Healthcare Billing Executive (225-625)

The Healthcare Billing Executive plays a crucial role in managing the financial operations within a healthcare facility. This position requires a detailed-oriented individual who possesses expert knowledge of medical billing, coding, and insurance claim processes to ensure prompt and accurate billing of services provided by the healthcare organization. The Healthcare Billing Executive is responsible for overseeing the entire billing cycle, from verification of patient information to processing payments and managing claims disputes. Strong communication skills are essential to effectively liaise with insurance companies, patients, and medical staff. The candidate will use specialized billing software to maintain accurate records and will be required to stay updated on industry regulations and compliance standards. An ideal candidate should demonstrate problem-solving skills, analytical ability, and the ability to work under tight deadlines.

Responsibilities

• Manage the entire billing process, from patient data verification to payment receipt.
• Maintain up-to-date knowledge of medical billing codes and insurance claim practices.
• Review patient bills for accuracy and completeness prior to submission.
• Communicate effectively with healthcare providers to resolve billing inconsistencies.
• Handle insurance claims submission and follow-up on claim denials or rejections.
• Ensure compliance with all applicable healthcare laws and billing standards.
• Regularly liaise with insurance companies to verify policy coverage and claims status.
• Provide support and clarification to patients regarding their billing inquiries.
• Utilize medical billing software to manage and update patient billing accounts.
• Generate and review regular billing reports to track performance and identify trends.
• Collaborate with the finance department to ensure accurate financial reporting and auditing.
• Resolve billing disputes through negotiation with insurance companies and patients.

Requirements

• Bachelor's degree in Healthcare Administration, Finance, or related field preferred.
• Minimum of 2 years of experience in healthcare billing or related experience.
• Proficiency in medical billing software and electronic medical records systems.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems is essential.
• Exceptional communication and interpersonal skills for effective patient interaction.
• Ability to work independently and manage multiple tasks under tight deadlines.
• Attention to detail and strong organizational skills are highly important.
• Familiarity with HIPAA regulations and medical billing compliance standards.