Associate Director - Patient Access Operations, Education & Quality

Guidehouse•Lewisville, TX

6d•$89,000 - $148,000•Remote

About The Position

As an Associate Director- Patient Access Operations, Education and Quality, 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 Develop and oversee Patient Access education and quality programs across both onshore and offshore teams. Develops standardized operational procedures and supporting materials related to Patient Access Department. Leverage extensive knowledge of front and back-end billing operations 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 utilizing client specific registration system. Ability to maintain Quality Assurance, Productivity and other Key Performance Indicator (KPI) expectations/standards.

Requirements

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.
Be able to travel 75% of the time.

Nice To Haves

Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service.
Experience in team education, training, and the development and implementation of quality performance initiatives.
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 is highly desired.
Experience in pediatric revenue cycle services or operations.
Flexibility and ability to handle multiple concurrent activities and change.
Ability to work independently and meet deadline constraints.
Degree in finance, accounting or healthcare.
Experience utilizing multiple EMR and registration systems.

Responsibilities

Act and lead in a manner that is reflective of the philosophy, vision, and values of Healthcare Management Solutions.
Integrate these values throughout all initiatives and efforts.
Use a proactive leadership style to model and promote a culture of trust and communication.
Build relationships and manage 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.
Utilize extensive experience with healthcare hospital billing systems including electronic claims and authorizations, to maximize revenue and cash flows.
Demonstrate strong communication skills both written and oral.
Exhibit leadership skills.
Produce engagement deliverables.
Work collaboratively within a team setting.
Influence a team direction.
Develop and oversee Patient Access education and quality programs across both onshore and offshore teams.
Develop standardized operational procedures and supporting materials related to Patient Access Department.
Leverage extensive knowledge of front and back-end billing operations.
Perform 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 utilizing client specific registration system.
Maintain Quality Assurance, Productivity and other Key Performance Indicator (KPI) expectations/standards.

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