Manager, Hospital Central Business Office

JOB DESCRIPTION

Your job is more than a job

The Manager of CBO Collections and Follow-Up Rev Cyc assumes responsibility and accountability for managing system-wide hospital insurance follow-up and / or denial Management functions.

Collaborates with the appropriate revenue cycle team to set departmental goals, measure process effectiveness and productivity, identify any need for updating the policies and procedures.

Serves as a liaison to the revenue cycle staff, clinical departments, payers, vendors and patients.

Your Everyday

• Assumes responsibility for managing and coordinating various activities and daily workflows associated with insurance follow-up and / or denial management.
• Ensures staff compliance with application of departmental and organizational policies, procedures and standards.
• Tracks the status of all unpaid accounts, all denied accounts or accounts held for additional information from various departments.
• Utilizes the internal tracking tool by extracting data for reports, training and educating staff on follow-up and / or appeal strategies to promote reimbursement.
• Provides direction and support to staff by adhering to an established educational plan to ensure quality and productivity standards are met.
• Gathers and assembles documentation related to insurance follow-up / denials, information request, trends and root causes for committee meetings and regular check-ins with revenue cycle leadership.
• Meets with various revenue-generating departments to communicate root causes of payment delays and / or denials and provides direction to mitigate any future payment delays.
• Acts as the primary liaison between the insurance follow-up / denial management vendors and the organization.
• Resolves problems and rectifies inefficiencies related to payment delays or denials.
• Assists in providing payment / denial information related to contract negotiations and renegotiations with various payor organizations as needed.
• Ensures that services are provided in accordance with state and federal regulations, organizational policy and accreditation / compliance requirements.

The Must-Haves

Minimum :

MINIMUM QUALIFICATIONS

Required : High School Diploma / GED or equivalent AND 5 years of experience in healthcare billing, collections, payment processing, or denial management AND 3 years of management experience.

KNOWLEDGE, SKILLS, AND ABILITIES

• Must be able to pass basic computer skills test and system level training.
• Working knowledge of system reports and the ability to analyze system information to determine the impact of possible changes.
• Demonstrates knowledge of Hospital and professional billing processes and reimbursement strategies, third-party contracting, insurance protocols, delay tactics including use of denials, systems and workflows, ERISA guidelines for denials and appeals, regulations related to denials and appeals.
• Ability to take initiative by identifying problems, conceptualizing resolutions and implementing change.
• Possesses efficient time-management skills and proven ability to multitask under tight deadlines.
• Demonstrates excellent leadership, conflict-resolution and customer service skills.
• Exceptional writing and communication skills.
• Strong comfort level with computer systems.

WORK SHIFT :

Days (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way.

Celebrating authenticity, originality, equity, inclusion and a little come on in attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems it’s all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work.

This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Simple things make the difference.

1.To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.

2.To ensure quality care and service, we may use information on your application to verify your previous employment and background.

3.To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.

4.To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

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