Job Family:
Business Operations
Travel Required:
Up to 25%
Clearance Required:
None
What You Will Do:
The Operations Manager (Great Start) holds responsibility for overseeing the daily operations of a project(s) and the management of the Great Start project Supervisor and Leads inclusive of onsite Team Members (when applicable), primarily focused on our in-house client specific training program. An Operations Manager (Great Start) is an extension of a clients business office staff. This position is responsible for developing, implementing, managing, meeting and / or exceeding the Operational goals of our clients and Company. This may include overlapping related business activities with pre-admissions, pre-registration, admission, registration, billing, and collection. The Operations Manager (Great Start) will and may work closely with Managing Consultants, and various department Senior Leadership to apply new and emerging approaches to our clients business processes. This position will follow and ensure that client policies and procedures are followed and will also perform any and all job-related duties as assigned. This position will maintain client relationships at the servicing level and will monitor compliance with State and Federal laws and guidelines. The Operations Manager (Great Start) will perform any and all job-related duties as assigned.
Essential Job Functions
Able to prioritize tasks and work independently without supervision
Excellent verbal and written communication skills
Strong attention to details and accuracy
Strong analytical and research skills
Understand and meet clients specific needs
Leadership & Training
Ensuring compliant and timely billing of hospital claims
Leverage appropriate accounts receivable management analysis
Lead a denial management as needed
Employ appropriate and timely cash posting and management procedures
Ensure all functions are compliant with federal, state, local and client procedures and laws
Duties and Responsibilities
Meet and exceed department goals.
New project implementation.
Special client projects.
Fill-in for Project Supervisors.
Monitor productivity, legal compliance including compliance with client policies & procedures.
Subject Matter Expert and remains current in all areas of designated project/client, including client host systems and imaging systems, internal host system METRIX & internal vendor systems
Coordinate and conduct interviewing of potential new hires and terminate as applicable
Verify and monitor time off requests.
Ensure employee compliance with Guidehouse policies and procedures.
Compile and forward employee time sheets to payroll for processing.
Provide reports and statistical information for management and clients.
Client services liaison.
Monitor client revenue reports.
Post payments, load business and transaction files as required.
Process month-end procedures for Guidehouse directory.
Promote teamwork and a positive work environment.
Ensure Team Member and project compliance with HIPAA standards.
Conduct disciplinary counseling including performance improvement plans as required.
Complete annual evaluation of staff.
Possible travel
Client Responsibility:
Ensure compliance with all client policies and procedures.
Place and manage on-site employees as contract requires.
Provide reports and statistics.
Process write-offs, adjustments and cancellations.
Ensures that communication with clients is timely, thorough and accurate, and is adequate to enable the client with the ability to resolve issues identified in the course of audits.
Ensures that all services are provided within the constraints of applicable laws.
Ensures that all services are provided in a comprehensive manner that maximizes the benefits derived by the client.
Ensures that all services are provided within the framework of the governing contract.
Ensures that all services are provided in such a manner as to protect the revenue stream of the client.
Responsible for client reporting as it relates to training initiatives
Responsible for development of Performance Indicators, SOPs and communication with client regarding Performance Indicators.
Responsible for a continual assessment of client needs and potential solutions available through Guidehouse or Guidehouse partner.
Responsible for internal quality and performance monitoring to ensure that client expectations are being achieved by Great Start department
What You Will Need:
Requires a Bachelor’s degree and a minimum 7 years of prior relevant experience. Relevant experience may be substituted for formal education or advanced degree.
Relevant experience coming from third party Revenue Cycle Management
Previous staff supervisory experience
Knowledge of governmental, managed care reimbursement, hospital billing and cash management & balancing procedures.
What Would Be Nice To Have:
Able to travel up to 20-30%
Ability to interact on a professional level with clients.
Excellent verbal and written communication skills.
Ability to initiate and follow through on projects and work independently with minimal supervision required.
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 Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, 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-###-#### or via email at …@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
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.
By applying, you consent to your information being transmitted by Jobcase to the Employer, as data controller, through the Employers data processor SonicJobs.
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