Associate Director, Patient Financial Services - Hospital Revenue Cycle
About The Position
The Associate Director, Patient Financial Services will lead hospital and ambulatory 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 is a full-time position working onsite Monday through Friday in the San Marcos, CA business office.
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 of 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 hospital and ambulatory 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 hospital 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
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
Associate degree
