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.
- 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.
- Collaboration - Serve as a liaison between Access Services, Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patent 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 equivalentNo directly related experiencePrimary Location
Vernon Manor
Schedule
Full time
Shift
Day (United States of America)
Department
Cash Posting Operations
Employee Status
Regular
FTE
Weekly Hours
40
Market Leading Benefits Including
Medical coverage starting day one of employment. View employee benefits here.Competitive retirement plansTuition reimbursement for continuing educationExpansive employee discount programs through our many community partnersShift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positionsSupport 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 GroupPhysical and mental health wellness programsRelocation assistance available for qualified positionsBenefits may vary based on FTE Status and Position TypeAbout Us
At Cincinnati Childrens, we come to work with one goal : to make childrens 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 Childrens.
Cincinnati Children's Is
Recognized by U.S. News & World Report as atop 10 best Children's Hospitals in the nation for more than 15 yearsConsistently among the top 3 Children's Hospitals for National Institutes of Health (NIH)FundingRecognized as one of Americas Best Large Employers (2025), Americas Best Employers for New Grads (2025)One of the nation'sAmericas Most Innovative Companiesas noted by FortuneConsistently certified as great place to workA Leading Disability Employeras noted by theNational Organization on DisabilityMagnet designated for the fourth consecutive time by theAmerican Nurses Credentialing Center (ANCC)We Embrace InnovationTogether
We believe in empowering our teams with the tools that help us work smarter and care better. Thats why we support the responsible use of artificial intelligence. By encouraging innovation, were creating space for new ideas, better outcomes, and a stronger future for all of us.
Comprehensive Job Description Provided Upon Request.
Cincinnati Childrens 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
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