LCMC Health

We are a New Orleans-based, non-profit health system on a mission: to provide the best possible care for every person and parish in Louisiana and beyond, and to put a little more heart and soul into healthcare along the way. And that means we do things a little differently around here.

Treating people like family is the LCMC Health way, and it always has been. Founded by Louisiana's first freestanding children's hospital, we have grown into a healthcare system that is built to serve the unique needs of our communities and families.

Today, we offer six hospital locations: Children's Hospital New Orleans, East Jefferson General Hospital, New Orleans East Hospital, Touro, University Medical Center New Orleans, and West Jefferson Medical Center. We also offer a network of urgent care centers across the greater New Orleans area. With over 2,800 physicians specializing in everything from head to toe, our community can count on us to provide the right care, right where they need it.

JOB DESCRIPTION:

Position Summary

Supervisor, CBO Hospital Collections assumes day to day responsibility and accountability for supervising system-wide hospital account denial management functions. The Supervisor, CBO Hospital Collections serves as a liaison to revenue cycle staff, clinical departments, payers, vendors, and patients by ensuring effective communication between all parties.

Principal Duties and Responsibilities

• Assumes responsibility for day-to-day supervision and coordinating various activities and daily workflows associated with denial management and ensures staff compliance with application of departmental and organizational policies, procedures, and standards.
• Assist with tracking the status of 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 timely 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 denials, information request, trends and root causes for committee meetings and regular check-ins with revenue cycle leadership.
• Acts as a liaison between the denial management vendors and the organization as well as various payer organizations.
• Acts a resource in providing payment/denial information related to contract negotiations and renegotiations with various payor organizations as needed
• Executes excellent customer service and professionalism when interacting with staff, vendor representatives, payers, patients, and families to ensure all are treated with kindness and respect
• Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements
• Performs additional assignments and maintains current knowledge of the billing requirements and insurance/third party payment methodologies by independently following industry trends, as well as by completing any required ongoing training and instruction
• Identifies barriers to efficient departmental operations and takes an active role in developing appropriate and effective solutions
• Acts in accordance with LCMC’s mission and values, while serving as a role model for ethical behavior
• Ensures departmental staff members adhere to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility-specific guidelines
• Participates in recruitment efforts for billing staff and serves on hiring committees as needed to aid in identifying highly qualified candidates
• Assists in developing new-hire curriculum, providing initial education, and planning ongoing professional development opportunities for existing staff members; cross-trains staff members on billing concepts as needed
• Assist in management of employee time and attendance as needed

The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.

Position Qualifications

Education

• A high school diploma or GED required; Bachelor’s degree preferred
• Certification in billing and/or coding is preferred

Experience

• Minimum one year of supervisory experience is preferred
• Minimum two years of experience in a healthcare environment, particularly in healthcare billing, collections, payment processing, or denial management is preferred

Knowledge, Skills, 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:

This job description 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.

LCMC Health is an equal opportunity employer and all qualified applicants will 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.

Application for Employment
It is the policy of all member hospitals and facilities of the LCMC Health System (Louisiana Children’s Medical Center, Children’s Hospital of New Orleans, Touro Infirmary, University Medical Center New Orleans, New Orleans East Hospital, and West Jefferson Medical Center as well as its centers of health care and physician services, East Jefferson General Hospital, Woldenberg Village, Crescent City Physician Inc., and New Orleans Physician Services) to provide equal employment opportunities for all employees and applicants without regard to race, color, religion, sex, age, national origin, citizenship, marital status, gender identity, sexual orientation, veteran status, physical or mental disability, or any other protected status in regard to any position for which the employee or applicant may qualify.

Instructions to Applicant
1. You must fully and accurately complete the Application for employment. Incomplete applications will not be considered. LCMC Health and its members may use the information given in the application to investigate the applicant's previous employment and background.
2. The Application for Employment will be considered inactive after 180 days. If you wish to be considered after that time, you must complete a new Application for Employment.
3. If you are hired, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.