Shared Services Manager | Hospital – Revenue Cycle Management

US104 Guidehouse Managed Services LLC; Birmingham (AL); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Paid Holidays

Tuition Reimbursement / Professional |

Employee Referral Program

Flexible Spending Accounts

Job summary

Guidehouse is seeking a Shared Services Manager to lead the Revenue Cycle Management team, with primary oversight of Cash Posting and Credit Balance functions.

The role focuses on driving operational excellence, ensuring compliance, and collaborating across departments to enhance productivity and reduce cycle times. Strong leadership, Epic experience, and ability to coach staff are essential.

Qualifications

• Bachelor's degree and 7+ years in healthcare revenue cycle, or 11+ years with a HS diploma.
• Minimum 3 years of supervisory or management experience.
• Extensive experience with credit balances, refunds, and cash posting.
• Experience with Epic and other revenue cycle systems.

Responsibilities

• Lead daily operations of payment posting and credit balance functions.
• Drive process improvements across Billing, Cash Posting, Collections and Denial teams.
• Develop SOPs, job aids, and training materials for posting and balancing.
• Establish productivity, quality, and turnaround standards.
• Coordinate year-end audits and respond to audit requests.
• Mentor and coach team members and conduct performance reviews.

Skills

Revenue cycle management

Leadership/people management

Epic experience

Excel

Analytical skills

Cross-functional collaboration

Education

Bachelor's degree in a relevant field

Tools

Epic systems

Healthcare revenue cycle software

Job description

Job Family: PFS General Travel Required: Up to 10% Clearance Required: None

What You Will Do:

Guidehouse is seeking a Shared Services Manager to join our Revenue Cycle Management team. In this role, you will lead multiple functions within our Shared Services Revenue Cycle department, with primary oversight of the Cash Posting and Credit Balance teams. The ideal candidate will be responsible for driving operational excellence, ensuring compliance, enhancing productivity, and fostering collaboration across departments.

Additional responsibilities include:

• Manage the day-to-day operations of multiple payment posting and credit balance functions, including overpayment processing and resolution.
• Collaborate with departmental leaders and cross-functional teams to improve workflows and ensure seamless revenue cycle operations.
• Develop, maintain, and update job aids, standard operating procedures (SOPs), and training materials for payment posting and credit balance processes.
• Establish and monitor productivity, quality, and turnaround standards for credit balance operations.
• Oversee unclaimed property reporting activities and ensure compliance with applicable state regulations.
• Lead year-end audit preparation and support internal and external audit requests.
• Recruit, train, mentor, and evaluate team members to support professional growth and operational success.
• Conduct performance reviews, regular coaching sessions, and ongoing staff development activities.
• Foster a culture of accountability, collaboration, customer service, and continuous improvement.
• Lead team meetings and provide education regarding payer requirements, regulatory updates, and industry best practices.
• Perform and oversee account reconciliations to ensure financial accuracy and integrity.
• Manage the investigation and resolution of patient and insurance credit balances, overpayments, and refund requests.
• Ensure timely and accurate processing of patient, insurance, and third-party refunds.
• Coordinate with Billing, Cash Posting, Collections, Denial Management, and Patient Accounting teams to resolve account discrepancies and improve revenue cycle outcomes.

What You Will Need:

• Bachelor's degree and a minimum of seven (7) years of healthcare revenue cycle experience; OR High school diploma/GED and eleven (11) years of healthcare revenue cycle experience.
• Minimum of three (3) years of supervisory or management experience.
• At least seven (7) years of experience within healthcare revenue cycle operations.
• Extensive experience with credit balances, refunds, and cash posting in both hospital and physician billing environments.
• Leadership experience in one or more areas of the revenue cycle.
• Strong understanding of Explanation of Benefits (EOBs), remittance advice, reimbursement methodologies, and payment posting practices.
• Working knowledge of credit balance resolution, refund processing, billing operations, and account reconciliation.
• Strong analytical, organizational, and problem-solving skills.
• Experience using Epic and other healthcare revenue cycle systems.
• Advanced Microsoft Excel skills and experience utilizing data analysis and reporting tools.
• Excellent written and verbal communication skills with the ability to effectively interact with clients, leadership, and operational teams.

What Would Be Nice to Have:

• Experience resolving Hospital Billing (HB), Professional Billing (PB), and Self-Pay credit balances.
• Knowledge of unclaimed property reporting requirements and compliance regulations.
• Experience managing large-scale revenue cycle operations in a shared services or healthcare outsourcing environment.
• Experience supporting system implementations, workflow optimization, or automation initiatives.

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.

• 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 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 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 1-571-633-1711 or via email at [e-mail]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [e-mail]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.

Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [e-mail]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties. 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.

Guidehouse is a global AI-led professional services firm delivering advisory, technology, and managed services to the commercial and government sectors. With an integrated business technology approach, Guidehouse drives efficiency and resilience in the healthcare, financial services, energy, infrastructure, and national security markets. Built to help clients across industries outwit complexity, the firm brings together approximately 18,000 professionals to achieve lasting impact and shape a meaningful future.

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