Professional Billing Finance Rep II

Job Responsibilities Billing – compile and prepare patient charges. Prepare invoices, billing, UB‑04 and 1500 claim forms for third‑party payers indicating line items 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 paper claims, review correspondence, and follow up as needed. Systems Support – maintain and update departmental system, including templates, payer, and physician information. Collaboration – act as a preceptor for new employees, perform specialty services functions, resource within the department/division, provide instruction for non‑routine functions, serve as liaison between Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patient 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 patients on third‑party coverage and present financial aspects. Determine eligibility for State Medicaid, Social Security and other funding. Complete necessary paperwork, coordinate inpatient and outpatient admissions, manage accounts receivable data and collections, research third‑party payers and community physician charges to maintain usual/customary and competitive charges. Check and update charge master. Conduct utilization review with Cincinnati Children’s Utilization Review department. Process, post, and balance payments to accounts timely, accurately, and appropriately. Quality – provide Quality Assurance reports for the division. Job Qualifications High school diploma or equivalent. 2+ years of work experience in a related job discipline. Primary Location South Campus Schedule Full time Shift Day (United States of America) Department Professional Billing Operation Employee Status Regular FTE 1 Weekly Hours 40 Pay Range Annualized pay may vary based on FTE status: $18.16 - $22.25 Equal Opportunity Employment Statement Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability #J-18808-Ljbffr Cincinnati Children's