Billing Executive- Healthcare 12N25

As a Billing Executive in the healthcare industry, you will play a critical role in managing the financial aspects of patient healthcare services. You will be responsible for ensuring accurate billing processes, managing financial records, and working closely with healthcare providers and insurance companies to optimize billing efficiencies. This position requires a keen eye for detail, excellent communication skills, and an in-depth understanding of healthcare billing codes and insurance protocols. The ideal candidate will possess a strong background in medical billing procedures and will be tasked with optimizing billing operations to ensure the financial health of the healthcare facility. Your efforts will directly contribute to the seamless processing of billing transactions and overall operational success.

Responsibilities

• Prepare and submit accurate medical claims to appropriate insurance payers on a timely basis.
• Verify patient insurance coverage and obtain necessary pre-authorizations for services rendered.
• Analyze and resolve billing discrepancies in collaboration with insurance representatives.
• Maintain detailed billing records and ensure all patient accounts are updated accurately.
• Communicate with patients regarding their billing inquiries and payment plans effectively.
• Collaborate with the finance team to reconcile billing statements and financial transactions.
• Monitor and follow up on outstanding claims to ensure timely payment by payers.
• Ensure compliance with healthcare regulations and privacy laws in all billing-related activities.
• Prepare reports on billing operations and financial data for management review.
• Assist in developing and implementing process improvements for billing efficiencies.
• Educate clinical staff about new billing policies and procedures as needed.
• Coordinate with external vendors for the resolution of complex billing issues as required.

Requirements

• Proven experience in a medical billing or similar role within the healthcare industry.
• Solid understanding of billing software and electronic medical records (EMR) systems.
• Strong knowledge of healthcare billing codes, ICD-10, and CPT coding standards.
• Exceptional organizational and time-management skills for managing multiple accounts.
• Excellent communication skills for interaction with patients, insurers, and healthcare staff.
• Proficiency in using MS Office Suite, particularly Excel, for billing analyses and reports.
• High attention to detail with the ability to identify and resolve discrepancies effectively.
• Certification in medical billing or coding will be considered a strong advantage.