Billing Executive- Healthcare (225-831)

As a Billing Executive in the healthcare sector, you are the central figure ensuring that the medical billing process is accurate, efficient, and timely. You will work closely with different departments within the healthcare facility, effectively coordinating with medical professionals, office staff, and insurance companies to manage the complete billing cycle. Your role is pivotal in maintaining the financial health and compliance of the organization. Attention to detail, knowledge of insurance policies, familiarity with medical coding, and excellent communication skills are essential to bridge the gap between healthcare providers and patients. You will ensure that accurate billing codes are used, submit claims with appropriate follow-ups, and manage patient billing inquiries, thereby acting as the face of the billing department for both patients and insurers.

Responsibilities

• Oversee the entire billing process, from charge entry to payment posting.
• Coordinate with healthcare providers to verify the accuracy of billing data.
• Process insurance claims promptly and follow up for timely reimbursements.
• Ensure compliance with all governmental, state, and payer-specific billing requirements.
• Review and resolve patient billing issues, ensuring a high standard of communication.
• Keep up to date with changes in health insurance policies and procedures.
• Utilize billing software systems for data entry and claim submission accuracy.
• Lead audits and investigate billing discrepancies to resolve payment disputes.
• Provide detailed reports on billing activities, financial transactions, and outstanding accounts.
• Develop and implement procedural improvements to enhance billing operations.
• Work with the accounts team to reconcile billing reports with financial records.
• Train new billing staff on procedures and software as needed.

Requirements

• Bachelor's degree in business administration, finance, or related field preferred.
• At least 2 years of experience in medical billing or healthcare financial management.
• Proficiency in using billing software and electronic medical records (EMR) systems.
• Comprehensive knowledge of medical coding systems such as ICD-10 and CPT codes.
• Strong analytical skills to review and interpret billing and insurance data.
• Excellent communication skills for effective patient and staff interactions.
• High attention to detail to minimize errors and ensure billing accuracy.
• Ability to manage multiple tasks efficiently in a fast-paced environment.
• Commitment to maintaining confidentiality of sensitive patient and financial information.