Professional Billing Follow Up Rep- Finance

Cincinnati Children's•Madison, WI

2d•$18 - $22

About The Position

JOB RESPONSIBILITIES Billing - 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. Obtain and evaluate family, third party payers and agency resources for payment of charges. Managing 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. Systems Support - Maintain and update departmental system, including templates, and payer and physician information. Collaboration - 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, Patent Financial Services and other Cincinnati Children's departments. Financial Support - Obtain and evaluate family, third party payers and agency resources for payment of charges. Counsel patient 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, ensure timeliness and accuracy. Research third party payers and community physician charges in order to maintain usual and customary as will as competitive charges. Check and update charge master. Conduct utilization review for the division from insurance companies and working in conjunction with Cincinnati Children's Utilization Review department. Process, post, and balance payments to accounts timely, accurately, and in the correct period. Quality - Provide 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 to be sent to 3rd party payers for payment indicating individual line items for services and total costs
Review charges
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
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, Patent Financial Services and other Cincinnati Children's departments
Counsel patient 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, ensure timeliness and accuracy
Research third party payers and community physician charges in order to maintain usual and customary as will as competitive charges
Check and update charge master
Conduct utilization review for the division from insurance companies and working 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