Finance Rep I

Cincinnati Children's; Mount Vernon (VA); Hybrid; USD 25,000 - 30,000; Full time

Job summary

Cincinnati Children’s Hospital Medical Center is seeking an entry-level Finance Representative I in Cash Posting/Refunds to support timely financial operations and accurate patient accounts. You’ll process payments, review and adjust accounts, and help determine whether credits go to insurers or families.

The role offers hybrid work after training, with structured onboarding and cross-team collaboration. Prior experience in revenue cycle or Excel is a plus, and all training aligns with

Qualifications

• High school diploma or equivalent.
• 0+ years of related work experience; no directly related experience is required.
• Preferred experience includes hospital or medical revenue cycle work.
• Exposure to patient registration may be relevant when it includes meaningful insurance knowledge and account research.
• Banking, cash application, payment processing, accounts receivable, or reconciliation experience may translate well.
• Experience using Excel and working with detailed financial or account information.

Responsibilities

• Process, post, and balance payments to accounts accurately, timely, and in the correct period.
• Review account and payment information, follow up on billing items, apply appropriate adjustments, and update accounts as needed.
• For refund-focused work, review credit work queues and investigate whether credits should be returned to an insurer or family.
• For cash posting work, support electronic payment posting and research transactions that require additional problem solving.
• Maintain accurate information in departmental systems and collaborate with related revenue cycle and financial teams.
• Complete quality checks and follow established procedures and deadlines.

Skills

Attention to detail

Insurance concepts

Problem solving

Work organization

Communication

Education

High school diploma

Tools

Excel

Job description

Primary Location

South Campus

Department

Cash Posting Operations

Shift

Day (United States of America)

Schedule

Full time

Weekly Hours

40

FTE

1

Employee Status

Regular

*Expected Starting Pay Range

$17.80 - $21.51

*Starting pay is based on experience, skills, and equity; exceptions may apply for highly qualified candidates. Additional pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply.Annual pay may vary based on FTE status.

Finance Representative I - Cash Posting / Refunds

Support accurate, timely financial operations that help patient accounts move forward. In this entry-level role, you will work with payment and account information, follow defined procedures, investigate exceptions, and collaborate with teams across Cincinnati Children’s.

What You Will Do

• Process, post, and balance payments to accounts accurately, timely, and in the correct period.

• Review account and payment information, follow up on billing items, apply appropriate adjustments, and update accounts as needed.

• For refund-focused work, review credit work queues and investigate whether credits should be returned to an insurer or family.

• For cash posting work, support electronic payment posting and research transactions that require additional problem solving.

• Maintain accurate information in departmental systems and collaborate with related revenue cycle and financial teams.

• Complete quality checks and follow established procedures and deadlines.

What Will Help You Be Successful

• Careful attention to detail and a consistent approach to accuracy.

• Comfort learning payer, insurance, account, and payment concepts.

• Problem-solving skills and willingness to investigate information before reaching a conclusion

• Ability to organize work across queues, priorities, and deadlines in a fast-paced environment.

• Clear communication and collaboration with internal partners.

Job Qualifications

• High school diploma or equivalent.

• 0+ years of related work experience; no directly related experience is required.

Preferred Qualifications

• Helpful experience includes hospital or medical revenue cycle work.

• Exposure to patient registration may be relevant when it includes meaningful insurance knowledge and account research.

• Banking, cash application, payment processing, accounts receivable, or reconciliation experience may translate well.

• Experience using Excel and working with detailed financial or account information.

Work Environment

• Hybrid schedule after training, with four remote days and one office day each week.

• Initial training is conducted in person and may last up to two to three months depending on learning progress.

• Refunds team office day is Tuesday; cash posting team office day is Wednesday.

About Us

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s.

Cincinnati Children’s is:

• Recognized by U.S. News & World Report as a top 10** **best Children’s Hospitals in the nation for more than 15 years

• Consistently among the top 3 Children’s Hospitals for National Institutes of Health (NIH)Funding

• Recognized as one of America’s Best Large Employers (2025) , America’s Best Employers for New Grads (2025)

• One of the nation’sAmerica’s Most Innovative Companiesas noted by Fortune

• Consistently certified as great place to work

• A Leading Disability Employeras noted by theNational Organization on Disability

• Magnet designated for the fourth consecutive time by theAmerican Nurses Credentialing Center (ANCC)

We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us.

Comprehensive job description provided upon request.

Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability