UB-04 Hospital Biller (Cerner)
Core
Full-cycle hospital billing and revenue cycle operations ensuring accurate claim submission and maximum reimbursement for facility-based services.
Role type
Hospital biller (UB-04)
Builds
Hospital/facility service claims for commercial, Medicare, and Medicaid payers
Domain
Healthcare revenue cycle management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
UB-04 (CMS-1450) claim form expertise, Cerner EHR proficiency, revenue cycle management (RCM) processes, commercial/Medicare/Medicaid payer guidelines, claim denial/appeals resolution, federal/state billing compliance
Preferred skills
Epic or Meditech EHR experience, ICD-10/HCPCS coding knowledge (facility-side), high-volume billing environment experience
Technologies
Cerner, Epic, Meditech
Responsibilities
Prepare, review, and submit UB-04 claims; ensure accurate coding and charge capture; perform full-cycle billing including edits and resubmissions; follow up on unpaid or denied claims; investigate and resolve claim denials and underpayments; collaborate with coding and clinical teams to resolve discrepancies; maintain productivity and quality standards; document account activity in billing systems
Seniority
Mid-level, hands-on IC