Supervisor, Medicaid Collections

LCMC Health; Irvine (CA); On-site; USD 90,000 - 120,000; Full time

Job summary

LCMC Health in Irvine, CA seeks a Supervisor of Medicaid CBO Hospital Collections to lead a team responsible for accurate posting, patient billing, and timely reimbursements. The role collaborates with leaders to ensure resource availability and efficient utilization.

The position involves monitoring workflows, ensuring payer compliance, training staff, and producing regular financial reports to optimize revenue cycle performance.

Qualifications

• High School Diploma or GED is required with 5 years of experience in physician practices or central billing office.
• Associate’s Degree plus 2 years of relevant experience is acceptable.

Responsibilities

• Oversee billing, collections, and cash posting activities to ensure departmental policies and protocols are followed.
• Audit and review data for accuracy in clinics and the billing office.
• Reconcile batches and monitor quality control guidelines to maximize reimbursement.
• Train and supervise team members; develop operating standards for the practice management system.

Skills

Microsoft Office proficiency

Billing & collections knowledge

Supervisory ability

Basic math

Education

High School Diploma/GED

Associate’s Degree in Business Management or healthcare-related field

Job description

Your job is more than a job

The Supervisor of Medicaid CBO Hospital Collections is responsible for the business operating support functions for hospital-employed physician practices. Coordinates team members and functions to ensure accurate transaction posting, patient billing, high quality customer service, efficient account collections, and optimal reimbursement. Works with colleagues and leaders to ensure resource availability and efficient utilization.

GENERAL DUTIES

Community:

• Prepares Medicare and Medicaid enrollment applications for all providers including terminations and group linkages/unlinkages.
• Maintains external and internal correspondence to notify appropriate parties.
• Assists with provider enrollment or credentialing process for commercial payers.

Quality:

• Researches clinic and CBO posting errors and requests received from the appropriate department.
• Tracks undeposited receipts and intercompany transfers.
• Reports weekly on unposted money.
• Reconciles batches and posts to cash sheet on a daily and monthly basis.
• Monitors and evaluates established quality control guidelines to maximize reimbursement.

People:

• Orients and trains team members and other identified application users how to operate the application.
• Assesses, plans, coordinates, and evaluates appropriate training and continuing education of team members.
• Develops operating standards and protocols as it relates to the practice management system.
• Audits and reviews data entered by clinics and billing office to ensure accuracy.
• Assigns duties and manages billing, collections, and cash posting activities to ensure departmental policies and protocols are maintained.

Financial:

• Conducts managerial review of follow‑up, denials, claim refiles to ensure appropriate disposition and expedite reimbursement.
• Reviews PMS and clearinghouse reports to ensure billing of accounts.
• Reviews batch postings and researches or performs audits to reconcile accordingly.
• Reviews monthly financial reports.
• Reviews bulletins and notices to ensure compliance with applicable payer billing rules/regulations and hospital policy.

EDUCATION/WORK QUALIFICATIONS

Combination of appropriate education and work experience is required:

• High School Diploma/GED or equivalent _ AND _ 5 years of experience working in physician practices or clinic setting in physician billing or central billing office (CBO).
• Associate’s Degree in Business Management or healthcare-related field _ AND _ 2 years of relevant experience.

KNOWLEDGE, SKILLS, AND ABILITIES

• Must be proficient in Microsoft Office or equivalent word processing and spreadsheet applications.
• Should possess broad knowledge of the healthcare billing and collections process including all applicable state and federal collection laws.
• Must be competent in basic math.
• Ability to motivate and supervise subordinates is essential.

REPORTING RELATIONSHIPS

• Does this position formally supervise employees? Yes

WORK SHIFT:

Days (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems – it’s all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants 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.

The above job summary 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.