Patient Billing & Collections Specialist II

Cincinnati Children's Hospital Medical Center; Cincinnati (OH); On-site; USD 25,000 - 30,000; Full time

Job summary

Cincinnati Children's Hospital Medical Center is seeking a billing professional to compile and prepare patient charges and manage invoices for third-party payers. The role requires 2+ years of related experience and a high school diploma.

The position emphasizes accuracy in billing procedures, payer coordination, and timely posting of payments. It involves collaboration across departments and providing QA reporting for the division.

Qualifications

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

Responsibilities

• 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 and 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.
• Systems Support - Maintain and update departmental system, including templates, and payer and physician information.
• Collaboration - Act as a preceptor for new employees. Perform specialty services functions. Act as a resource within the department/division. Provide instruction for performing non-routine functions.
• Serve as a liaison between Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patent Financial Services and other Cincinnati Children's departments.
• Financial Support - Obtain and evaluate family, third party payers and agency resources for payment of charges. Counsel patient on third party coverage and present financial aspects.
• Determine eligibility for State Medicaid, Social Security and other outside funding. Complete necessary paperwork for eligible patients, including medical and financial applications.
• Coordinate inpatient and outpatient admissions. Coordinate information with the inpatient and outpatient charge systems.
• Input charges and relative information. Manage accounts receivable data and collection information, ensure timeliness and accuracy.
• Research third party payers and community physician charges in order to maintain usual and customary as will as competitive charges.
• Check and update charge master. Conduct utilization review for the division from insurance companies and working in conjunction with Cincinnati Children's Utilization Review department.
• Process, post, and balance payments to accounts timely, accurately, and in the correct period.
• Quality - Provide Quality Assurance reports for the division.

Skills

Billing & invoicing

Accounts receivable

Payer coordination

Education

High school diploma or equivalent

Job description

Cincinnati Children's Hospital Medical Center is seeking a billing professional to compile and prepare patient charges and manage invoices for third-party payers. The role requires 2+ years of related experience and a high school diploma.

The position emphasizes accuracy in billing procedures, payer coordination, and timely posting of payments. It involves collaboration across departments and providing QA reporting for the division.