Healthcare Billing Executive (IP) (225-623)

The Healthcare Billing Executive (IP) plays a crucial role in managing the revenue cycle within healthcare institutions, specifically dealing with inpatient services. This position requires an individual who is meticulous, organized, and has a keen eye for detail to ensure accuracy in billing and collections. The executive will handle various aspects of the billing process, from verifying patient insurance details to processing claims and payments. They must possess excellent communication skills for collaborating with medical staff, insurance companies, and patients while ensuring the privacy and confidentiality of patient information. The role demands a deep understanding of healthcare billing regulations and the ability to efficiently use billing software and electronic health records systems.

Responsibilities

• Verify patient insurance coverage and obtain necessary pre-authorizations for services.
• Prepare and review inpatient billing claims to ensure accuracy and compliance.
• Process and follow up on submitted claims to ensure timely payments.
• Coordinate with insurance companies and patients to resolve billing discrepancies efficiently.
• Monitor accounts receivable and take action on overdue accounts as needed.
• Collaborate with healthcare providers to clarify billing policies and regulations.
• Maintain up-to-date records of billing activities and patient information securely.
• Ensure compliance with HIPAA and other pertinent healthcare billing regulations.
• Analyze billing records and recommend improvements for process efficiency.
• Conduct regular audits to identify and correct billing errors promptly.
• Provide training and guidance to junior billing staff as needed.
• Prepare monthly billing reports and present findings to management teams.

Requirements

• Bachelor’s degree in healthcare administration, finance, or a related field preferred.
• At least three years of experience in healthcare billing, preferably inpatient.
• Strong understanding of medical billing codes and insurance processes required.
• Excellent communication and interpersonal skills for effective collaborations.
• Proficiency in using electronic health records and billing software systems.
• Outstanding organizational and multitasking abilities for handling complex tasks.
• Awareness of and adherence to HIPAA regulations and patient confidentiality standards.