Healthcare Billing Executive (225-802)

The role of a Healthcare Billing Executive is critical in ensuring the smooth operation of healthcare facilities by managing the billing and financial aspects of patient care. As a key component of the revenue cycle team, you will be responsible for processing and recording patient billing information, coordinating with insurance companies, and handling patient inquiries regarding billing issues. Your expertise will be vital in ensuring that all billing processes adhere to industry regulations and standards. In addition, you will help facilitate a seamless billing experience for both the patients and the healthcare institution, ensuring that accounts are accurately billed and payments are efficiently processed. A successful Healthcare Billing Executive will have strong attention to detail and excellent communication skills to liaise effectively with patients, insurance providers, and other stakeholders.

Responsibilities

• Oversee patient billing processes to ensure timely and accurate billing services.
• Prepare and submit insurance claims on behalf of patients and healthcare providers.
• Review medical records and documentation to ensure code accuracy and compliance.
• Resolve billing discrepancies by collaborating with insurance companies and healthcare providers.
• Maintain patient confidentiality and ensure accurate information processing and handling.
• Analyze patient accounts to identify billing errors and implement rectification strategies.
• Communicate effectively with patients to answer billing-related queries and provide payment guidance.
• Coordinate with healthcare providers to submit required billing documentation promptly.
• Monitor accounts and initiate collections on overdue or denied accounts as necessary.
• Keep abreast of industry regulations and policy updates affecting healthcare billing procedures.
• Generate and review reports on billing activities to assess the revenue cycle performance.
• Assist in training new staff regarding billing procedures and compliance requirements.

Requirements

• Bachelor's degree in healthcare administration, finance, or a related field preferred.
• Minimum of 2 years’ experience in healthcare billing or a similar role required.
• Proficiency in billing software and electronic health records systems is essential.
• Strong understanding of medical billing regulations and insurance claim processing.
• Excellent communication skills to interact with patients and healthcare providers effectively.
• High level of accuracy and attention to detail in all billing processes required.
• Ability to analyze billing data and resolve discrepancies efficiently.