Billing Executive- Healthcare (225-611)

As a Billing Executive in the healthcare sector, you will play a crucial role in navigating the intricate financial systems that balance patient care with regulatory compliance and fiscal responsibility. Your primary objective will be to ensure accuracy in all billing activities, maintaining meticulous attention to detail to support the financial well-being of the organization. This role requires a competent professional with a solid understanding of medical billing and coding to process claims efficiently. You will liaise with healthcare providers, patients, and insurance companies, resolving discrepancies and ensuring that all billing procedures comply with healthcare regulations and standards. A successful Billing Executive will optimize revenue by decreasing claim denials and speeding up the payment cycle, enhancing the overall financial performance of the healthcare facility.

Responsibilities

• Prepare and issue accurate invoices to patients and insurance providers.
• Review patient and insurance data for verifications and accuracy in billing.
• Conduct billing adjustments and corrections based on specific case needs.
• Coordinate with healthcare providers to retrieve necessary billing information.
• Follow up on unpaid claims to reduce accounts receivable balances.
• Maintain communication with patients to clarify invoicing queries or concerns.
• Resolve claim denials by analyzing and addressing the root causes.
• Ensure compliance with applicable billing regulations and healthcare laws.
• Establish effective billing processes and implement improvements where possible.
• Manage electronic health records for accurate financial documentation.
• Train and support staff on billing systems and procedures as necessary.
• Compile reports on billing operations and present to management periodically.

Requirements

• Bachelor’s degree in Healthcare Administration, Finance, or related field.
• Proven experience in healthcare billing or similar financial role.
• Excellent knowledge of health insurance billing codes and procedures.
• Strong analytical skills to handle complex billing processes and issues.
• Proficiency in healthcare management software and Microsoft Office Suite.
• Exceptional organizational skills with a high degree of accuracy in work.
• Ability to communicate effectively with diverse stakeholders in the healthcare field.