Billing Claims Analyst - Business Office

Billing Claims Analyst - Business Office

Job Category:
Finance and Accounting

Requisition Number: BILLI
002442

• Full-Time
• On-site

Showing 1 location

Mobile, AL 36695, USA

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.

• 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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