AR Callers-HB (12 Dec 25- Hyderabad)

ECLAT Health Solutions; Hyderabad; On-site; INR 300,000 - 500,000; Full time

Job summary

Eclat-Health-Solutions-4 in Hyderabad, India, seeks a Hospital Billing Associate to ensure accurate claims submission and timely reimbursements from insurance payers. This role involves reviewing patient accounts, preparing UB-04 claims, and resolving issues with denials, ensuring compliance with healthcare regulations.

Ideal candidates have experience in hospital billing and knowledge of Medicare and Medicaid guidelines. Strong attention to detail and problem-solving skills are essential, along with familiarity with EHR systems like Epic and Cerner.

Qualifications

• 1–5 years of experience in hospital billing, with an emphasis on UB-04 claim processing.
• Detail-oriented with strong problem-solving skills.
• Ability to work independently and meet deadlines.

Responsibilities

• Prepare and submit claims using the UB-04 format.
• Work with insurance companies to resolve denied claims.
• Monitor and follow up on accounts receivable.

Skills

Attention to detail

Problem-solving skills

Knowledge of Medicare and Medicaid guidelines

Education

High School Diploma

Associate's degree (preferred)

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:

• High School Diploma or equivalent (Associate's degree preferred).
• 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.