Finance Rep II - Hospital Billing

Cincinnati Children's•Andrews, IN

3d•Onsite

About The Position

The Finance Rep II - Hospital Billing position is responsible for compiling and preparing patient charges, preparing invoices and billings, and submitting UB-04 and 1500 claim forms to third-party payers. This role involves reviewing charges, obtaining and evaluating resources for payment, managing patient billing according to contracts, and following up on correspondence. Additionally, the position supports departmental systems, acts as a preceptor and resource for new employees, provides instruction for non-routine functions, and serves as a liaison between various departments. Financial support includes determining eligibility for funding, completing necessary paperwork, coordinating admissions, managing accounts receivable data, researching charges, updating the charge master, conducting utilization reviews, and processing payments. The role also involves providing Quality Assurance reports for the division.

Requirements

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

Responsibilities

Compile and prepare patient charges.
Prepare invoices, billings, UB-04 and 1500 claim forms for submission to third-party payers.
Review charges and obtain/evaluate resources for payment.
Manage patient billing according to contracts and follow up on correspondence.
Maintain and update departmental systems, including templates, payer, and physician information.
Act as a preceptor for new employees and a resource within the department/division.
Provide instruction for performing non-routine functions.
Serve as a liaison between various departments such as Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, and Patient Financial Services.
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 and information with charge systems.
Input charges and relative information.
Manage accounts receivable data and collection information, ensuring timeliness and accuracy.
Research third-party payers and community physician charges to maintain usual and customary as well as competitive charges.
Check and update the charge master.
Conduct utilization review for the division in conjunction with the Utilization Review department.
Process, post, and balance payments to accounts timely, accurately, and in the correct period.
Provide Quality Assurance reports for the division.