Billing Executive

3 weeks ago

Bengaluru, India Telradsol Full time
Job Description

Job Description: Health Care Billing Executive - Finance Team (Strong Analytical Experience)

Position Title: Health Care Billing Executive

Department: Finance

Location: White Filed Bangalore 

Position Overview: The Health Care Billing Executive is a critical member of the finance team, responsible for managing the billing process and ensuring the accurate and timely submission of claims. This role demands a high level of analytical expertise to analyze billing data, identify trends, and implement improvements to optimize the revenue cycle. The ideal candidate will possess a robust understanding of healthcare billing practices, insurance policies, and financial procedures, combined with strong analytical skills.

Key Responsibilities:

  1. Billing and Claims Processing:
    • Prepare and submit accurate insurance claims to various payers, including Medicare, Medicaid, and private insurance companies.
    • Review and verify patient information and billing codes to ensure accuracy and compliance with regulatory requirements.
    • Monitor and follow up on unpaid or denied claims, correcting and resubmitting them as necessary.
    • Maintain detailed records of billing activities and transactions.
  2. Analytical and Reporting Responsibilities:
    • Generate detailed reports on billing activities, accounts receivable, and revenue cycles for management review.
    • Analyze billing data to identify trends, areas for improvement, and potential issues.
    • Develop and implement strategies based on data analysis to enhance billing processes and reduce errors.
    • Conduct financial analysis and modeling to support strategic decisions.
  3. Patient Account Management:
    • Manage patient accounts, including sending invoices, processing payments, and resolving billing inquiries.
    • Assist patients in understanding their bills, insurance coverage, and payment options.
    • Negotiate payment plans with patients when necessary and follow up on outstanding balances.
  4. Compliance and Documentation:
    • Stay current with industry regulations, insurance guidelines, and coding practices to ensure compliance.
    • Maintain accurate and up-to-date patient records, including all billing-related documentation.
    • Conduct regular audits of billing activities to identify and correct any discrepancies.
  5. Coordination with Other Departments:
    • Collaborate with healthcare providers, coding specialists, and administrative staff to ensure accurate billing and efficient workflow.
    • Provide support to the finance team with month-end closing processes and financial reporting.
  6. Technology and System Management:
    • Utilize billing software and electronic health record (EHR) systems to manage billing processes.
    • Ensure all billing systems are updated and functioning correctly.
    • Leverage analytical tools and software to improve data accuracy and process efficiency.

Qualifications:

  • Education:
    • Bachelor’s degree in Finance, Accounting, Business Administration, Data Analytics, or a related field. Relevant work experience may be considered in lieu of a degree.
  • Experience:
    • Minimum of 1 to 3 years of experience in healthcare billing or medical billing with a strong focus on data analysis.
    • Familiarity with ICD-10, CPT coding, and medical terminology.
    • Proven experience with electronic health records (EHR) and billing software systems.
    • Demonstrated experience in financial analysis and data-driven decision making.
  • Skills:
    • Strong analytical skills with the ability to interpret complex data sets.
    • Proficiency in data analysis tools and software, such as Excel, SQL, or specialized billing analytics platforms.
    • Excellent attention to detail and organizational skills.
    • Ability to work independently and manage multiple tasks effectively.
    • Strong communication and interpersonal skills for interacting with patients and healthcare providers.
    • Proficiency in Microsoft Office Suite, particularly Excel.


Requirements
Job Description: Health Care Billing Executive - Finance Team (Strong Analytical Experience) Position Title: Health Care Billing Executive Department: Finance Location: White Filed Bangalore Position Overview: The Health Care Billing Executive is a critical member of the finance team, responsible for managing the billing process and ensuring the accurate and timely submission of claims. This role demands a high level of analytical expertise to analyze billing data, identify trends, and implement improvements to optimize the revenue cycle. The ideal candidate will possess a robust understanding of healthcare billing practices, insurance policies, and financial procedures, combined with strong analytical skills. Key Responsibilities: Billing and Claims Processing: Prepare and submit accurate insurance claims to various payers, including Medicare, Medicaid, and private insurance companies. Review and verify patient information and billing codes to ensure accuracy and compliance with regulatory requirements. Monitor and follow up on unpaid or denied claims, correcting and resubmitting them as necessary. Maintain detailed records of billing activities and transactions. Analytical and Reporting Responsibilities: Generate detailed reports on billing activities, accounts receivable, and revenue cycles for management review. Analyze billing data to identify trends, areas for improvement, and potential issues. Develop and implement strategies based on data analysis to enhance billing processes and reduce errors. Conduct financial analysis and modeling to support strategic decisions. Patient Account Management: Manage patient accounts, including sending invoices, processing payments, and resolving billing inquiries. Assist patients in understanding their bills, insurance coverage, and payment options. Negotiate payment plans with patients when necessary and follow up on outstanding balances. Compliance and Documentation: Stay current with industry regulations, insurance guidelines, and coding practices to ensure compliance. Maintain accurate and up-to-date patient records, including all billing-related documentation. Conduct regular audits of billing activities to identify and correct any discrepancies. Coordination with Other Departments: Collaborate with healthcare providers, coding specialists, and administrative staff to ensure accurate billing and efficient workflow. Provide support to the finance team with month-end closing processes and financial reporting. Technology and System Management: Utilize billing software and electronic health record (EHR) systems to manage billing processes. Ensure all billing systems are updated and functioning correctly. Leverage analytical tools and software to improve data accuracy and process efficiency. Qualifications: Education: Bachelor’s degree in Finance, Accounting, Business Administration, Data Analytics, or a related field. Relevant work experience may be considered in lieu of a degree. Experience: Minimum of 1 to 3 years of experience in healthcare billing or medical billing with a strong focus on data analysis. Familiarity with ICD-10, CPT coding, and medical terminology. Proven experience with electronic health records (EHR) and billing software systems. Demonstrated experience in financial analysis and data-driven decision making. Skills: Strong analytical skills with the ability to interpret complex data sets. Proficiency in data analysis tools and software, such as Excel, SQL, or specialized billing analytics platforms. Excellent attention to detail and organizational skills. Ability to work independently and manage multiple tasks effectively. Strong communication and interpersonal skills for interacting with patients and healthcare providers. Proficiency in Microsoft Office Suite, particularly Excel. has context menu

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