The Finance 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:
+ 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.
Job Location:
Bangalore ,Work From Office
Interested can apply to nanda.k@telradsol.com
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