Financial Specialist

CO00 Children's Hospital Medical Center; College Hill (MA); On-site; USD 34,000 - 42,000; Full time

Job summary

Cincinnati Children's College Hill Campus is seeking a Billing & Revenue Cycle Specialist to manage patient charges, prepare invoices, and ensure accurate billing with insurance verification and benefits processing.

You will collaborate across departments to support daily operations, participate in LEAN quality improvements, and help ensure compliant, efficient revenue cycle workflows in a regulated healthcare environment.

Qualifications

• High school diploma or equivalent required.
• Bachelor's degree preferred with 3+ years related experience.

Responsibilities

• Financial Responsibility - may manage specialized billing areas and review refunds.
• System Support - identify system needs, participate in tech advancement and regulatory compliance.
• Billing - prepare charges, invoices, UB-04/1500 claims, verify benefits, and obtain authorizations.
• Collaboration - support daily operations and coordinate with payors, department teams, and leadership.
• Quality - participate in performance improvement, audits, and LEAN initiatives.

Education

High school diploma or equivalent

Bachelor's degree

Job description

Primary Location College Hill Campus Department College Hill Residential Shift Day (United States of America) Schedule Full time Weekly Hours 40 FTE 1 Employee Status Regular Expected Starting Pay Range $24.56 - $30.75 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.

JOB RESPONSIBILITIES

Financial Responsibility - May have specialized areas of responsibility (e.g. government & non-government billing, appeal processing, review & approval of refunds in addition to coding corrections, etc.). May manage specialized work queues independently due to knowledge and unique system security clearance.

System Support - Identify system and technology needs. Participate in advancing use of technology. Ensures systems meet all regulatory and compliance requirements. Perform tasks which require higher level of security access. May lead in testing, install updates and act as the liaison with the vendor to make appropriate programming changes and solve systems issues.

Billing - Compile and prepare patient charges. Prepare invoices billings, UB-04 and 1500 claim forms to be sent to 3rd party payers for payment indicating individual line items for services and total costs. Review charges. Obtain and evaluate family, third party payers and agency resources for payment of charges. Managing patient billing and ensure procedures are billed according to contracts, transmit or mail all paper and claims, and review correspondence and follow up as needed. Ensure insurance verification of benefits, eligibility and plan participation. Secure authorizations with supporting documentation as needed. Communicate with families on coverage and out-of-pocket liability. Process insurance changes.

Collaboration - Perform duties in support of team members¿ daily operations, problem solving, projects, and communications with payor representatives. Supplement training beyond training on services, systems and payor specifics. Perform specialty services functions and may direct daily activities for specific work functions. Act as a resource within the department/division. Provide instruction for performing non-routine functions. Serve as a liaison between Billing and Coding Services, Admitting, Outpatient Surgery, Outpatient Department, and other Cincinnati Children's departments. May have supervisory responsibilities.

Quality - May perform research and analysis. Participate in departmental/division performance improvement and quality assurance controls. May perform account audits and develop and execute corrective actions plans. Participate in LEAN Collaboratives and partner with the clinic team to research and solve systemic problems.

JOB QUALIFICATIONS

High school diploma or equivalent

Preferred: Bachelor's degree 3+ years related experience

Preferred: Coding certification

Preferred: 2+ years related experience in healthcare system revenue cycle settings

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.

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.

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.