Associate Director – Patient Financial Services, Healthcare CBO

Guidehouse

. Manage overall Hospital Client Patient Financial Services department operations .

Posted 11/4/2026full-timeSan Antonio • Texas • United StatesLead💰 $80,000 - $133,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive knowledge of healthcare revenue cycle management, including billing operations, denial management, and compliance with payer regulations. Proven ability to analyze data, improve revenue cycle indicators, and establish collaborative relationships with stakeholders.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementDenial ManagementPatient AccountingHealthcare Billing SystemsAccounts Receivable Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Revenue Cycle ActivitiesBilling and CollectionsData AnalysisPayer ContractsBilling and Coding RegulationsFinancial Systems KnowledgeHFMA MAP MetricsElectronic Claims ProcessingThird Party VerificationOperational Improvement

Soft Skills

Excellent Verbal CommunicationAnalytical SkillsInterpersonal SkillsProblem-SolvingTask Management

Industry Keywords

Healthcare ProviderCBOBusiness Office EnvironmentRevenue Cycle LeadershipCompliance Standards

About the role

Key responsibilities & impact

Manage overall Hospital Client Patient Financial Services department operations
Oversee patient accounting, credit and collections, denial management and related revenue cycle activities
Define and achieve departmental objectives
Manage billing and follow-up of patient accounts
Ensure compliance with third-party payer regulations and relevant Hospital PFS standards
Improve key revenue cycle indicators, revenue and cash flows
Analyze data and escalate issues, trends and opportunities to management
Research issues and facilitate communication and resolution with Revenue Cycle leadership
Establish collaborative relationships with Revenue Cycle leaders
Work with Managed Care on underpayment analysis
Attend and participate in committees and task forces
Prepare materials for, conduct and chair project meetings
Maintain current knowledge of regulatory standards
Participate in PFS policy and procedure development
Collaborate, mediate and resolve issues between Finance and Hospital PFS
Understand financial systems and patient accounts; detect and resolve Accounts Receivable problems
Plan, coordinate, implement and control Hospital Billing and Collection services
Hire, review, discipline and separate staff
Monitor and report daily/monthly productivity
Ensure team-member compliance with company policies and procedures
Verify and monitor time-off requests
Fill in for Managers
Perform other related job functions

Requirements

What you’ll need

Bachelor's Degree and a minimum 10 years of prior relevant experience (Relevant experience may be substituted for formal education or advanced degree.)
Relevant experience from a healthcare provider, payor, CBO, business office environment or outsourcing company
Experience in AR follow up, Denials management, and driving client engagement
Understanding of healthcare revenue cycle, payer contracts and regulations affecting reimbursement for healthcare services
Extensive experience with healthcare hospital billing systems, including electronic claims and authorizations
Extensive knowledge of front and back end billing operations
Knowledge of billing and coding regulations
Proficiency with registration, eligibility, third party verification, billing and collections
Comprehensive knowledge of healthcare, billing, finance and accounting principles
Detailed knowledge of billing technical elements, including standard forms and data, coordination of benefits, third party liability, billing and collection
Comprehensive knowledge of HFMA MAP metrics
Ability to review data, identify operational impacts, trends, issues and improvement opportunities
Ability to prioritize and manage numerous tasks simultaneously
Ability to plan, coordinate, implement and control Hospital Billing and Collection services in a complex centralized environment
Excellent verbal, written, analytical and interpersonal skills
Ability to handle multiple concurrent activities and change
Up to 25% travel
No clearance required

Benefits

Comp & perks

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
Flexible benefits package
Flexible work arrangement implied by remote eligibility