Billing Executive Hospital

Job Description

Job Summary: The Billing Executive for Skin Hospital Management will be responsible for managing the billing and coding processes for a skin hospital. This includes ensuring accurate and timely submission of claims, following up on denied claims, and managing the revenue cycle. The Billing Executive will work closely with healthcare providers, insurance companies, and patients to ensure that all billing and coding processes are compliant with regulatory and legal requirements.

Key Responsibilities:

• Manage the billing and coding processes for a skin hospital, including accurate and timely submission of claims and following up on denied claims
• Ensure compliance with regulatory and legal requirements related to billing and coding processes
• Work closely with healthcare providers, insurance companies, and patients to resolve any billing issues or disputes
• Manage the revenue cycle and ensure timely payment from insurance companies and patients
• Develop and maintain relationships with insurance companies to negotiate contracts and ensure the hospital is reimbursed appropriately
• Train and educate hospital staff on billing and coding processes and compliance requirements
• Monitor and report on key performance indicators related to billing and coding, such as claim denial rates and days in accounts receivable
• Implement and maintain electronic health records (EHR) systems to support accurate and efficient billing and coding processes

Qualifications:

• Bachelor’s degree in Healthcare Administration, Business Administration, or related field
• Minimum of 3 years of experience in medical billing and coding, preferably in a skin hospital or dermatology practice
• Knowledge of medical terminology, CPT and ICD-10 codes, and insurance reimbursement practices
• Understanding of regulatory and legal requirements related to billing and coding, including HIPAA and Medicare/Medicaid
• Excellent communication and interpersonal skills
• Strong attention to detail and ability to work with complex data
• Experience with EHR systems and other healthcare technology
• Ability to work independently and manage multiple priorities in a fast-paced environment