MEDICARE ANALYST

The Medicare Analyst will be responsible for ensuring that all Medicare accounts are billed in a manner consistent with Federal regulations and hospital policy. Reviews input including admissions information, charge information, pre-bill edits through both the Patient accounting system and other pre bill edit systems. Reviews Medicare explanation of benefits remittance advises and verifies accuracy of payments by Medicare. Performs other duties, which may include verification of correct posting of Medicare payments, identifies errors that consistently occur on Medicare claims and reports those errors to the Billing Supervisor. Works under the general supervision of the Billing Supervisor.

JOB REQUIREMENTS: High School diploma with a minimum of 2-3 years Medicare Hospital billing with a complete working understanding of the Medicare Outpatient Prospective Payment System (OPPS). Must have a thorough knowledge of Medicare billing and compliance issues. Familiarity with automated systems including order entry, ADT, and A/R is required. HBOC Star systems experience is preferred. Must be able to communicate information professionally in both written and verbal formats. Proficient use of personal computers with knowledge of spreadsheets and word processing, preferably Excel and Word.