Job Responsibilities
Billing : Compile and prepare patient charges. Prepare invoices, UB-04 and 1500 claim forms to be sent to third-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.
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 well 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.
Collaboration : Serve as a liaison between Access Services, Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patient Financial Services, Home Care, Payer Relations, Cash Applications, and other Cincinnati Children's departments.
Systems Support : Maintain and update departmental system, including templates, and payer and physician information.
Quality : Provide Quality Assurance reports for the division.
Job Qualifications
High school diploma or equivalent
No directly related experience
Primary Location
South Campus
Schedule
Full time
Shift
Day (United States of America)
Department
Cash Posting Operations
Employee Status
Regular
FTE
Weekly Hours
40
Expected Starting Pay Range
$17.49 - $20.99
Market Leading Benefits Including
About Us
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.
Cincinnati Children's is :
We Embrace InnovationTogether. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger futurefor all of us.
Comprehensive job description provided upon request.
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
Finance • Cincinnati, OH, US