Healthcare Manager for Insurance Follow-Up and Denial Resolution
4 weeks ago
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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