Professional Billing Finance Rep II

Cincinnati Children's; Cincinnati (OH); On-site; USD 38,000 - 48,000; Full time

Job summary

A children's healthcare provider in Cincinnati, Ohio, is seeking a Billing professional. The role involves compiling patient charges, maintaining systems, and collaborating with various departments. Candidates must have a high school diploma and at least 2 years of relevant work experience. The position offers a full-time schedule, with pay ranging from $18.16 to $22.25 per hour depending on experience.

Qualifications

• 2+ years of work experience in a related job discipline.

Responsibilities

• Compile and prepare patient charges, including billing and invoicing.
• Maintain and update departmental systems.
• Act as a preceptor for new employees and liaison between departments.
• Obtain and evaluate third-party payments, counsel patients on coverage.
• Provide Quality Assurance reports for the division.

Education

High school diploma or equivalent

Job description

Job Responsibilities

• Billing – compile and prepare patient charges. Prepare invoices, billing, UB‑04 and 1500 claim forms for third‑party payers indicating line items and total costs. Review charges. Obtain and evaluate family, third‑party payers, and agency resources for payment of charges. Manage patient billing and ensure procedures are billed according to contracts, transmit or mail paper claims, review correspondence, and follow up as needed.
• Systems Support – maintain and update departmental system, including templates, payer, and physician information.
• Collaboration – act as a preceptor for new employees, perform specialty services functions, resource within the department/division, provide instruction for non‑routine functions, serve as liaison between Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patient 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 patients on third‑party coverage and present financial aspects. Determine eligibility for State Medicaid, Social Security and other funding. Complete necessary paperwork, coordinate inpatient and outpatient admissions, manage accounts receivable data and collections, research third‑party payers and community physician charges to maintain usual/customary and competitive charges. Check and update charge master. Conduct utilization review with Cincinnati Children’s Utilization Review department. Process, post, and balance payments to accounts timely, accurately, and appropriately.
• Quality – provide Quality Assurance reports for the division.

Job Qualifications

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

Primary Location

South Campus

Schedule

Full time

Shift

Day (United States of America)

Department

Professional Billing Operation

Employee Status

Regular

FTE

1

Weekly Hours

40

Pay Range

Annualized pay may vary based on FTE status: $18.16 - $22.25

Equal Opportunity Employment Statement

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