Finance Representative III - Hospital Billing, Transplant

CO00 Children's Hospital Medical Center; United States; On-site; USD 29,000 - 36,000; Full time

Job summary

Cincinnati Children's is seeking a detail-oriented Billing Professional on the Primary Location South Campus to support the financial side of transplant care. The role handles insurance follow-up, denial management, and appeals, with cross-functional collaboration across Patient Financial Services and related departments.

Responsibilities include reviewing denials, preparing appeals, and ensuring payer requirements are met, while adhering to contracts and processing UB-04 and 1500 forms.

Qualifications

• High school diploma or equivalent.
• 3+ years of work experience in a related job discipline.
• Experience with insurance follow-up and denial processes.

Responsibilities

• Follow up with commercial, Medicaid, and other payers to secure appropriate payment.
• Review and work claim denials, identify next steps, and prepare or support appeals.
• Analyze account activity, correspondence, payment information, and payer requirements.
• Compile and prepare patient charges and claims, including UB-04 and 1500 claim forms, as applicable.
• Manage billing according to contracts and follow up on outstanding correspondence or account needs.
• Perform specialized level III work and serve as a resource on non-routine situations.
• Collaborate with Physicians Billing Service, Admitting, outpatient areas, Patient Financial Services, and other departments.
• Participate in quality improvement, research, analysis, corrective action, and system improvement efforts.

Skills

Insurance follow-up

Denial management

Payer requirements

Pattern recognition

Clear written communication

Cross-functional collaboration

Education

High school diploma or equivalent

Job description

Primary Location South Campus Department Coding Services Shift Day (United States of America) Schedule Full time Weekly Hours 40 FTE 1 Employee Status Regular *Expected Starting Pay Range $21.14 - $26.47 *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.

Support the financial side of complex transplant care by helping ensure claims are accurate, payer requirements are met, and account issues are resolved. This role combines insurance follow-up, denial management, appeals, billing review, and cross-functional collaboration in a specialized revenue cycle environment.

What You Will Do

• Follow up with commercial, Medicaid, and other payers to secure appropriate payment.
• Review and work claim denials, identify next steps, and prepare or support appeals.
• Analyze account activity, correspondence, payment information, and payer requirements.
• Compile and prepare patient charges and claims, including UB-04 and 1500 claim forms, as applicable.
• Manage billing according to contracts and follow up on outstanding correspondence or account needs.
• Perform specialized level III work and serve as a resource on non-routine situations.
• Collaborate with Physicians Billing Service, Admitting, outpatient areas, Patient Financial Services, and other departments.
• Participate in quality improvement, research, analysis, corrective action, and system improvement efforts.

What Will Help You Be Successful

• Working knowledge of insurance follow-up and denial processes.
• Ability to recognize patterns in partial or conflicting information and apply established processes.
• Clear written communication for appeals, payer correspondence, and account documentation.
• Comfort working across payer types and billing settings.
• Organization, persistence, and collaborative problem solving.

Job Qualifications

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

Preferred Qualifications

• Insurance company follow-up experience.
• Experience working denials, disputes, or appeals.
• Exposure to hospital, physician, home health, or related revenue cycle billing.
• Knowledge of cash posting or payment activity.
• Transplant billing experience is helpful but not required.
• Experience with multiple payer types.

Work Environment

• Hourly, non-exempt individual contributor role in the Billing job family.
• Transplant work may include hospital, physician, and home health billing considerations.

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.

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

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.