Billing Executive
Role Overview
Checks and compiles insurance claims before submitting them to payers and insurance companies, using coded data to finalize claims.
Key Skills for This Role
Full Job Posting
Role overview
Checks and compiles insurance claims before submitting them to payers and insurance companies, using coded data to finalize claims.
Billing and account responsibilities
- Manage account balances and identify outstanding debts or inconsistencies.
- Gather information needed to calculate receivables and verify accounting-system data for accurate bills.
- Issue invoices, bills, and account statements; receive and verify payments; update accounting records.
- Send payment reminders and contact customers when assigned; answer questions and handle billing complaints.
- Finalize bills after coder verification, submit bills, and maintain discount-form files with other departments.
- Prepare cash cost estimates and requested monthly reports.
- Check pharmacy claims against payer, member ID, card validity, coverage, approvals, insurance plan, and refunded transactions.
- Verify claims dispatch through acknowledgement slips or regulatory post-office evidence.
Qualifications
- Bachelor of Commerce, Business Administration, or another degree.
- At least two years of experience.
- Knowledge of cash billing procedures, computers, and related software applications.
- Experience with Word, Excel, and PowerPoint.
- Strong organization, communication, and interpersonal skills.
- Paramedical or coding knowledge is an advantage.
Safety and compliance
- Comply with occupational safety, infection control, and waste management policies and procedures.
- Follow emergency and evacuation procedures, report hazards and incidents, support risk assessments, and attend applicable training and drills.
- Use appropriate personal protective equipment and safety systems.
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