07 Aug
|
Eclat Health Solutions
|
India
07 Aug
Eclat Health Solutions
India
Job Summary:
The Hospital Billing Associate is responsible for preparing, reviewing, and submitting accurate hospital claims using the UB-04 form. This role ensures timely reimbursement from government and commercial payers while maintaining compliance with healthcare regulations.
Key Responsibilities:
Review patient accounts for accuracy and completeness before claim submission.
Prepare and submit claims using the UB-04 format.
Work with insurance companies to resolve denied or unpaid claims.
Verify correct coding (ICD-10, CPT/HCPCS) and billing modifiers.
Collaborate with coding, admissions, and medical records departments as needed.
Monitor and follow up on accounts receivable.
Assist in identifying and correcting billing errors.
Maintain knowledge of payer guidelines and regulatory requirements.
Qualifications:
1–5 years of experience in hospital billing, with emphasis on UB-04 claim processing.
Knowledge of Medicare, Medicaid, and commercial insurance guidelines.
Familiarity with EHR and billing systems (e.g., Epic, Cerner, Meditech).
Detail-oriented with robust problem-solving skills.
Ability to work independently and meet deadlines.
📌 AR Callers-HB (05 August 26 - Mumbai) (India)
🏢 Eclat Health Solutions
📍 India