Vacancy expired!
Overview
Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com. ResponsibilitiesWorking under the general direction of the Managing Director and/or the Account Executive, the Senior Director, Revenue Cycle, MSO Physician serves as the primary liaison between the Revenue Cycle Operations teams 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. This position will also supervise assigned Revenue Cycle Leaders at CBO and/or Client Site. The Senior Director, Revenue Cycle, MSO Physician 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 AE and Client leadership to develop and execute these plans. The Senior Director, Revenue Cycle, MSO Physician will possess both technical and business skills to recommend, engage and manage their client's strategic initiatives. The Senior Director, Revenue Cycle, MSO Physician will perform any and all job related duties as assigned.Any questions regarding this opening, feel free to call Chris Rivera (Manager, Talent Acquisition) at .Essential Job Functions:- Comprehensive knowledge of healthcare access management, billing, finance and accounting principles.
- Excellent verbal and written communication skills.
- Comprehensive knowledge of Physician and Hospital 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.
- 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.
- Post payments, load business and transaction files as required.
- Promote Guidehouse and Client values; overall team work and a positive work environment.
- Ensure appropriate contractual discounts are applied.
- Review adjustments and refund 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, Charity, Aging, Cash Collections, Payer Realization Rates, Credit Balances, Charge Capture, and CDM.
- Monitor unbilled inventory and work with client and Service Center to ensure compliance with targets.
- Place and manage on-site employees as contract requires.
- 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 Entity and Service Center.
- Completes analysis of issues for action, presents this information and assists the Entity implement action plans.
- Provides and implements plans to improve billing performance.
- Establishes and develops collaborative relationships with internal staff and Service Center.
- Works with Managed Care Department for Underpayment Analysis.
- Works with Service Center 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.
- Hire, review, discipline and separate employment.
- Monitor and report daily/monthly productivity.
- 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.
- Bachelor's Degree
- 15 years' experience with a healthcare provider or an outsourcing company on a senior management level.
- Has held a leadership role (preferably Director) in a Healthcare Organization, preferably one that includes a Physician/Faculty Practice as well.
- PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential.
- Innovative, motivated & able to lead by example.
- Excellent verbal and written communication skills.
- Ability to initiate and follow through on projects and work independently with minimal supervision required.
- The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.
- Due to our contractual requirements, to be eligible for this role, you must be fully COVID-19 vaccinated at time of hire.
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Parental Leave and Adoption Assistance
- 401(k) Retirement Plan
- Basic Life Voluntary Life Insurance
- Health Savings Account, Healthcare, 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
- Position may be eligible for a discretionary variable incentive bonus
Vacancy expired!