Healthcare Billing Executive(IP) (225-623)

The Healthcare Billing Executive (IP) is a crucial role within the medical billing and administration department, focused on processing patient claims and ensuring accurate billing practices for inpatient services. This position requires a detail-oriented professional with a deep understanding of medical billing codes, insurance policies, and healthcare regulations. The ideal candidate should be adept at navigating billing software, resolving billing discrepancies, and coordinating with insurance companies and healthcare providers to secure timely payments. They play a vital role in financial operations, maintaining patient data confidentiality, and contributing to the financial health of the healthcare institution.

Responsibilities

• Process and manage inpatient billing claims with high attention to detail and accuracy.
• Verify insurance coverage and patient information to prevent billing errors and denials.
• Collaborate with healthcare providers to obtain necessary information for billing processes.
• Review and correct billing errors identified in inpatient claims to ensure payment approval.
• Maintain compliance with healthcare regulations and insurance policies during the billing process.
• Utilize billing software proficiently to input and manage inpatient billing data effectively.
• Communicate with insurance companies to resolve claim discrepancies and secure payments.
• Monitor and follow up on unpaid claims to enhance the revenue cycle efficiency.
• Prepare and submit detailed invoices to insurance companies within established timelines.
• Ensure inpatient billing processes adhere to facility protocols and standard billing procedures.
• Assist in the development and implementation of new billing policies to optimize operations.
• Educate and guide patients and families on billing processes and insurance coverages.

Requirements

• Bachelor's degree in healthcare administration, business, or a related field preferred.
• Minimum of 2 years of experience in medical billing, preferably in inpatient billing.
• Proficiency in medical billing software and Microsoft Office Suite applications.
• Strong understanding of medical billing codes and healthcare insurance policies.
• Excellent communication skills for interacting with patients, providers, and insurers.
• Ability to work independently and efficiently in a fast-paced healthcare environment.
• Detail-oriented with a high degree of accuracy in processing billing transactions.