Billing Claims Analyst - Business Office

Springhillmedicalcenter; Mobile (AL); On-site; USD 50,000 - 70,000; Full time

Job summary

Springhillmedicalcenter is seeking a Billing Claims Analyst for its Business Office in Mobile, AL. This full-time on-site position requires expertise in UB-04 billing and Medicare regulations, ensuring timely claim submissions and resolutions.

The ideal candidate will have 5 to 10 years of experience in hospital billing, knowledge of Medicare Direct Data Entry, and the ability to analyze claim rejections. A High School Diploma is required, with a coding certificate preferred.

Qualifications

• 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.

Responsibilities

• Ensure accurate claim submission and follow-up.
• Resolve Medicare hospital billing issues for timely reimbursement.
• Analyze and appeal claim rejections and denials.

Skills

UB-04 billing knowledge

Medicare regulations

Claims analysis

Problem-solving skills

Education

High School Diploma or GED

Coding certificate

Job description

Billing Claims Analyst - Business Office

Job Category: Finance and Accounting

Requisition Number: BILLI002442

• Full-Time
• On-site

Locations

Showing 1 location

Mobile, AL 36695, USA

Description

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.

Education Requirements

• Must have a High School Diploma or GED.
• Coding certificate preferred.

Job Requirements

• 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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