Finance Rep II - Hospital Billing Operations

Cincinnati Children's•Augusta, GA

7d•$18 - $22•Onsite

About The Position

The Finance Rep II role in Hospital Billing Operations is responsible for compiling and preparing patient charges, preparing invoices and claim forms, reviewing charges, and managing patient billing to ensure procedures are billed according to contracts. This role also involves maintaining and updating departmental systems, acting as a preceptor for new employees, serving as a resource within the department, and liaising between various departments. Additionally, the Finance Rep II will obtain and evaluate payment resources, counsel patients on financial aspects, determine eligibility for funding, complete necessary paperwork, coordinate admissions and charge systems, manage accounts receivable data, research payer and physician charges, update the charge master, conduct utilization reviews, and process payments. The role also includes 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 patient charges and obtain/evaluate payment resources from families, third-party payers, and agencies.
Manage patient billing, ensuring procedures are billed according to contracts.
Transmit or mail all paper and electronic claims.
Review correspondence and follow up as needed.
Maintain and update departmental systems, including templates, and payer and physician information.
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, Patient Financial Services, and other Cincinnati Children's departments.
Counsel patients 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, 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 from insurance companies and in conjunction with Cincinnati Children's Utilization Review department.
Process, post, and balance payments to accounts timely, accurately, and in the correct period.
Provide Quality Assurance reports for the division.