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Settlements Manager

Remote, USA Full-time Posted 2026-06-19

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.

We would love for you to join our Revenue Cycle Management team!

This position is fully remote. We offer a competitive base pay and comprehensive benefits program including Medical, Dental, Vision, Flexible Spending Accounts, Telehealth, Life, Disability, Employee Assistance Program and 401k Retirement Savings. There is also the opportunity for quarterly bonuses.

Job summary: As a Settlements Manager, you will lead and develop a remote, cross-functional settlements team. You will be responsible for managing the lifecycle of payer or patient refund requests, ensuring accurate, compliant and timely processing of funds and credit balances. You will share in the Lumexa Imaging mission to make radiology better to improve lives.

Duties and responsibilities

  • Managing team and Supervisor
  • Oversee day-to-day Settlements operations
  • Monitor team performance
  • Positive Pay exceptions
  • Handle escalations
  • Bank uploads and voids
  • Analysis of weekly trending
  • Wire transfers
  • Monthly/quarterly reporting
  • Collaborate with leadership to identify, trend, and address root causes of issues proactively
  • Maintains a thorough understanding of federal and state regulations, as well as payer specific requirements and takes appropriate action accordingly
  • Demonstrates initiative and resourcefulness by making recommendations and communicating trends and issues to management
  • Apply strong problem-solving and critical-thinking skills to resolve accounts efficiently, meeting established productivity and quality standards
  • Performs other duties as assigned

Required Education

  • High School Diploma

Knowledge, Skills and Abilities Required

  • Proficiency in Microsoft Excel
  • Excellent verbal communication skills
  • Strong problem-solving and critical thinking skills; ability to analyze account details, determine appropriate action plans for collection, and apply provided tools effectively.
  • High degree of adaptability to changing procedures and a growth-oriented environment.
  • Detail-oriented with strong multi-tasking skills, excellent customer service abilities, and the capacity to work independently with a problem-solving mindset

Education and Experience We Love

  • 1-3 years of relevant experience in Management of medical collections
  • Knowledge of claims review and analysis
  • Working knowledge of revenue cycle
  • Working knowledge of medical terminology and/or insurance claim terminology
  • Experience working in Imagine billing system preferred

#PACESJ

Lumexa Imaging provides a competitive compensation program to attract, retain, and motivate a high-performance workforce.

Lumexa Imaging is an equal opportunity employer.

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