Finance Rep II

Cincinnati Children's•Greendale, WI

12d•$18 - $22•Onsite

About The Position

The Finance Rep II position is responsible for compiling and preparing patient charges, preparing invoices, billings, UB-04 and 1500 claim forms, 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, providing financial support by evaluating payment resources, counseling patients on coverage, determining eligibility for funding, and managing accounts receivable data. Additionally, the Finance Rep II will conduct utilization reviews and process payments.

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 family, third-party payer, and agency resources for payment.
Manage patient billing and ensure procedures are billed according to contracts.
Transmit or mail all paper and claims, and review correspondence for follow-up.
Maintain and update departmental systems, including templates, and payer and physician information.
Act as a preceptor for new employees and provide instruction for performing non-routine functions.
Serve as a liaison between various departments, including 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 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 from insurance companies and in conjunction with the 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.