Associate Director, Patient Financial Services - Physician Revenue Cycle

Guidehouse•Mitchell, SD

1d•Hybrid

About The Position

The Associate Director, Patient Financial Services will lead physician revenue cycle operations, including billing, accounts receivable follow-up, credit balance resolution, payment posting, denials management, customer service, and related patient financial services functions. This role is responsible for providing strategic and operational leadership to onsite teams while partnering closely with Guidehouse offshore leaders and staff to promote alignment, quality, productivity, and consistent achievement of key performance indicators related to cash performance, AR reduction, denial resolution, and client service. The Associate Director will also serve as a key client-facing leader, fostering collaboration with internal stakeholders, payors, and operational teams to support continuous improvement and strong financial outcomes. This position offers an attractive hybrid schedule working two days in our Mitchell, SD office and three days virtually from home.

Requirements

Requires a bachelor’s degree and a minimum 10 years of prior relevant experience or an AA Degree and 12+ years experience. (Relevant experience may be substituted for formal education or advanced degree.)
Relevant experience in healthcare, business, or other professional settings is required, with a strong preference for patient financial services or revenue cycle operations experience.
A minimum two years of people leadership experience is required.

Nice To Haves

Solid understanding of healthcare revenue cycle.
Demonstrated competency in working in teams and ability to effectively communicate with all levels.

Responsibilities

Lead physician patient financial services operations, including billing, accounts receivable follow-up, credit balance resolution, payment posting, denials management, and customer service.
Provide leadership and oversight to onsite physician billing, credit balance, payment posting, and customer service team members, while partnering with Guidehouse offshore team members and leadership to align workflows, expectations, quality, and productivity.
Support revenue cycle performance by driving strategies that improve cash collections, reduce AR days, resolve aged inventory, and minimize avoidable write-offs.
Oversee denials management activities, including trend analysis, root-cause identification, appeal strategy, escalation processes, and implementation of corrective actions to improve reimbursement outcomes.
Collaborate with payors, managed care, finance, and operational stakeholders to address reimbursement barriers, denial trends, underpayments, and payment timeliness.
Serve as a key client-facing leader by sharing performance results, aligning priorities, escalating risks as needed, and promoting accountability for operational commitments and service expectations.
Establish, monitor, and report key performance indicators for billing, follow-up, denials, cash, productivity, quality, and service levels, and implement action plans when performance gaps are identified.
Ensure compliance with applicable billing, coding, payer, and regulatory requirements, and maintain current knowledge of reimbursement methodologies, operational standards, and process changes affecting patient financial services.
Analyze operational and financial data to identify trends, prioritize work, elevate risks, and drive process improvements that strengthen revenue cycle performance and support organizational goals.
Build collaborative relationships across revenue cycle, finance, managed care, and client leadership to support issue resolution, process standardization, and ongoing operational improvement.
Perform other related duties, participate in meetings or committees, and support special projects as assigned.

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