Medical Billing Executive

Job Summary
We are seeking a detail-oriented and proactive Billing Specialist to join our team. The ideal candidate will be responsible for managing insurance claims, ensuring accurate and timely billing processes, and maintaining compliance with departmental policies. This role requires strong analytical skills to review medical records and resolve billing discrepancies, alongside excellent communication abilities to coordinate with various stakeholders. If you are committed to accuracy and efficiency in healthcare billing, this position offers a rewarding opportunity to contribute to the financial health of our organization.

Key Responsibilities
- Maintain and enforce department policies to ensure consistent and compliant billing practices.
- Oversee the timely and quality delivery of billing services, ensuring all processes meet organizational standards.
- Perform daily insurance claim billing activities, including submission and tracking of claims.
- Monitor and address outstanding claim rejections within the clearinghouse system promptly to minimize delays.
- Conduct follow-ups on past claims, invoices, and delinquent accounts to reduce unpaid balances and improve cash flow.
- Identify and resolve billing and coding issues by collaborating with healthcare providers and insurance companies.
- Analyze medical records thoroughly to accurately abstract diagnoses and procedures, ensuring proper documentation for billing.
- Maintain precise and up-to-date patient billing records, supporting transparency and audit readiness.
- Communicate effectively in both written and spoken English to coordinate with internal teams, patients, and external parties.

Required Qualifications
- Proven experience in medical billing or healthcare revenue cycle management.
- Strong understanding of insurance claim processes, billing codes, and healthcare regulations.
- Ability to analyze complex medical records and extract relevant billing information accurately.
- Proficiency in using clearinghouse systems and billing software to manage claims and rejections.
- Excellent organizational skills with a keen eye for detail to maintain accurate records.
- Effective communication skills in English, both verbal and written, to handle correspondence and resolve issues.
- Problem-solving aptitude to address billing discrepancies and ensure timely resolution.

Preferred Qualifications and Benefits
While not explicitly stated, candidates with additional certifications in medical billing or coding, such as CPC (Certified Professional Coder) or equivalent, will be considered favorably. Experience with electronic health record (EHR) systems and familiarity with healthcare compliance standards will also be advantageous.

This role offers the opportunity to work in a dynamic healthcare environment where your contributions directly impact operational efficiency and patient satisfaction. We value professionalism, attention to detail, and a collaborative approach to problem-solving.

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