Billing Executive - Healthcare (225-630)

The position of a Billing Executive in the healthcare sector is a crucial role responsible for managing billing operations and ensuring the efficient processing of invoices and reimbursements. This role involves handling sensitive financial data, ensuring compliance with healthcare regulations, and working closely with insurance companies, medical practitioners, and patients. The Billing Executive must possess strong analytical skills, attention to detail, and the ability to juggle multiple tasks efficiently. Furthermore, effective communication and problem-solving skills are vital in addressing discrepancies and ensuring smooth financial operations. This role is essential for maintaining the financial health of a healthcare facility, ensuring that billing processes are completed accurately and in a timely manner.

Responsibilities

• Manage and execute the daily operations of the billing department efficiently.
• Verify patients’ insurance coverage and ensure accurate data entry in the system.
• Prepare and submit billing data and medical claims to insurance companies.
• Review patient bills for accuracy and completeness, ensuring compliance with standards.
• Follow up with insurance companies and patients for timely claim settlements.
• Resolve billing discrepancies and issues by liaising with relevant departments.
• Maintain records of insurance claims, payments, and any system updates required.
• Coordinate with healthcare providers to obtain necessary information for claims.
• Analyze billing processes to identify and implement improvements and efficiencies.
• Ensure compliance with all local, state, and federal billing regulations.
• Assist in preparing financial statements and reports related to the billing function.
• Stay updated on industry developments and changes in billing regulations.

Requirements

• Bachelor's degree in finance, accounting, business, or a related field required.
• Minimum of two years of experience in healthcare billing or a related area.
• In-depth knowledge of billing regulations and healthcare industry standards.
• Proficient with healthcare billing software and Microsoft Office Suite applications.
• Strong analytical skills with a keen eye for detail and accuracy in work.
• Excellent communication skills, with the ability to handle sensitive information confidentially.
• Ability to work independently and collaboratively in a fast-paced environment.