Cincinnati Children's Office of Academic Affairs and Career Development · 6 days ago
Professional Billing Follow Up Rep- Finance
Cincinnati, OH
Full-time
Onsite
Entry Level
$18/hr - $22/hr
2+ years expCincinnati Children's Office of Academic Affairs and Career Development is dedicated to improving children's health. They are seeking a Professional Billing Follow Up Representative to manage patient billing, ensure accurate invoicing, and support financial processes within the department.
Hospital & Health Care
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
Systems Support - Maintain and update departmental system, including templates, and payer and physician information
Collaboration - Act as a preceptor for new employees. Perform specialty services functions. Act as a resource within the department/division. Provide instruction for performing non-routine functions. Serve as a liaison between Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patent 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 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
Quality - Provide Quality Assurance reports for the division
Qualification
Required
High school diploma or equivalent
2+ years of work experience in a related job discipline
Company
Cincinnati Children's Office of Academic Affairs and Career Development
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Cincinnati, Ohio, US
5001-10000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase