complex organizations.

• Capacity to independently initiate and complete projects with minimal oversight.

• Willingness to travel up to 10%.

• No security clearance is necessary.

🏝️ Benefits

• Medical, Rx, Dental & Vision Insurance.

• Personal and Family Sick Time & Company Paid Holidays.

• Position may qualify for a discretionary variable incentive bonus.

• Parental Leave.

• 401(k) Retirement Plan.

• Basic Life & Supplemental Life Insurance.

• Health Savings Account.

• Flexible Spending Accounts for Dental/Vision & Dependent Care.

• Short-Term & Long-Term Disability coverage.

• Tuition Reimbursement.

• Opportunities for Personal Development & Learning.

• Skills Development & Certifications.

• Employee Referral Program.

• Corporate Sponsored Events & Community Outreach.

• Emergency Back-Up Childcare Program.

• Flexible benefits package.

• Flexible work arrangement for qualified North Dallas residents, including options to work from home and in the Lewisville office.