Lumexa Imaging is one of the country's largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million outpatient studies annually. We are the partner of choice for health systems and radiologists, delivering best-in-class clinical excellence, operations, and state-of-the-art technology across our platform.
JOB SUMMARY:
Reporting to the Reconciliation Manager, the Auditing-Reconciliation Specialist will efficiently and effectively audit accounts worked by a team of medical billing and customer service specialists. This role will also be responsible for performing monthly charge reconciliations to identify missing charges.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Audit specialists will work to ensure accuracy, efficiency, and uniformity.
- Provide suggested training points based on audit results.
- Report to manager any non-compliance with staff as observed by you. Provide written documentation of infraction as requested by manager.
- Assist in monthly charge reconciliation review and posting of missing charges to be coded for billing.
- Promote teamwork, have excellent internal/external communication skills.
- Manage time and assignments effectively
- Maintain set productivity goals as determined by leadership. User productivity tracked monthly.
- Auditing to confirm CPT/ICD codes were accurately selected in support of documentation
- Auditing to confirm standard operating practices (SOPs) are followed by departments
- Maintain up-to-date knowledge of governmental and managed care policies and procedures.
- Perform manual reconciliation reviews from report spreadsheets provided by Reconciliation Manager.
OTHER DUTIES:
- Work with other departments as needed, including payments, coding, etc. to develop process improvements and workflow to prevent denials on the front end.
- Collaborate with peers, Directors, Sr. Leadership for guidance and reorganization of workflow to ensure business needs are met.
- Assist with related special projects as needed.
- Assume other tasks, duties and responsibilities as assigned
REQUIREMENTS:
- Knowledge of insurance guidelines.
- Strong reconciliation and analytical abilities as they relate to revenue cycle management.
- Excellent communication and problem-solving skills.
- Ability to work in a collaborative, team environment.
- Well organized, detail-orientated and able to function independently in a fast-paced environment.
- Proficient on Microsoft Word, Excel, Outlook, and IE/Chrome.
- 2+ years AR medical billing experience required; radiology knowledge preferred
Preferred Knowledge:
- Imagine software experience.
- Availity RCM experience
- Basic knowledge of clinical terminology, ICD-10 and Radiology CPT codes.
- CPC preferred
EDUCATION:
High School Diploma required
We offer a competitive wage and comprehensive benefits program including Medical, Dental, Vision, Flexible Spending Accounts, TeleHealth, Life, Disability, Employee Assistance Program and 401k Retirement Savings
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Lumexa Imaging provides a competitive compensation program to attract, retain, and motivate a high-performance workforce.
Lumexa Imaging is an equal opportunity employer.