Professional Billing Finance Rep II

Cincinnati Children's Hospital Medical Center • Cincinnati, OH • 1h ago

JOB RESPONSIBILITIES

Own the Professional Billing Lifecycle

Prepare, review, and submit accurate professional claims using Epic and payer-specific tools.

Scrub claims to ensure correct codes, units, modifiers, authorizations, and documentation are present before submission.

Review and resolve edits, rejections, and payer error responses including coding inconsistencies or missing information.

Lead Payer Follow-Up & Claims Resolution

Conduct timely follow-up with insurance carriers to resolve outstanding claims.

Investigate denials (technical and clinical), coordinate corrections, and resubmit claims as needed.

Identify trends in payer behavior to reduce preventable denials and accelerate reimbursement cycles.

Deliver High-Quality Financial Accuracy

Process, post, and balance payments, adjustments, and payer responses with precision.

Monitor accounts receivable and escalate complex claim issues using established workflows.

Support charge review and address discrepancies proactively to avoid downstream billing issues.

Strengthen Billing Operations & Systems

Maintain and update provider, payer, and billing templates in departmental systems.

Assist with charge master maintenance to ensure accuracy and competitiveness.

Support system updates and workflow enhancements that improve billing efficiency.

Collaborate Across the Organization

Partner closely with clinic teams, coding, Physician Billing Services, Admitting, Financial Services, Payer Relations, and others to ensure complete and compliant claims.

Provide guidance to peers and act as a resource for non-routine billing functions.

Support onboarding of new team members as a preceptor or subject matter resource when needed.

Why This Role Matters Professional billing is complex - but the stakes are high. Your attention to detail helps:

Secure reimbursement that sustains Cincinnati Children's world-leading care

Ensure providers are paid accurately for their work

Reduce stress and uncertainty for families

Enhance compliance and avoid preventable revenue loss

Your expertise contributes to a revenue cycle that operates with integrity, efficiency, and compassion. JOB QUALIFICATIONS

High school diploma or equivalent

2+ years of work experience in a related job discipline

Primary Location South Campus Schedule Full time Shift Day (United States of America) Department Professional Billing Operation Employee Status Regular FTE 1 Weekly Hours 40 Expected Starting Pay Range Annualized pay may vary based on FTE status$18.16 - $22.25 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:

Recognized by U.S. News & World Report as atop 10 best Children's Hospitals in the nation for more than 15 years

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), America's Best Employers for New Grads (2025)

One o

Apply here: https://www.aplitrak.com/?adid=YmJnZW5lcmljLjA1NDQyLjEwNTA4QGNpbmNpbm5hdGljaGlsZHJlbnNjb21wLmFwbGl0cmFrLmNvbQ

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