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The Manager of Revenue Cycle Billing and Collections contributes to LCMC Health's financial strength, compliance and overall performance by serving in a managerial capacity in the revenue cycle department. Leads and manages complex revenue cycle projects, working with other departments and leaders. Maintains advanced knowledge of revenue cycle processes such as coding, billing, collections, etc. to aid in the implementation of processes and standards that assist LCMC in cash collection while complying with billing guidelines.
Responsible for the analysis and assessment of diverse data relating to the revenue cycle. Acting as an internal consultant, provides essential quality reports, advice and improvement recommendations to the management along all service lines.

This Role is 100% On-Site Monday - Friday at primarily New Orleans East Hospital (5620 Read Blvd, New Orleans, L A70127) and periodically supporting University Medical Center (2000 Canal St., New Orleans, LA 70112) .

Your Everyday

GENERAL DUTIES

Vision and strategy:

Collaborates with the leader(s) in defining vision, strategy and priority setting for revenue cycle initiatives, including implementation of the hospital software system.

Department leadership:

Provides the overall direction in support of departmental initiatives and goals. Leads the conceptual design and development of action plans that drive strategic initiatives. Monitors operational performance to anticipate and meet the needs of leadership.Drives for changes in work products and processes that will improve functional area efficiencies and effectiveness.Fosters a positive and proactive work environment, emphasizing respect for individuals, high standards of quality, customer service, innovation and teamwork.

Essential revenue cycle responsibilities:

Reviews denial root cause and work with appropriate leaders to prevent future denials. Leads denial management and reduction efforts, involving all departments within the revenue cycle, clinical service lines (as appropriate) with the key focus on identifying root causes of defects and implementing process improvement efforts to eliminate those defects, for denial mitigation.Serves as the point of contract for the hospital on all questions or issues regarding revenue cycle and its processes.Reports IT break/fix issues via appropriate system/tool.Communicates education materials, upgrade information etc. to appropriate hospital leaders.Reviews daily dashboards and work with hospital leaders to resolve edits and move accounts. This includes late charges, CFB assigned to case management and other hospital owned WQs. Provides regular reports to hospital leadership regarding WQ performance. Manages all WQs assigned to hospital personnel.Assists with testing of break/fix changes or new functionality if specific to the Hospital.Serves as a liaison to the CBO team to the hospital.Oversees daily charge reconciliation.Serves as the project manager for projects within the hospital for process improvement, denial mitigation, system issues and education. Also serves as project manager for new business lines by completing all required IT forms, confirming build in the hospital software system and pre and post go-live testing.Monitors late charges and communicates with specific areas.Performs specific audits as directed.Assists the finance department with month end close, as needed.

Process improvement:

Identifies opportunities for process improvement and implements them by engaging stakeholders throughout the organization.Understands interrelationships among systems and process across functional areas to redesign process, improve efficiency and ensure optimal results. Applies thorough understanding of key business processes to anticipate and address the longer-term implications of decisions/actions.Provides oversight regarding the development of business cases, in conjunction with other relevant SMEs, that facilitate local or regional revenue cycle strategies.Coordinates and implements revenue cycle initiatives, including identifying and assembling resources when necessary.Formulates and makes recommendations to leadership on policies and practices relating to revenue cycle improvements.Facilitates compliance with administrative/legal requirements and governmental regulations as they relate to revenue cycle operations.Monitors work unit compliance with internal controls and develops remediation plans to address identified control weaknesses.Ensures all practices relating to the acquisition and maintenance of information comply with federal, state regulations, policies, and procedures.

The Must-Haves

Minimum:

EXPERIENCE QUALIFICATIONS

5 years of experience Healthcare operations or healthcare business management

EDUCATION QUALIFICATIONS

Bachelor's Degree/Master's Degree Business/Healthcare

SKILLS AND ABILITIES

Knowledge and experience working with ICD9 codes, CPT4 codes and the various other coding processes and documentation to support the revenue integrity of the CDM and audit functions.

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     

About New Orleans East Hospital

New Orleans East Hospital, vital to LCMC Health’s incredible community of care, has been New Orleans East’s and the surrounding community’s trusted healthcare leader since 2014, embodying our mission of not only superior care, but healthcare with heart, courtesy, concern, kindness, and welcoming spirit for everyone. Learn more about New Orleans East Hospital and our Leapfrog “Grade A” Hospital Safety distinction.

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. 

1.    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. 

2.    To ensure quality care and service, we may use information on your application to verify your previous employment and background.  

3.    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. 

4.    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.