Billing Executive - Healthcare (225-812)

A Billing Executive in the healthcare sector plays an essential role in managing the financial transactions and billing processes of healthcare facilities. This position involves the oversight of patient billing, insurance claim submissions, and ensuring the accuracy and completeness of billing records. The Billing Executive must have a keen understanding of healthcare billing systems, insurance guidelines, and regulatory compliance to maintain the financial health of their organization. They work closely with medical staff and administrative teams to ensure timely and accurate billing, as well as address any billing inquiries from patients or insurance companies. They must possess excellent organizational skills, attention to detail, and the ability to work under pressure to meet deadlines.

Responsibilities

• Oversee the preparation and submission of patient bills and insurance claims accurately and timely.
• Ensure all billing information is current and compliant with healthcare regulations.
• Monitor accounts receivable and work to resolve any outstanding balances promptly.
• Coordinate with insurance companies to verify patient insurance benefits and coverage.
• Manage billing discrepancies and resolve billing issues efficiently and effectively.
• Collaborate with healthcare providers to ensure accurate and complete patient documentation.
• Update and maintain patient billing records and ensure data accuracy and integrity.
• Analyze billing processes and implement improvements to increase efficiency and reduce errors.
• Assist patients with billing inquiries and provide clear explanations of their statements.
• Maintain confidentiality of patient records and billing information in compliance with HIPAA.
• Prepare financial reports related to billing and present to management as required.
• Train and mentor junior billing staff to ensure adherence to billing procedures.

Requirements

• Bachelor’s degree in finance, accounting, or a related field preferred.
• Proven experience in healthcare billing, coding, or related field essential.
• Strong understanding of healthcare billing processes and insurance claim handling.
• Proficiency in billing software and electronic health record systems required.
• Excellent organizational skills with attention to detail and accuracy needed.
• Ability to communicate effectively with patients, staff, and insurance representatives.
• Knowledge of healthcare regulations and compliance standards such as HIPAA.
• Problem-solving skills to address billing discrepancies and denials effectively.
• Ability to work independently and maintain a high level of confidentiality.