Professional Billing-Finance Rep II

Cincinnati Children's Hospital Medical Center-posted 2 months ago
$18 - $22/Yr
Full-time • Entry Level
Cincinnati, OH
5,001-10,000 employees
Hospitals
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At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.

  • 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 and obtain and evaluate family, third party payers and agency resources for payment of charges.
  • Manage 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.
  • Maintain and update departmental system, including templates, and payer and physician information.
  • Act as a preceptor for new employees and perform specialty services functions.
  • Act as a resource within the department/division and 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 and manage accounts receivable data and collection information.
  • Research third party payers and community physician charges to maintain usual and customary as well as competitive charges.
  • Check and update charge master and conduct utilization review for the division from insurance companies.
  • Process, post, and balance payments to accounts timely, accurately, and in the correct period.
  • Provide Quality Assurance reports for the division.
  • High school diploma or equivalent.
  • 2+ years of work experience in a related job discipline.
  • Medical coverage starting day one of employment.
  • Competitive retirement plans.
  • Tuition reimbursement for continuing education.
  • Expansive employee discount programs through our many community partners.
  • Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions.
  • Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group.
  • Physical and mental health wellness programs.
  • Relocation assistance available for qualified positions.
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