INSURANCE EXECUTIVE

Vydehi Super speciality Hospital is one of the leading multi specialty hospitals in Bangalore. We provide world-class healthcare and treatments. The VSH diagnostic programme provides emergency and routine diagnostic services round the clock at cost-effective prices.

Job Title: Medical Billing & Insurance Executive

Department: Billing and Insurance

Position Type: Full-Time

Experience Level: Minimum 2+ Years

Job Summary

Vydehi Super Speciality Hospital is seeking a meticulous and experienced Medical Billing & Insurance Executive to join our dynamic team. The ideal candidate will have over 2 years of experience in medical billing and insurance processing, ensuring accurate billing, prompt reimbursement, and superior patient service.

Key Responsibilities

Billing and Claims Processing:

• Accurately prepare and submit insurance claims for patient services to insurance companies.
• Review and process patient bills for various medical services and procedures.

Insurance Verification:

• Verify patient insurance coverage and eligibility for services.
• Communicate with insurance companies to resolve discrepancies and obtain authorization for services.

Account Management:

• Manage patient accounts, including posting payments, adjustments, and reconciling balances.
• Follow up on unpaid claims, initiating appeals, and re-submissions as necessary.

Patient Interaction:

• Assist patients with billing inquiries and provide clear explanations of insurance benefits and out-of-pocket costs.
• Set up payment plans and handle collections in a professional and compassionate manner.

Compliance and Documentation:

• Ensure all billing practices comply with current healthcare laws and regulations.
• Maintain detailed and accurate records of all billing transactions and communications.

Collaboration:

• Work closely with the Billing Manager and other healthcare professionals to streamline the billing process.
• Participate in team meetings and contribute to continuous improvement initiatives.

Qualifications

Education: Bachelor’s degree in healthcare administration, business administration, or a related field preferred.

Experience: Minimum of 2+ years of experience in medical billing and insurance within a hospital or healthcare setting.

Skills:

• Proficiency in medical billing software and electronic health records (EHR) systems.
• Strong understanding of medical terminology, coding (ICD-10, CPT), and insurance procedures.
• Excellent attention to detail and organizational skills.
• Strong problem-solving skills and the ability to manage multiple tasks simultaneously.
• Excellent interpersonal and communication skills.
• Ability to handle sensitive information with discretion and maintain patient confidentiality.