Professional Billing Follow-Up Expert II

Cincinnati Children's Hospital Medical Center; Mount Vernon (VA); On-site; USD 25,000 - 31,000; Full time

Job summary

Cincinnati Children’s Hospital Medical Center is seeking a Professional Billing Representative to support revenue cycle activities on the South Campus. The role handles claims, denials, payments, and inquiries within the Professional Billing Operation, a full-time position with a 40-hour work week.

The starting pay range is $18.16–$22.25 per hour, with adjustments based on experience, skills, and equity. This role requires attention to detail, strong communication, and the ability to manage

Qualifications

• High school diploma or equivalent.
• 2+ years of experience in healthcare billing or revenue cycle.
• Basic understanding of medical terminology and billing workflows.
• Experience with EHR and/or billing systems.

Responsibilities

• Review and process professional claims for accuracy and completeness.
• Follow up on outstanding insurance claims and unpaid balances.
• Research and resolve claim denials, rejections, and payment discrepancies.
• Communicate with insurance carriers regarding claim status and reimbursement issues.
• Collaborate with clinical and operational teams to obtain documentation for resolution.
• Maintain accurate account documentation within billing systems.
• Process adjustments, corrections, and rebilling as needed.
• Assist patients with billing questions and account inquiries.
• Meet productivity, quality, and account resolution goals.
• Maintain knowledge of payer guidelines and regulations.

Skills

Attention to detail

Multitasking

Problem solving

Verbal and written communication

Customer service mindset

Independent work

Education

High school diploma or equivalent

Associate’s degree in Business, Healthcare Administration, or related field

Tools

Epic

EHR/billing systems

Job description

Cincinnati Children’s Hospital Medical Center is seeking a Professional Billing Representative to support revenue cycle activities on the South Campus. The role handles claims, denials, payments, and inquiries within the Professional Billing Operation, a full-time position with a 40-hour work week.

The starting pay range is $18.16–$22.25 per hour, with adjustments based on experience, skills, and equity. This role requires attention to detail, strong communication, and the ability to manage