Billing Executive- Healthcare

The Billing Executive - Healthcare plays a critical role in managing the financial operations within a healthcare facility. This position is responsible for ensuring accurate processing of patient billing and insurance claims, which necessitates a comprehensive understanding of medical billing and coding practices. The role requires meticulous attention to detail as the executive will need to review patient records, rectify discrepancies, and ensure timely payments from insurance companies and patients. Additionally, the executive will engage directly with insurance representatives and patients alike to resolve billing questions. The Healthcare Billing Executive must possess excellent communication skills alongside proficiency with healthcare billing software systems, ensuring they keep abreast of industry regulations and compliance standards. 

Responsibilities

• Accurately prepare and process patient billing statements for healthcare services provided.
• Verify insurance claims with relevant providers to ensure complete accuracy.
• Ensure all billing and insurance information is entered into medical records correctly.
• Communicate with insurance companies to resolve claim denials or pending issues.
• Conduct routine audits of all billing records to maintain compliance with regulations.
• Provide clear and direct communication with patients regarding billing inquiries and payments.
• Collaborate with other departments to streamline billing processes effectively.
• Maintain comprehensive knowledge of billing regulations and healthcare compliance standards.
• Implement procedures to prevent and reduce past due accounts receivable.
• Produce detailed reports and analytics regarding billing operations for management.
• Stay updated on all relevant regulations and changes in healthcare billing practices.
• Facilitate onboarding and training for new staff in billing procedures and software use.

Requirements

• Bachelor's degree in finance, healthcare management, or a related field preferred.
• Minimum of 2 years of experience in healthcare billing or related field.
• Strong grasp of medical billing software and proficient in healthcare IT systems.
• Demonstrated knowledge of medical billing coding, regulations, and compliance.
• Exceptional attention to detail and aptitude for numeric calculations.
• Effective communicator and skilled in resolving financial discrepancies.
• Ability to work collaboratively within a team and across departments.