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Usa Health Systems

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USA Health

ENT Physician - Faculty

Mobile, AL · On-site

The USA Health System delivers 2,400 babies a year, more than any other regional hospital, and treats patients through some 72,000 emergency room visits annually. University Hospital is the region ...

USA Health Systems

Endocrinologist - Faculty

Mobile, AL · On-site

$200 - $300/hr

... Health System helps people lead longer, better lives through its excellence in education, research and medical care. With more than 5,500 employees, USA's health network includes USAHealth University ...

USA Health Systems

Care Access Associate

Fairhope, AL · On-site

USA Health is changing how medical care, education and research impact the health of people who ... system by entering canceled and rescheduled appointments when necessary; coordinates and schedules ...

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Usa Health Systems Jobs Information

Infographic showing various job openings at Usa Health Systems in the United States as of August 2026, with employment types broken down into 25% As Needed, 52% Full Time, and 23% Part Time. Highlights an 100% Physical job distribution.

Contract Management Reimbursement Analyst -USA Health Shared Services, Business Office Administratio

USA Health

Mobile, AL • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

USA Health rating

6.6

Company rating: 6.6 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

572nd of 898 rated healthcare providers

Job description

Overview
USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education, and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists, and researchers provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall well-being of our community.
Responsibilities
  • Loads executed managed care contracts into the contract management system
  • Updates contracts with scheduled rate changes as of effective dates
  • Builds new service definitions and implements new reimbursement methodology into the system as required
  • Consults with contract negotiators to recommend precise language and meaning of contracts
  • Ensures that the contract template accurately calculates the terms of the contract as negotiated
  • Monitors periodic changes in recognized coding schemes (ICD, CPT, and DRG) to anticipate impacts on contract language, calculations and reimbursement of specific contracts using those codes
  • Reviews cases and writes appeals
  • Assists in coordinating and maintaining the reimbursement program for USA Health System to ensure compliance with current payments, rules and legislative regulations that impact billing and collections processes
  • Monitors and ensures compliance with Medicare and Medicaid documentation guidelines for USA Health
  • Monitors and evaluates current reimbursements/payment rules and ensures legislative and regulatory changes impacting USA Health
  • Communicates to staff and departmental billing personnel any changes impacting billing
  • Develops techniques for effective analyses of billing collection efforts
  • Ensures compliance with Medicare and insurance carrier guidelines related to documentation, coding and medical necessity
  • Analyzes and develops systems related to billing, collecting and reporting of professional and medical services to ensure recovery of all professional and technical charges
  • Trains new personnel in appropriate charge capture and provides on-going in-service training for billing personnel
  • Provides reimbursement patterns and trend analyses to managers and Directors
  • Assists in resolving third party denials received by Billing and Collections department and assists with reimbursement appeals and problems
  • Prepares reports and analyses to include financial reports, setting forth progress, adverse trends and appropriate recommendations or conclusion
  • Participates in meetings with subordinates to ensure compliance with established practices to new policies and to keep employees aware of changes and current standards
  • Works claim edits and work queues within practice management system.
  • Identifies and resolves claim issues related to coding, documentation, payer requirements, and system configuration.
  • Completes all mandatory department, educational and hospital requirements
  • Adheres to current Infection Control and Safety Standards
  • Regular and prompt attendance
  • Ability to work schedule as defined and overtime as required
  • Related duties as assigned

Additional Information
Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.
Qualifications
  • Bachelor's Degree from an accredited institution and 1 year of medical coding or related experience Required
  • Directly related experience may substitute on a year-for-year basis for the required education Required
  • Certification as a Certified Professional Coder within 1 Year Required
  • Comparable combination of education and experience may substitute for the above requirements.

Equal Employment Opportunity/Affirmative Action Employer
The University of South Alabama is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status or any other applicable legally protected basis. EO Employer - minorities/females/veterans/disabilities/sexual orientation/gender identity.

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