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.
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Review patient accounts for accuracy and completeness before claim submission.
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Prepare and submit claims using the UB-04 format.
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Work with insurance companies to resolve denied or unpaid claims.
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Verify correct coding (ICD-10, CPT/HCPCS) and billing modifiers.
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Collaborate with coding, admissions, and medical records departments as needed.
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Monitor and follow up on accounts receivable.
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Assist in identifying and correcting billing errors.
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Maintain knowledge of payer guidelines and regulatory requirements.
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High School Diploma or equivalent (Associate's degree preferred).
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1–5 years of experience in hospital billing, with emphasis on UB-04 claim processing.
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Knowledge of Medicare, Medicaid, and commercial insurance guidelines.
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Familiarity with EHR and billing systems (e.g., Epic, Cerner, Meditech).
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Detail-oriented with strong problem-solving skills.
Ability to work independently and meet deadlines.
