Billing Claims Analyst - Business Office
Listed on 2026-02-16
-
Healthcare
Healthcare Administration, Medical Billing and Coding
Overview
Job Title
:
Billing Claims Analyst - Business Office
Job Category
:
Finance and Accounting
Requisition Number
: CODIN
002284
Employment
:
Full-Time
• On-site
Alabama, 1000 Cody Rd S, Mobile, AL 36695, USA
PostedPosted:
January 28, 2026
We are seeking an experienced Billing Claims Analyst with extensive knowledge of UB-04 billing and Medicare regulations. This role is responsible for accurate claim submission, follow-up, and resolution of Medicare hospital billing issues to ensure timely reimbursement and compliance with CMS guidelines.
Pre-Employment Requirements- We are a drug free facility. Passing a pre-employment drug screening is required.
- Must have a High School Diploma or GED.
- Coding certificate preferred.
- 5 - 10 years of hospital experience in 1500 and UB04 Billing, preferably Medicare.
- Recent working knowledge in Medicare Direct Data Entry (DDE) System.
- Proficiency navigating the WPS Medicare website, including ADRs, medical record uploads, appeals, and claim review.
- In-depth knowledge of CMS Local Coverage Determinations (LCDs) related to hospital tests and procedures.
- Experience with Medicare edits, 72-hour overlap claims, clinical trials, and Hospice billing.
- Ability to analyze, resolve, and appeal claim rejections and denials from Medicare, other payers, and clearinghouse.
Equal Opportunity Employer
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