Professional Billing Follow Up Rep II

Cincinnati Children's; Cincinnati (OH); On-site; USD 25,017 - 30,651; Full time

Job summary

Cincinnati Children's in Cincinnati, Ohio, is seeking a dedicated professional for the Billing Operations team. This role involves compiling patient charges, maintaining systems, and collaborating with various departments to ensure effective billing processes. The ideal candidate should possess a high school diploma and at least 2 years of relevant experience. Additionally, salary ranges from $18.16 to $22.25 per hour, commensurate with experience, in a full-time role on day shifts.

Qualifications

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

Responsibilities

• Compile and prepare patient charges and invoices.
• Maintain and update departmental systems.
• Act as a preceptor for new employees.
• Obtain and evaluate third-party payment resources.
• 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 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.
• 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.

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

Expected Starting Pay Range

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

Equal Opportunity Employer 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