Job Family :
PFS General
Travel Required :
Up to 10%
Clearance Required :
None
What You Will Do:
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.
Essential Duties and 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.
What You Will Need
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.
What Would Be Nice To Have :
Solid understanding of healthcare revenue cycle.
Demonstrated competency in working in teams and ability to effectively communicate with all levels.
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The annual salary range for this position is $98,000.00-$163,000.00. 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 Opportunity Employer-Protected Veterans, Individuals with Disabilities 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.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com . Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com . Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties.
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.
