Billing & Claims Resolution Specialist II

CO00 Children's Hospital Medical Center; United States; On-site; USD 38,000 - 46,000; Full time

Job summary

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.

Responsibilities

• 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.

Skills

Healthcare billing experience

Billing follow-up

Attention to detail

Communication skills

Independent worker

Education

High school diploma or equivalent

Associate's degree in Business/Healthcare Administration

Tools

Epic

Billing software

EHR systems

Job description

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.