Finance Rep II

Children's Hospital Medical Center; North Carolina; Remote; USD 26,000 - 32,000; Full time

Job summary

Cincinnati Children's Hospital Medical Center is seeking a Finance Rep II - Hospital Billing to help ensure timely reimbursement and accurate patient billing. The role focuses on reviewing claims, following up on accounts, and preparing charges using UB-04 and 1500 forms.

The position requires an organized, independent problem-solver who communicates clearly and works well with teammates in a largely remote environment with defined productivity expectations.

Qualifications

• High school diploma or equivalent; 2+ years of work experience in a related job discipline.
• Experience in healthcare revenue cycle operations and hospital billing preferred.
• Ability to work in a high-volume environment with defined productivity expectations.

Responsibilities

• Review patient claims and account activity to help ensure payer-specific billing requirements are met.
• Follow up on billing, correspondence, outstanding accounts, adjustments, and account updates.
• Compile and prepare patient charges and claims, including applicable UB-04 and 1500 claim forms.
• Maintain accurate payer, physician, template, accounts receivable, collection, and departmental system information.
• Coordinate with Patient Financial Services and other Cincinnati Children's departments to resolve billing questions and support accurate account outcomes.
• Provide guidance and serve as a resource for teammates on established and non-routine processes as experience grows.

Job description

Primary Location

South Campus Department

Hospital Billing Operations Shift

Day (United States of America) Schedule

Full time Weekly Hours

40 FTE

1 Employee Status

Regular

*Expected Starting Pay Range

$18.66 - $22.89 *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 Rep II - Hospital Billing

Help support accurate, timely reimbursement for the care Cincinnati Children's provides. In this role, you will review and follow up on hospital billing accounts, work through payer‑specific requirements, update account information, and collaborate with partners across the revenue cycle. The team is looking for someone who can manage a steady account workload, work independently, ask thoughtful questions, and contribute constructively to the team.

What You Will Do

• Review patient claims and account activity to help ensure payer‑specific billing requirements are met.
• Follow up on billing, correspondence, outstanding accounts, adjustments, and account updates.
• Compile and prepare patient charges and claims, including applicable UB‑04 and 1500 claim forms.
• Maintain accurate payer, physician, template, accounts receivable, collection, and departmental system information.
• Coordinate with Patient Financial Services and other Cincinnati Children's departments to resolve billing questions and support accurate account outcomes.
• Provide guidance and serve as a resource for teammates on established and non‑routine processes as experience grows.
• Work within a high‑volume environment with workflow‑based productivity expectations that account for differences in account complexity.

What Will Help You Be Successful

• An organized approach to managing a daily account queue and documenting follow‑up accurately.
• Independent problem‑solving paired with a willingness to ask questions when clarification is needed.
• Clear, professional communication and constructive collaboration with teammates and internal partners.
• Comfort working in a mostly remote environment with clearly defined productivity and quality expectations.
• Attention to payer requirements, account details, and timely follow‑through.

Job Qualifications

• High school diploma or equivalent.
• 2+ years of work experience in a related job discipline.

Preferred Qualifications

• Experience in healthcare revenue cycle operations.
• Experience with hospital billing or insurance follow‑up.
• Experience working assigned account inventories and measurable productivity expectations.
• Experience using Epic or another healthcare billing platform.
• Experience with a health system or revenue cycle organization.

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's America's Most Innovative Companies as noted by Fortune
• Consistently certified as great place to work
• A Leading Disability Employer as noted by the National Organization on Disability
• Magnet® designated for the fourth consecutive time by the American 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