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Supervisor CBO Hospital Collections

Company: Touro
Location: New Orleans
Posted on: October 14, 2020

Job Description:

POSITION SUMMARY: Supervisor CBO Operations-Hospital Collections and Denial Management assumes day to day responsibility and accountability for supervising system-wide hospital Insurance Follow-up and/or Denial Management functions. The Supervisor CBO Operations-Hospital Collections and Denial Management serves as a liaison to revenue cycle staff, clinical departments, payers, vendors and patients by ensuring effective communication between all parties. 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. JOB SPECIFICATIONS: 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 POSITION DUTIES: Assumes responsibility for day to day supervision and coordinating various activities and daily workflows associated with insurance follow-up and/or denial management and ensures staff compliance with application of departmental and organizational policies, procedures, and standards. Assist with tracking the status of all unpaid accounts, all 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 insurance follow-up/denials, information request, trends and root causes for committee meetings and regular check-ins with revenue cycle leadership. Acts as a liaison between the insurance follow-up/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. 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.POSITION SUMMARY:Supervisor CBO Operations-Hospital Collections and Denial Management assumes day to day responsibility and accountability for supervising system-wide hospital Insurance Follow-up and/or Denial Management functions. The Supervisor CBO Operations-Hospital Collections and Denial Management serves as a liaison to revenue cycle staff, clinical departments, payers, vendors and patients by ensuring effective communication between all parties.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.JOB SPECIFICATIONS:Education* A high school diploma or GED required; Bachelor's degree preferred* Certification in billing and/or coding is preferredExperience* 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 preferredKnowledge, 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 systemsPOSITION DUTIES:* Assumes responsibility for day to day supervision and coordinating various activities and daily workflows associated with insurance follow-up and/or denial management and ensures staff compliance with application of departmental and organizational policies, procedures, and standards.* Assist with tracking the status of all unpaid accounts, all 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 insurance follow-up/denials, information request, trends and root causes for committee meetings and regular check-ins with revenue cycle leadership.* Acts as a liaison between the insurance follow-up/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 neededThe 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.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.

Keywords: Touro, New Orleans , Supervisor CBO Hospital Collections, Healthcare , New Orleans, Louisiana

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