Supervisor, Medicaid Collections

LCMC Health•New Orleans, LA

2d•Onsite

About The Position

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.

Requirements

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.
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.

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 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.
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.
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.