Healthcare Business Office Manager

2 weeks ago

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

Position Overview

As the Manager of the Central Business Office (CBO) Collections and Follow-Up Revenue Cycle, you will play a crucial role in overseeing the comprehensive management of hospital insurance follow-up and denial management processes. This position requires collaboration with the revenue cycle team to establish departmental objectives, assess process efficiency, and identify areas for policy enhancement.

Your Responsibilities

  • Lead and coordinate daily operations related to insurance follow-up and denial management.
  • Ensure compliance with departmental and organizational policies and standards.
  • Monitor the status of unpaid and denied accounts, as well as accounts pending additional information.
  • Utilize internal tracking systems to generate reports and educate staff on effective follow-up and appeal strategies.
  • Provide guidance and support to team members through a structured educational plan to meet quality and productivity benchmarks.
  • Compile documentation regarding insurance follow-up and denials for committee discussions and regular updates with revenue cycle leadership.
  • Engage with various revenue-generating departments to address root causes of payment delays and denials, offering solutions to prevent future issues.
  • Act as the primary contact between the organization and external vendors involved in insurance follow-up and denial management.
  • Identify and resolve inefficiencies related to payment delays or denials.
  • Assist in providing relevant payment and denial information for contract negotiations with payor organizations.
  • Ensure compliance with state and federal regulations, organizational policies, and accreditation requirements.

Qualifications

Minimum Requirements:

  • High School Diploma/GED or equivalent, along with 5 years of experience in healthcare billing, collections, payment processing, or denial management, and 3 years of management experience.

Knowledge, Skills, and Abilities:

  • Proficient in basic computer skills and system-level training.
  • Ability to analyze system reports and assess the impact of potential changes.
  • In-depth understanding of hospital and professional billing processes, reimbursement strategies, and regulations related to denials and appeals.
  • Strong initiative in identifying problems and implementing effective solutions.
  • Excellent time-management skills with the ability to multitask under pressure.
  • Demonstrated leadership, conflict resolution, and customer service capabilities.
  • Exceptional written and verbal communication skills.
  • Comfortable working with various computer systems.

Work Schedule: Days

About LCMC Health:

At LCMC Health, we are committed to providing exceptional healthcare services. Our culture is built on authenticity, equity, and inclusion, ensuring that every individual feels valued and welcomed. We strive to bring the best possible care to our communities while fostering a supportive and collaborative environment.

Core Values:

  • Deliver compassionate healthcare.
  • Encourage positivity and smiles.
  • Infuse love into our work.
  • Maintain honesty and compassion in all interactions.
  • Embrace uniqueness in care delivery.
  • Focus on opportunities rather than challenges.
  • Support diverse ideas and perspectives.
  • Celebrate individuality.

Equal Opportunity Employer:

LCMC Health is an equal opportunity employer, welcoming all qualified applicants 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.

Application Process:

To ensure a smooth application process, please complete your application thoroughly. Incomplete applications may be eliminated due to missing information. We may verify your previous employment and background to maintain quality care and service.

Note: This job summary is intended to provide a general overview of the role and responsibilities. It is not an exhaustive list of all duties and responsibilities.

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