Finance Rep II: Patient Billing & AR Specialist

Cincinnati Children's Office of Academic Affairs and Career Development; Cincinnati (OH); On-site; USD 40,000 - 48,000; Full time

Job summary

Cincinnati Children’s is seeking a Finance Representative II to support patient billing and accounts receivable activities for home health and related revenue cycle operations.

This role prepares and reviews claims, follows payer‑specific requirements, resolves routine billing issues, updates accounts, supports payment and collection activity, and serves as a resource for colleagues and partner departments.

Qualifications

• High school diploma or equivalent.
• 2+ years of related work experience.
• Working knowledge of billing and claims processes developed through formal training or relevant work experience.

Responsibilities

• Compile and prepare patient charges, invoices, and UB-04 and 1500 claim forms for third‑party payers.
• Review charges and claims for payer‑specific billing requirements, submit paper and electronic claims, review correspondence, and complete follow‑up.
• Maintain and update departmental systems, templates, payer information, and physician information.
• Support new employees as a preceptor, provide instruction for non‑routine functions, and serve as a departmental resource.
• Coordinate with Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient departments, Patient Financial Services, and other Cincinnati Children’s departments.
• Evaluate payer and agency resources, assist with coverage and funding processes, and complete applicable medical and financial paperwork.
• Manage accounts receivable and collection information for timeliness and accuracy, maintain charge information, and support utilization review activities.
• Process, post, and balance payments accurately, timely, and in the correct period.
• Provide quality‑assurance reports for the division.

Skills

Billing knowledge

Attention to detail

Communication

Payer requirements

Education

High school diploma or equivalent

Tools

UB-04 forms

1500 claim forms

Billing systems

Payer-specific billing rules

Job description

Cincinnati Children’s is seeking a Finance Representative II to support patient billing and accounts receivable activities for home health and related revenue cycle operations.

This role prepares and reviews claims, follows payer‑specific requirements, resolves routine billing issues, updates accounts, supports payment and collection activity, and serves as a resource for colleagues and partner departments.