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.

1. 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.

1. 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.

1. 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.

1. 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.

1. 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.