Job Family

Business Operations

Travel Required

Up to 10%

Clearance Required

None

What You Will Do

Working under the general direction of the Account Leadership Partner, theVice President of Revenue Cycle/Account Executiveserves as the primary liaison between the Revenue Cycle Operations teams and assigned Client(s) 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 EBO. This position will also supervise on site Project Supervisors and project staff. The Vice President of Revenue Cycle/Account Executive 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 Client and EBO leadership to develop and execute these plans. The Vice President of Revenue Cycle/Account Executive will possess both technical and business skills to recommend, engage and manage their client’s strategic initiatives. The Vice President of Revenue Cycle/Account Executive will perform any and all job-related duties as assigned.

Essential Job Functions

Comprehensive knowledge of healthcare access management, HIM, billing, finance and accounting principles for both Hospital and Physician revenue cycle management
Excellent verbal and written communication skills
Comprehensive knowledge of HFMA MAP metrics, as well as MGMA or other similar standards for Physician Revenue Cycle
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

Duties And Responsibilities

Leading multi-disciplined teams to integrate their solutions & services
Direct implementation projects & liaise with Client Project Directors
Development and execution of annual Project P&L to drive Client Value and Guidehouse Financial success
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 values, overall teamwork and a positive work environment
Ensure appropriate contractual discounts are applied
Review adjustments and refund requests
Maintain continual communication with EBO to identify areas for improvement from client to improve productivity and results
Attend meetings with both the client and the EBO
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 EBO to ensure compliance with targets
Place and manage on-site employees as contract requires
Establishes and manages effective, consistent communication with assigned Client
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 Client and EBO
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 EBO
Works with Managed Care Department for Underpayment Analysis
Works with EBO and Client to research and resolve denials
Upon identification of issues, research issues to determine whether it is an isolated instance or a trend and follows up the appropriate Revenue Cycle Director or Systems Analyst team 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
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

Bachelor’s Degree
15 years relevant experience with a healthcare provider or an outsourcing company

What Would Be Nice To Have

Has held a leadership role (Director or Manager Level) in at least two of the three departments of Patient Access, HIM & PFS within an Acute Care Hospital
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 annual salary range for this position is $159,300.00-$238,900.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits Include

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

About Guidehouse

Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.