Billing Executive- Healthcare 10J26

The role of a Billing Executive in the healthcare sector is critical for ensuring the smooth operation of financial transactions related to patient care. This position involves managing and coordinating the billing processes, making sure all medical billing and coding are executed accurately and efficiently. The Billing Executive must be well-versed in medical terminologies, coding systems, and healthcare regulations to ensure compliance and minimize errors in the billing process. They play a crucial role in maintaining transparency and accuracy in billing records, interacting with patients, healthcare providers, and insurance companies. This demanding position requires excellent organizational skills, attention to detail, and the ability to communicate effectively across multiple departments to resolve disputes and discrepancies promptly.

Responsibilities

• Manage the full billing process, from claim generation to final payment.
• Ensure accuracy of medical codes and billing information in all claims.
• Communicate with insurance companies to verify patient coverage details.
• Collaborate with healthcare providers to resolve any billing issues.
• Prepare and submit accurate electronic and paper claims to third-party payers.
• Track and analyze overdue accounts to facilitate timely collections.
• Perform regular audits of billing records to ensure data integrity and compliance.
• Provide exceptional customer service to patients with billing inquiries or disputes.
• Stay informed about changes in insurance and billing regulations.
• Train new staff on billing procedures and use of billing software systems.
• Review patient insurance coverage and benefit details as necessary.
• Generate financial reports to assist management in budget planning and auditing.

Requirements

• Bachelor's degree in accounting, finance, or a related healthcare field.
• Experience in medical billing and coding, preferably within a healthcare setting.
• Proficiency in using medical billing software and electronic health records (EHR) systems.
• Strong knowledge of ICD, CPT, and HCPCS coding systems is essential.
• Excellent attention to detail and organizational skills for managing complex billing processes.
• Effective communication skills for interacting with patients and insurance companies.
• Ability to handle sensitive information with the highest degree of integrity and confidentiality.