Finance Rep II

What You Will Do: Compile and prepare patient charges, invoices, and UB-04 and 1500 claim forms for third‑party payers. Review charges and claims for payer‑specific billing requirements, submit paper and electronic claims, review correspondence, and complete follow‑up. Maintain and update departmental systems, templates, payer information, and physician information. Support new employees as a preceptor, provide instruction for non‑routine functions, and serve as a departmental resource. Coordinate with Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient departments, Patient Financial Services, and other Cincinnati Children’s departments. Evaluate payer and agency resources, assist with coverage and funding processes, and complete applicable medical and financial paperwork. Manage accounts receivable and collection information for timeliness and accuracy, maintain charge information, and support utilization review activities. Process, post, and balance payments accurately, timely, and in the correct period. Provide quality‑assurance reports for the division. What Will Help You Be Successful Working knowledge of billing and claims processes developed through formal training or relevant work experience. Ability to interpret payer requirements, maintain accurate account information, and follow work through to resolution. Strong attention to detail, organization, service, and communication across multiple departments. Willingness to support coworkers, explain non‑routine processes, and contribute to quality activities.

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

Preferred Qualifications: Helpful experience includes patient billing, healthcare claims, third‑party payer follow‑up, accounts receivable, collections, payment posting, or home health billing. Experience with UB-04 and 1500 claim forms, payer‑specific billing rules, or billing systems is helpful. Experience serving as a preceptor, departmental resource, or liaison across operational teams is helpful.

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 of the nation'sAmerica’s Most Innovative Companiesas noted by Fortune Consistently certified as great place to work A Leading Disability Employeras noted by theNational Organization on Disability Magnet® designated for the fourth consecutive time by theAmerican Nurses Credentialing Center (ANCC) We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future— for all of us. Comprehensive Job Description Provided Upon Request. Cincinnati Children’s 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