Finance Representative II – Customer Service
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Job Description
Finance Representative managing patient billing, claims, payments, and financial assistance. Supporting Cincinnati Children’s pediatric healthcare operations through accurate revenue-cycle administration.
Responsibilities:
- Compile and prepare patient charges
- Prepare invoices, billings, UB-04 and 1500 claim forms for third-party payers
- Review charges and evaluate family, third-party payer, and agency resources for payment
- Manage patient billing according to contracts and transmit or mail claims
- Maintain and update departmental systems, templates, payer information, and physician information
- Act as a preceptor and departmental resource for new employees
- Perform specialty services and non-routine functions
- Liaise with Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patient Financial Services, and other Cincinnati Children’s departments
- Counsel patients on third-party coverage and financial aspects
- Determine eligibility for Medicaid, Social Security, and other outside funding
- Complete medical and financial applications for eligible patients
- Coordinate inpatient and outpatient admissions and charge-system information
- Input charges and related information
- Manage accounts receivable and collection data for timely and accurate processing
- Research payer and community physician charges and update the charge master
- Conduct utilization review with insurance companies and Cincinnati Children’s Utilization Review department
- Process, post, and balance payments accurately and timely
- Provide Quality Assurance reports for the division
Requirements:
- High school diploma or equivalent
- 2+ years of work experience in a related job discipline
- Work authorization/location signal: Day shift (United States of America)
Benefits:
- Additional pay may apply, including shift, on-call, or weekend differentials
- Benefits may apply
- Equal Opportunity Employer
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