AR Callers-HB (05 August 26 - Mumbai)

ECLAT Health Solutions; Mumbai; On-site; INR 420,000 - 660,000; Full time

Job summary

ECLAT Health Solutions in Mumbai, Maharashtra seeks a Hospital Billing Associate to prepare, review, and submit UB-04 hospital claims with accuracy, ensuring timely reimbursement from government and commercial payers.

You will verify ICD-10, CPT/HCPCS coding, work with insurers to resolve denials, and collaborate with coding, admissions, and medical records teams to maintain compliant billing practices. This role requires attention to detail and independent work habits.

Qualifications

• 1–5 years of experience in hospital billing, focusing on UB-04 claim processing.
• Knowledge of Medicare, Medicaid, and commercial insurance guidelines.
• Familiarity with EHR and billing systems (Epic, Cerner, Meditech).
• Detail-oriented with strong problem-solving skills.
• Ability to work independently and meet deadlines.

Responsibilities

• Review patient accounts for accuracy and completeness before claim submission.
• Prepare and submit UB-04 claims.
• Work with insurance companies to resolve denied or unpaid claims.
• Verify 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.
• Identify and correct billing errors.
• Maintain knowledge of payer guidelines and regulatory requirements.

Skills

Hospital billing

UB-04 claims

Medicare knowledge

Medicaid knowledge

EHR systems

CPT/HCPCS coding

Attention to detail

Deadline-driven

Tools

Epic

Cerner

Meditech

Job description

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 strong problem-solving skills.

Ability to work independently and meet deadlines.