The Medical Billing Executive is responsible for managing the end-to-end medical billing process to ensure accurate and timely submission of claims to insurance companies, patients, and other payers. This role involves reviewing patient data, ensuring compliance with billing regulations, resolving claim denials, and maintaining accurate financial records to optimize revenue cycle performance.
Key Responsibilities:
Preparing and submitting billing data and medical claims to insurance companies.
Ensuring the patient’s medical information is accurate and up to date.
Preparing bills and invoices, and documenting amounts due for medical procedures and services.
Collecting and reviewing referrals and pre-authorizations.
Monitoring and recording late payments.
Following up on missed payments and resolving financial discrepancies.
Examining patient bills for accuracy and requesting any missing information.
Investigating and appealing denied claims.
Helping patients develop patient payment plans.
Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports.
Qualifications & Skills:
Bachelor’s degree in business, health care administration, accounting, or a relevant field.
A minimum of 2 years of experience as a medical biller or similar role.
Solid understanding of billing software and electronic medical records.
Must have the ability to multitask and manage time effectively.
Excellent written and verbal communication skills.
Outstanding problem-solving and organizational abilities.