AR Callers-HB (19 June 26 - Mumbai)

ECLAT Health Solutions; Mumbai; Sur place; INR 360 000 - 540 000; Plein temps

Résumé du poste

ECLAT Health Solutions in Mumbai is seeking a Hospital Billing Associate to prepare, review, and submit UB-04 claims, ensuring accurate billing and timely reimbursement from government and commercial payers.

The ideal candidate has 1–5 years in hospital billing, strong knowledge of ICD-10/CPT/HCPCS coding, and familiarity with EHR systems (Epic, Cerner, Meditech). You will collaborate with coding, admissions, and medical records to resolve issues and improve AR.

Qualifications

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

Responsabilités

• Review patient accounts for accuracy before claim submission.
• Prepare and submit UB-04 claims.
• Resolve denied or unpaid claims with insurers.
• Verify ICD-10, CPT/HCPCS coding and modifiers.
• Collaborate with coding, admissions, and medical records.
• Monitor and follow up on accounts receivable.
• Identify and correct billing errors.
• Stay updated on payer guidelines and regulations.

Connaissances

UB-04 claim processing

ICD-10 coding

CPT/HCPCS coding

Medicare/Medicaid guidelines

EHR systems familiarity

Outils

Epic

Cerner

Meditech

Description du poste

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.