Director, Patient Financial Services; PFS - Healthcare CBO

What You Will Do

What You Will Do

Leverage extensive experience with healthcare hospital billing systems including electronic claims and authorizations to maximize revenue and cash flows. Manage front‑ and back‑end billing operations, demonstrate knowledge of billing and coding regulations, and proficiency with registration, eligibility, third‑party verification, billing and collections. Apply comprehensive knowledge of healthcare, billing, finance and accounting principles, detailed understanding of billing technical elements such as standard forms, coordination of benefits, and third‑party liability.

Utilize HFMA MAP metrics and review data to determine operational impacts, identify trends, and elevate issues and improvement opportunities to management. Investigate isolated issues, follow up with Revenue Cycle leadership, and facilitate communication and resolution. Prioritize and manage multiple tasks, establish collaborative relationships with other Revenue Cycle leaders, and work with Managed Care for Underpayment Analysis. Attend committees, participate in task forces, prepare materials, lead project meetings, and maintain current regulatory knowledge.

Seek growth opportunities, and develop and implement PFS policies and procedures. Resolve issues between Finance and Hospital PFS, detect and resolve AR problems, ensure compliance with relevant regulations, and plan, coordinate, implement and control Hospital Billing and Collection services within a complex environment.

• Hire, review, discipline and separate employment.
• Monitor and report daily/monthly productivity.
• Ensure Team Member compliance with company policies and procedures.
• Verify and monitor time‑off requests.
• Able to fill in for Managers.

• Requires a Bachelor's Degree and a minimum 12 years of prior relevant experience OR an Associate's Degree and a minimum 14 years of prior relevant experience (education may substitute for experience).
• Relevant experience coming from a healthcare provider, payor, CBO, business office environment or an outsourcing company.

• Understanding of healthcare revenue cycle, payer contracts and regulation affecting reimbursement for healthcare services.
• Excellent verbal, written, analytical and interpersonal skills.
• Ability to handle multiple concurrent activities and change.

The annual salary range for this position is $ – $. Compensation decisions depend on skill sets, experience, training, security clearances, licensure, certifications and other business needs.

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Discretionary variable incentive bonus eligibility
• 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

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 applicable law, including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you require an accommodation for the application process, please contact Guidehouse Recruiting at 1‑571‑633‑1711 or via email at Recruitin All information provided will be kept confidential and used only to the extent required to provide needed reasonable accommodation.