Billing Executive- Healthcare (225-611)

As a Billing Executive in the healthcare sector, you will be tasked with managing and overseeing the billing operations for healthcare facilities or institutions. Your primary role involves ensuring that billing processes are managed smoothly and efficiently, while maintaining a high standard of customer service. You will need to have in-depth knowledge of medical billing and coding, healthcare regulations, and insurance claims processes. The ability to work under pressure, communicate effectively with patients and insurance providers, and a strong attention to detail are essential traits for this role. You will help ensure that financial transactions are recorded accurately and that billing discrepancies are handled promptly. The role requires a collaborative approach, as you will work closely with other departments to ensure that the billing and payment process is seamless and that patient care is prioritized.

Responsibilities

• Manage and oversee the daily operations of medical billing processes.
• Ensure compliance with healthcare billing laws, policies, and procedures.
• Handle insurance claims, follow up on pending claims, and resolve discrepancies.
• Generate and submit claims to insurance companies and patients accurately.
• Investigate and resolve patient billing inquiries and issues promptly.
• Work collaboratively with healthcare providers to verify billing information.
• Regularly update and maintain accurate patient billing records.
• Conduct audits and reviews to ensure accuracy and compliance of billing records.
• Provide training and guidance to junior billing staff members.
• Communicate effectively with insurance companies to negotiate disputed claims.
• Utilize billing software to streamline the billing process and enhance accuracy.
• Create detailed financial reports for management review and decision making.

Requirements

• Bachelor’s degree in finance, accounting, business, or a related field.
• Proven experience in healthcare billing, coding, and insurance claim processing.
• Thorough understanding of healthcare billing regulations and compliance standards.
• Exceptional attention to detail and accuracy in handling financial transactions.
• Strong proficiency in billing software systems and Microsoft Office Suite.
• Excellent communication and interpersonal skills for interacting with patients.
• Ability to work under pressure while managing multiple billing tasks simultaneously.