Overview:
In this role you will lead hospital billing operations within Guidehouse’s revenue cycle. You’ll provide day-to-day leadership, drive timely and compliant claim submission, and guide staff through changes in payer requirements and regulatory updates. You will monitor KPIs, identify trends, and implement process improvements to reduce delays and ensure high-quality outcomes. Work closely with cross-functional teams and payers to resolve complex billing issues and support organizational goals. Compensation / Benefits Medical, Rx, Dental & Vision Insurance 401(k) Retirement Plan Parental Leave Tuition Reimbursement Short-Term & Long-Term Disability Employee Referral Program
Responsibilities:
Provide daily leadership and coaching to hospital billing staff Manage claim edits, billing holds, and issue escalation Monitor productivity, quality, and KPIs; manage reporting Ensure timely, accurate submission of clean claims and adherence to timelines Oversee payer communications, issue resolution, and cross-department collaboration Identify systemic billing issues and drive corrective action plans Support process improvements, system changes, and workflow standardization Ensure compliance with federal/state regulations and payer requirements Coordinate with IT and other stakeholders on system issues affecting billing
Key requirements:
Bachelor’s degree and a minimum of ten years of relevant experience or High School Diploma and fourteen years of relevant experience Minimum of four years of leadership, supervisory, or people-management experience Extensive hospital/facility billing or Patient Financial Services experience Strong knowledge of hospital revenue cycle operations and accounts receivable Working knowledge of government and commercial payer billing requirements Ability to manage competing priorities and make timely operational decisions Effective communication with staff, management, clients, payers, and cross-functional departments leadership communication problem-solving Epic Hospital Billing (HB) Meditech 6 and/or Meditech Magic experience with claim edits and billing work queues