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:
- Bachelors 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.
