Healthcare Operations Manager
5 days ago
Job Summary
The Healthcare Operations Manager at LCMC Health Corporate is responsible for managing system-wide hospital insurance follow-up and/or denial management functions. This role collaborates with the revenue cycle team to set departmental goals, measure process effectiveness, and identify areas for policy and procedure updates.
Key Responsibilities
- Assumes responsibility for managing and coordinating various activities and daily workflows associated with insurance follow-up and/or denial management.
- Ensures staff compliance with departmental and organizational policies, procedures, and standards.
- Tracks the status of all unpaid accounts, denied accounts, or accounts held for additional information from various departments.
- Utilizes internal tracking tools to extract 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 requests, trends, and root causes for committee meetings and regular check-ins with revenue cycle leadership.
- Meets with revenue-generating departments to communicate root causes of payment delays and/or denials and provides direction to mitigate future payment delays.
- Acts as the primary liaison between 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.
Requirements
- High School Diploma/GED or equivalent
- 5 years of experience in healthcare billing, collections, payment processing, or denial management
- 3 years of management experience
- Basic computer skills and system level training
- Working knowledge of system reports and ability to analyze system information
- Knowledge of Hospital and professional billing processes and reimbursement strategies
- Ability to take initiative, identify problems, and implement change
- Efficient time-management skills and proven ability to multitask under tight deadlines
- Excellent leadership, conflict-resolution, and customer service skills
- Exceptional writing and communication skills
- Strong comfort level with computer systems
LCMC Health is an Equal Opportunity Employer
We are committed to creating a diverse and inclusive work environment that reflects the communities we serve. We welcome applications from qualified candidates of all backgrounds.
How to Apply
To apply for this position, please submit your application through our website. We look forward to reviewing your application and discussing this opportunity with you further.
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