Supervisor, Medicaid Collections

100 LCMC Health; United States; On-site; USD 52,000 - 76,000; Full time

Job summary

LCMC Health is seeking a detail-oriented Billing/CBO Specialist to manage enrollment applications for Medicare/Medicaid, assist with credentialing for commercial payers, and maintain accurate correspondence with multiple departments. You will also research posting errors, track undeposited receipts, and reconcile batches to ensure timely reimbursement.

Ideal candidates have education in healthcare administration or business and 5 years of physician billing experience, plus strong MS Office

Qualifications

• Proficiency in Microsoft Office or equivalent
• Broad knowledge of healthcare billing and collections processes
• Ability to perform basic math
• Experience supervising subordinates is desirable

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.
• Researches clinic and CBO posting errors; tracks undeposited receipts and intercompany transfers.
• Reconciles batches and posts to cash sheet; monitors and evaluates quality control guidelines to maximize reimbursement.

Skills

Microsoft Office

Billing & collections knowledge

Basic math

Supervisory ability

Education

High School Diploma/GED or equivalent

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

Job description

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.

About LCMC Health One-of-a-kind care comes from one-of-a-kind people. At LCMC Health, our people are the magic ingredient that makes our care so extra-extraordinary. We are compassionate, driven, and dedicated to bringing a little something extra to healthcare and to the people of New Orleans and beyond. If you're the kind of person who believes that our community deserves the best and that healthcare needs a little more heart, we want you to be a part of our family. From medical roles to administrative positions, every person on our team plays a part in our mission: to provide health, care, and education beyond extraordinary. Let's make every day extraordinary, together.