Shared Services Manager | Hospital – Revenue Cycle Management

Shared Services Manager

Guidehouse is seeking a Shared Services Manager to join our Revenue Cycle Management team. In this role, you will lead multiple functions within our Shared Services Revenue Cycle department, with primary oversight of the Cash Posting and Credit Balance teams. The ideal candidate will be responsible for driving operational excellence, ensuring compliance, enhancing productivity, and fostering collaboration across departments.

Additional responsibilities include:

• Manage the day-to-day operations of multiple payment posting and credit balance functions, including over payment processing and resolution.
• Collaborate with departmental leaders and cross-functional teams to improve workflows and ensure seamless revenue cycle operations.
• Develop, maintain, and update job aids, standard operating procedures (SOPs), and training materials for payment posting and credit balance processes.
• Establish and monitor productivity, quality, and turnaround standards for credit balance operations.
• Oversee unclaimed property reporting activities and ensure compliance with applicable state regulations.
• Lead year-end audit preparation and support internal and external audit requests.
• Recruit, train, mentor, and evaluate team members to support professional growth and operational success.
• Conduct performance reviews, regular coaching sessions, and ongoing staff development activities.
• Foster a culture of accountability, collaboration, customer service, and continuous improvement.
• Lead team meetings and provide education regarding payer requirements, regulatory updates, and industry best practices.
• Perform and oversee account reconciliations to ensure financial accuracy and integrity.
• Manage the investigation and resolution of patient and insurance credit balances, over payments, and refund requests.
• Ensure timely and accurate processing of patient, insurance, and third-party refunds.
• Coordinate with Billing, Cash Posting, Collections, Denial Management, and Patient Accounting teams to resolve account discrepancies and improve revenue cycle outcomes.

What You Will Need:

· Bachelor's degree and a minimum of seven (7) years of healthcare revenue cycle experience; OR High school diploma/GED and eleven (11) years of healthcare revenue cycle experience.

· Minimum of three (3) years of supervisory or management experience.

· At least seven (7) years of experience within healthcare revenue cycle operations.

· Extensive experience with credit balances, refunds, and cash posting in both hospital and physician billing environments.

· Leadership experience in one or more areas of the revenue cycle.

· Strong understanding of Explanation of Benefits (EOBs), remittance advice, reimbursement methodologies, and payment posting practices.

· Working knowledge of credit balance resolution, refund processing, billing operations, and account reconciliation.

· Strong analytical, organizational, and problem-solving skills.

· Experience using Epic and other healthcare revenue cycle systems.

· Advanced Microsoft Excel skills and experience utilizing data analysis and reporting tools.

· Excellent written and verbal communication skills with the ability to effectively interact with clients, leadership, and operational teams.

What Would Be Nice to Have:

· Experience resolving Hospital Billing (HB), Professional Billing (PB), and Self-Pay credit balances.

· Knowledge of unclaimed property reporting requirements and compliance regulations.

· Experience managing large-scale revenue cycle operations in a shared services or healthcare outsourcing environment.

· Experience supporting system implementations, workflow optimization, or automation initiatives.

What We Offer :

Guidehouse offers a comprehensive, total rewards package that includes competitive…