Finance Rep II - Hospital Billing Operations

About the Role

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.

Responsibilities

• Compile and prepare patient charges.
• Prepare invoices, 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 and obtain/evaluate family, third-party payers, and agency resources for payment of charges.
• Manage patient billing, ensure procedures are billed according to contracts, transmit or mail all paper and electronic claims, and review correspondence with necessary follow-up.
• Maintain and update departmental systems, including templates, payer, and physician information.
• Act as a preceptor for new employees and perform specialty services functions.
• Serve as a resource within the department/division and provide instruction for performing non-routine functions.
• Act as a liaison between Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patient Financial Services, and other Cincinnati Children's departments.
• Counsel patients 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 and information with the inpatient and outpatient charge systems.
• Input charges and relative information, manage accounts receivable data, and collection information, ensuring timeliness and accuracy.
• Research third-party payers and community physician charges to maintain usual and customary as well as competitive charges.
• Check and update the charge master.
• Conduct utilization review for the division from insurance companies, 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.

Qualifications

• High school diploma or equivalent.
• 2+ years of work experience in a related job discipline.

About Us

Cincinnati Children's is recognized by U.S. News & World Report as a top 10 best Children's Hospital in the nation for more than 15 years. We are consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding, recognized as one of America’s Best Large Employers (2025) and America’s Best Employers for New Grads (2025), and one of the nation's America’s Most Innovative Companies as noted by Fortune. We are consistently certified as a great place to work, a Leading Disability Employer as noted by the National Organization on Disability, and Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC). We embrace innovation and believe in empowering our teams with the tools that help us work smarter and care better.

Primary Location: South Campus
Department: Hospital Billing Operations
Shift: Day
Schedule: Full-time, 40 hours per week
Employee Status: Regular
Expected Starting Pay Range: $18.16 - $22.25 (Starting pay is based on experience, skills, and equity; exceptions may apply for highly qualified candidates. Additional pay and benefits may apply.)