Associate Director - Ambulatory / Physician PFS

About this role

Job Family : PFS General Travel Required : Up to 10% Clearance Required : None

Assoc. Director - Ambulatory / Physician PFS

What You Will Do :

Working under the general direction of the Director of Operations and/or the Account Executive, the  Associate Director, Revenue Cycle  serves as the primary liaison between the Revenue Cycle Operations teams (Onshore & Offshore) 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(s). This position will also supervise assigned Revenue Cycle Leaders at CBO and/or Client Site. The  Associate 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 Director, AE and Client leadership to develop and execute these plans. The  Associate Director, Revenue Cycle  will possess both technical and business skills to recommend, engage and manage their client’s strategic initiatives. The  Associate Director, Revenue Cycle  will perform any and all job-related duties as assigned.

If qualified individual resides in the North Dallas region, this will be a Hybrid position with a schedule based out of our Lewisville, TX office and working from home.

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.

• Manage and develop assigned Revenue Cycle leaders and teams, including performance expectations, coaching, accountability, productivity, quality, and corrective action.

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.

• Promote Guidehouse and Client values; overall team work and a positive work environment.

• Review adjustments and approve 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 & Quality.

• 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 : • 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.

What Would Be Nice To Have : • Has held a leadership role (preferably Managerial) in

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