Billing & Claims Resolution Specialist II

CO00 Children's Hospital Medical Center; United States; Sur place; USD 38 000 - 46 000; Plein temps

Résumé du poste

Cincinnati Children’s is hiring a Professional Billing Representative to support the revenue cycle by ensuring accurate and timely billing, claim resolution, and payment posting support. This role collaborates with payers, patients, and internal teams to meet regulatory requirements and improve cash flow.

The position requires 2+ years in healthcare billing, familiarity with CPT/ICD-10/HCPCS, and experience with EHR systems like Epic.

Qualifications

• Two or more years in healthcare billing or related field.
• Familiarity with CPT, ICD-10, HCPCS coding concepts is preferred.
• Experience with EHR and billing systems.

Responsabilités

• Review and process professional claims for accuracy.
• Follow up on outstanding insurance claims and unpaid balances.
• Resolve denials and discrepancies with payer and providers.
• Communicate with insurance carriers about claim status.
• Maintain accurate account documentation in billing systems.

Connaissances

Healthcare billing experience

Billing follow-up

Attention to detail

Communication skills

Independent worker

Formation

High school diploma or equivalent

Associate's degree in Business/Healthcare Administration

Outils

Epic

Billing software

EHR systems

Description du poste

Cincinnati Children’s is hiring a Professional Billing Representative to support the revenue cycle by ensuring accurate and timely billing, claim resolution, and payment posting support. This role collaborates with payers, patients, and internal teams to meet regulatory requirements and improve cash flow.

The position requires 2+ years in healthcare billing, familiarity with CPT/ICD-10/HCPCS, and experience with EHR systems like Epic.