Hospital Revenue Cycle Director, Billing Operations

Guidehouse; San Antonio (TX); On-site; USD 130,000 - 180,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Paid Holidays

Tuition Reimbursement

Employee Referral Program

Discretionary variable incentive bonus

Job summary

Guidehouse is seeking an experienced Hospital Billing Associate Director – Revenue Cycle in San Antonio, TX to lead daily hospital billing operations and staff. This role ensures timely, accurate submission of facility claims and compliance with payer requirements.

You will mentor teams, monitor KPIs, collaborate with payers and internal departments, and implement process improvements to optimize revenue cycle performance. A senior leader with extensive healthcare billing expertise is ideal.

Qualifications

• Bachelor's degree in a related field.
• Ten+ years in hospital billing or healthcare revenue cycle management.
• Minimum four years of leadership or people management experience.
• Experience with Medicare/Medicaid and payer requirements.
• Strong knowledge of claims processing and AR workflows.

Responsibilities

• Provides daily leadership and coaching to hospital billing staff.
• Escalates staffing, performance, and compliance concerns to management.
• Oversees daily hospital claim billing activities to ensure timely submission of clean claims.
• Monitors billing KPIs and productivity; drives process improvements.
• Collaborates with payers, clearinghouses, and internal departments to resolve issues.
• Ensures adherence to federal and state regulations and payer requirements.
• Generates and reviews daily, weekly, monthly billing reports.

Skills

Staff Leadership

Billing Operations

Payer Issue Resolution

KPI & Productivity Management

Training & Development

Education

Bachelor's degree in a related field

Job description

Guidehouse is seeking an experienced Hospital Billing Associate Director – Revenue Cycle in San Antonio, TX to lead daily hospital billing operations and staff. This role ensures timely, accurate submission of facility claims and compliance with payer requirements.

You will mentor teams, monitor KPIs, collaborate with payers and internal departments, and implement process improvements to optimize revenue cycle performance. A senior leader with extensive healthcare billing expertise is ideal.