Billing Executive- Healthcare 11D25

A Billing Executive in the healthcare sector is a pivotal role focused on the seamless management of the billing process in hospitals, clinics, or other healthcare facilities. This role involves overseeing billing operations, ensuring the accuracy of patient invoices, and maintaining critical financial records related to healthcare services. The individual will liaise with insurance companies and patients to clarify billing queries, resolve discrepancies, and ensure compliance with healthcare billing standards and regulations. They are integral in driving revenue cycles effectively, reducing the time taken for payments, and enhancing financial stability. This position requires strong analytical skills, attention to detail, and experience with healthcare billing systems and processes.

Responsibilities

• Prepare, review, and transmit claims using billing software, ensuring compliance with payer requirements.
• Monitor and manage accounts receivable reports to promptly resolve any pending claims or billing issues.
• Communicate with insurance companies to clarify payment discrepancies, denials, and appeals.
• Work collaboratively with the finance department to track and manage daily cash collections.
• Ensure all patient billing information is accurately recorded and updated in the system.
• Assist patients with billing inquiries, providing clear explanations of charges and payments.
• Participate in regular audits to ensure billing accuracy and compliance with healthcare regulations.
• Maintain up-to-date knowledge of healthcare coding and billing best practices and changes in regulations.
• Generate and analyze billing reports to identify trends and implement improvements in billing processes.
• Coordinate with healthcare providers to obtain necessary documentation for billing purposes.
• Implement strategies to improve the efficiency and accuracy of billing operations.
• Provide training and support to new billing staff on processes and software usage.

Requirements

• Minimum of a Bachelor’s degree in finance, healthcare administration, or a related field.
• At least two years of experience in a healthcare billing or financial role.
• Proficiency with medical billing software and familiarity with healthcare coding systems.
• Excellent numerical skills and a meticulous attention to detail in billing practices.
• Strong communication skills for interaction with insurance companies, patients, and healthcare staff.
• Ability to handle confidential financial and patient information responsibly.
• Knowledge of relevant healthcare laws and regulations affecting billing and coding practices.