What are the responsibilities and job description for the Governmental Audit Specialist (On-Site in Lafayette, LA) position at LHC Group?
Summary
The Governmental Audit Specialist position requires a highly motivated and experienced professional to perform daily routines associated with the Compliance Department including data entry, financial analysis, interpretation of Medicare claims and adjustments, creation of and updating spreadsheets, processing of mail, and corresponding with members outside of the department to obtain necessary documentation.
This position is based on-site at our Lafayette, LA location.
Responsibilities
- Initializes access for new users involved in Review Choice Demonstration process.
- Assists with data entry and computer related skills.
- Communicates and handles incoming and outgoing electronic communications on behalf of Supervisor(s).
- Manages multiple projects at a time and follow-through on issues in a timely manner.
- Maintains confidentiality appropriate to the departmental activities/functions.
- Responsible for mail and fax disbursement within the Government Audit Team.
- Composes spreadsheets from electronic databases.
- Assists the Supervisor(s) as needed with copying and computer related skills.
- Processes the intake of initial medical records requests and prepares for audit.
- Investigates CMS database to determine status of claims.
- Assists auditors with gathering of documentation and financial claim information.
- Identifies denials/nonaffirmations of payment and prepares claims for appeal.
- Communicates with CMS representatives on behalf of the department.
- Follows up on outstanding review/appeal decisions.
- Performs comparable or related duties as may be required of assigned- assists with other areas of Compliance Department as needed.
- Record preparation and submission to intermediary for Review Choice Demonstration (MAC).
- Assists with Virtual Worker spreadsheet processing and verification of worked performed virtually.
- Assist with the processing of claims through Review Choice Demonstration workflow.
Education and Experience
- Formal Education: High School Diploma or equivalent
- Experience: 6 months
- Medical billing/collections experience
- Data analytics
- General use of software systems
- Spreadsheet composition and manipulation
- Ability to navigate software systems easily
- Accurate data entry
- Possession of exceptional interpersonal skills and organizational skills with the ability to meet deadlines
- Ability to prioritize tasks and use independent judgment skills to make decisions
- Ability to adapt to frequent change and efficiently work on multiple projects at one time
- Ability to compose and update Excel spreadsheets and produce reports within set deadlines
- Ability to effectively communicate with team members and others outside of the department
- Must be a team player and be willing to assist in other areas of the department as needed
Company Overview LHC Group is committed to a culture of diversity, equity and inclusion and is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any legally other protected characteristic.
At LHC Group we are proud to offer benefits that support your physical and emotional wellbeing. Review LHC Group's comprehensive benefits and perks: https://bit.ly/LHCGBenefits
LHC Group Inc Home Office a part of LHC Group family of providers – the preferred post-acute care partner for hospitals, physicians, and families nationwide. We deliver high-quality, cost-effective care that supports our patients when and where they need it. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, our mission is to reach more patients and families with effective and efficient healthcare. More hospitals, physicians, and families choose LHC Group because we are united by a single shared purpose: It's all about helping people.
