Professional Billing Finance Rep II

CO00 Children's Hospital Medical Center; United States; On-site; USD 35,000 - 50,000; Full time

Job summary

CO00 Children's Hospital Medical Center is seeking a detail-oriented billing specialist responsible for preparing patient charges and invoices, managing billing procedures, and ensuring accuracy in all aspects. You will serve as a liaison across departments and provide patient counseling regarding financial matters.

The ideal candidate will have a high school diploma and at least 2 years of relevant experience. This full-time position requires work on the South Campus, within a supportive and engaging environment.

Qualifications

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

Responsibilities

• Compile and prepare patient charges.
• Prepare invoices and claim forms for third-party payers.
• Review charges and ensure accuracy.
• Manage patient billing and maintain departmental systems.
• Act as a preceptor for new employees.

Education

High school diploma or equivalent

Job description

Job Responsibilities

• Compile and prepare patient charges.
• Prepare invoices, billings, UB‑04 and 1500 claim forms for third‑party payers, outlining individual line items for services and total costs.
• Review charges and ensure accuracy.
• 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 all paper claims and review correspondence, following up as needed.
• Maintain and update departmental systems, templates, payer, and physician information.
• Act as a preceptor for new employees; provide instruction on non‑routine functions.
• Serve as liaison between Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patient Financial Services, and other departments.
• Counsel patients on third‑party coverage and present financial aspects.
• Determine eligibility for State Medicaid, Social Security, and other outside funding; complete required paperwork for eligible patients.
• Coordinate inpatient and outpatient admissions; synchronize information with charge systems; input charges and relative data.
• Manage accounts receivable data and collection information, ensuring timeliness and accuracy.
• Research third‑party payers and community physician charges to maintain usual and customary charges and competitive pricing.
• Conduct utilization review for the division in conjunction with the Utilization Review department.
• Process, post, and balance payments to accounts promptly, accurately, and in the correct period.
• Provide Quality Assurance reports for the division.

Qualifications

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

Location: South Campus

Schedule: Full time Shift Day (United States of America)

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 an Equal Opportunity Employer.