Supervisor, Medicaid Collections

LCMC Health; New Orleans (LA); On-site; USD 48,000 - 68,000; Full time

Job summary

LCMC Health, based in New Orleans, seeks a skilled Billing Specialist to oversee physician billing, enrollments, and team supervision. The role requires a mix of compliance with payer rules, training staff, and optimizing cash posting and collections.

Ideal candidates bring experience in CBO environments, a strong command of Microsoft Office, and the ability to manage denials and reconciliations to expedite reimbursements.

Qualifications

• 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.
• Must be proficient in Microsoft Office or equivalent word processing and spreadsheet applications.

Responsibilities

• 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.
• Assigns duties and manages billing, collections, and cash posting activities to ensure departmental policies and protocols are maintained.
• Conducts managerial review of follow-up, denials, claim refiles to ensure appropriate disposition and expedite reimbursement.

Skills

Microsoft Office

Billing knowledge

Basic math

Supervisory ability

Education

High School Diploma/GED

Associate’s Degree in Business or healthcare field

Tools

None

Job description

Your job is more than a job

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.

Simple things make the difference.

• To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
• To ensure quality care and service, we may use information on your application to verify your previous employment and background.
• To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
• To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.