Healthcare Manager for Insurance Follow-Up and Denial Resolution

4 weeks ago


New Orleans, Louisiana, United States LCMC Health Corporate Full time

At LCMC Health Corporate, we're seeking a skilled Healthcare Manager to oversee our insurance follow-up and denial resolution functions. With a strong presence in Louisiana and beyond, our organization is dedicated to delivering exceptional care to every individual and parish.

The ideal candidate will possess a high school diploma or equivalent, along with 5 years of experience in healthcare billing, collections, payment processing, or denial management. Additionally, they should have 3 years of management experience and be able to pass a basic computer skills test and system-level training.

The Healthcare Manager will assume responsibility for managing system-wide hospital insurance follow-up and/or denial management functions, collaborating with the revenue cycle team to set departmental goals and measure process effectiveness. They will also serve as a liaison to revenue cycle staff, clinical departments, payers, vendors, and patients.

Key responsibilities include:

  • Assuming responsibility for managing and coordinating various activities and daily workflows associated with insurance follow-up and/or denial management.
  • Ensuring staff compliance with departmental and organizational policies, procedures, and standards.
  • Tracking the status of all unpaid accounts, denied accounts, or accounts held for additional information from various departments.
  • Utilizing internal tracking tools to extract data for reports, training, and educating staff on follow-up and/or appeal strategies to promote reimbursement.
  • Providing direction and support to staff by adhering to an established educational plan to ensure quality and productivity standards are met.
  • Gathering and assembling documentation related to insurance follow-up/denials, information requests, trends, and root causes for committee meetings and regular check-ins with revenue cycle leadership.
  • Meeting with revenue-generating departments to communicate root causes of payment delays and/or denials and providing direction to mitigate any future payment delays.
  • Acting as the primary liaison between insurance follow-up/denial management vendors and the organization.
  • Resolving problems and rectifying inefficiencies related to payment delays or denials.
  • Assisting in providing payment/denial information related to contract negotiations and renegotiations with various payor organizations as needed.

The salary for this position is approximately $85,000 to $110,000 per year, depending on experience and qualifications. If you're passionate about delivering exceptional care and are a strong leader, we encourage you to apply.



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