Medical Billing Executive

Job Title:

Location:

Reporting To:

About Berwick Hospital Center:

Berwick Hospital Center, located in Pennsylvania, USA, is a trusted behavioral health facility that provides compassionate, patient-centered care to adults and geriatric patients. The hospital specializes in mental health services, including inpatient psychiatric care for conditions such as depression, anxiety, bipolar disorder, and other psychiatric illnesses. With a focus on quality, compliance, and clinical excellence, Berwick Hospital Center is committed to supporting the well-being of its community through evidence-based treatment and personalized care.

Job Overview:

Medical Billing Executive

Key Responsibilities:

Accounts Payable (AP):

• Process vendor invoices related to medical services and supplies
• Match invoices to purchase orders and medical service records
• Monitor and reconcile payments, flag discrepancies, and escalate unresolved issues
• Maintain accurate AP and billing records in compliance with U.S. healthcare regulations
• Support finance team in month-end closing, audits, and reporting
• Use QuickBooks to manage AP workflows

Accounts Receivable (AR):

• Follow up with insurance companies (via phone or portal) on outstanding claims
• Identify, analyze, and resolve claim denials, rejections, and underpayments
• Accurately post payments and reconcile patient and insurance balances
• Coordinate with coding and charge entry teams to resolve billing issues
• Ensure claims meet payer-specific and HIPAA compliance requirements
• Manage AR aging reports and escalate problematic claims for resolution
• Utilize Medsphere and SSI Payment Clearinghouse for claim submissions and tracking
• Maintain updated documentation of patient accounts and billing interactions
• Assist with month-end closing and performance metrics

Job Requirements:

• Minimum 1 year of experience in AP or AR roles within U.S. healthcare billing
• Proficiency in QuickBooks and familiarity with U.S. billing software (e.g., Medsphere, eClinicalWorks, SSI)
• Strong knowledge of CPT coding, claim cycles, EOBs, and healthcare billing workflows
• Understanding of Medicare, Medicaid, and commercial insurance policies
• Excellent verbal and written communication skills
• High attention to detail with strong documentation and follow-up skills
• Ability to work in a deadline-driven and compliance-focused environment
• Willingness to work night shifts (Eastern Standard Time – EST)
• Bachelor’s degree in Commerce, Accounting, or Healthcare Administration preferred