AR-HB Associates/Senior Associates

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.