Professional Billing Follow Up Rep II - Finance

Cincinnati Children's•Mount Vernon, VA

4d•$18 - $22•Onsite

About The Position

The Professional Billing Representative supports the revenue cycle by ensuring accurate and timely billing, claim resolution, payment posting support, and account follow-up activities. This role works closely with internal departments, payers, and patients to resolve billing issues, reduce denials, and ensure compliance with organizational and regulatory requirements.

Requirements

High school diploma or equivalent.
2+ years of experience in healthcare billing, revenue cycle, insurance follow-up, accounts receivable, or a related field.
Basic understanding of medical terminology, insurance plans, and billing workflows.
Experience using electronic health record (EHR) and/or billing systems.

Nice To Haves

Experience with professional (physician) billing.
Experience working denial management and insurance follow-up.
Knowledge of CPT, ICD-10, and HCPCS coding concepts.
Experience with Epic or similar healthcare systems.
Associate's degree in Business, Healthcare Administration, or a related field.

Responsibilities

Review and process professional claims for accuracy and completeness.
Follow up on outstanding insurance claims and unpaid balances.
Research and resolve claim denials, rejections, and payment discrepancies.
Communicate with insurance carriers regarding claim status and reimbursement issues.
Work with clinical and operational teams to obtain documentation needed for claim resolution.
Maintain accurate account documentation within billing and practice management systems.
Process adjustments, corrections, and rebilling activities as appropriate.
Assist patients with billing questions and account inquiries.
Meet productivity, quality, and account resolution goals.
Maintain knowledge of payer guidelines, billing regulations, and revenue cycle best practices.