Billing Executive - Healthcare (225-1005)

As a Billing Executive in the healthcare sector, you play a critical role in managing the financial transactions of healthcare facilities. Your primary function is to ensure accurate and timely billing processes, while also handling insurance claims and patient billing inquiries. You will be required to maintain an organized record of all financial transactions, ensure compliance with billing regulations, and work closely with other departments to facilitate a smooth financial workflow. The position requires a strong understanding of healthcare billing systems, coding, and terminologies, along with excellent problem-solving and communication skills to liaise effectively with patients, insurance companies, and healthcare providers.

Responsibilities

• Process and manage healthcare claims to ensure timely reimbursement from insurers.
• Prepare and submit accurate billing statements and invoices to patients and insurers.
• Maintain up-to-date patient billing records and resolve any discrepancies promptly.
• Review insurance claims to ensure compliance with regulations and guidelines.
• Coordinate with healthcare providers for accurate coding and billing information.
• Respond to billing inquiries from patients and insurance companies effectively.
• Conduct regular audits of billing practices to identify areas for improvement.
• Ensure adherence to healthcare and insurance billing policies and standards.
• Implement and monitor billing control procedures to prevent financial fraud.
• Work with IT to troubleshoot billing software and system issues as they arise.
• Stay updated on changes in healthcare billing regulations and coding standards.
• Assist with the preparation of financial reports related to billing operations.

Requirements

• Bachelor's degree in Accounting, Finance, or a related field preferred.
• Experience in healthcare billing or a similar financial role is required.
• Proficient understanding of medical billing codes and insurance procedures.
• Strong analytical skills and attention to detail for accurate billing processes.
• Excellent communication skills for patient and inter-departmental interactions.
• Familiarity with electronic health record (EHR) and billing software systems.
• Ability to work independently in a fast-paced healthcare environment.