Billing Follow-Up Specialist II: Denials & Claims

Cincinnati Children's; Cincinnati (OH); On-site; USD 25,000 - 31,000; Full time

Job summary

Cincinnati Children’s is hiring a Professional Billing Representative to support the revenue cycle through accurate billing, timely claim processing, and effective follow‑up. You will collaborate with internal teams, payers, and patients to resolve issues, reduce denials, and ensure compliance with healthcare regulations.

The role emphasizes attention to detail, strong communication, and the ability to manage multiple accounts while meeting productivity targets in a full‑time, daytime schedule

Qualifications

• High school diploma or equivalent.
• 2+ years of experience in healthcare billing, revenue cycle, insurance follow-up, accounts receivable, or a related field.
• Basic understanding of medical terminology, insurance plans, and billing workflows.
• Experience using electronic health record (EHR) and/or billing systems.

Responsibilities

• Review and process professional claims for accuracy and completeness.
• Follow up on outstanding insurance claims and unpaid balances.
• Research and resolve claim denials, rejections, and payment discrepancies.
• Communicate with insurance carriers regarding claim status and reimbursement issues.
• Work with clinical and operational teams to obtain documentation needed for claim resolution.
• Maintain accurate account documentation within billing and practice management systems.
• Process adjustments, corrections, and rebilling activities as appropriate.
• Assist patients with billing questions and account inquiries.
• Meet productivity, quality, and account resolution goals.
• Maintain knowledge of payer guidelines, billing regulations, and revenue cycle best practices.

Skills

Attention to detail

Multitasking

Communication skills

Problem solving

Customer service

Education

Associate's degree in Business or Healthcare Administration

Tools

EHR systems

Job description

Cincinnati Children’s is hiring a Professional Billing Representative to support the revenue cycle through accurate billing, timely claim processing, and effective follow‑up. You will collaborate with internal teams, payers, and patients to resolve issues, reduce denials, and ensure compliance with healthcare regulations.

The role emphasizes attention to detail, strong communication, and the ability to manage multiple accounts while meeting productivity targets in a full‑time, daytime schedule