-
Career Center
Loading...
Job Seekers, Welcome to NQF Quality CareersActive Advanced Search Filters: (Click to remove)Search FiltersUse this area to filter your search results. Each filter option allows for multiple selections.NEW! NEW!NEW! NEW!Nicklaus Children’s Health SystemMiami, Florida
Cincinnati Children's Hospital Medical CenterCincinnati, Ohio
Loading... Please wait.Expand Show Other JobsJob Saved Save JobRep II-FinanceCincinnati Children's Hospital Medical CenterApplicationDetailsPosted: 14-Mar-23
Location: Cincinnati, Ohio
Salary: Open
Categories:
OperationsDescriptionInternal Number: 140261
Expected Starting Salary Range: 16.98 - 20.43
SUBFUNCTION DEFINITION: Prepares and forwards patient claims to appropriate third-party payers. Analyzes and reviews claims to ensure that payer-specific billing requirements are met. Follows up on billing, determines and applies appropriate adjustments, answers inquiries and updates accounts as necessary.
REPRESENTATIVE 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.- 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 will 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.- 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.- Quality
Provide Quality Assurance reports for the division.
Qualifications
EDUCATION/EXPERIENCE
Required:- High school diploma or equivalent
- 2 years of work experience in a related job discipline.
Preferred:
Unique Skills:
Cincinnati Children's is proud to be an Equal Opportunity Employer that values and treasures Diversity, Equity, and Inclusion. We are committed to creating an environment of dignity and respect for all our employees, patients, and families (EEO/AA).Connections working at Cincinnati Children's Hospital Medical CenterAbout Cincinnati Children's Hospital Medical CenterAt Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a 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.More Jobs from This Employerhttps://careers.qualityforum.org/jobs/18321397/rep-ii-financeLoading. Please wait.Error
Powered By
- Billing
1099 14th Street NW
Suite 500
Washington DC 20005
202-783-1300 Main
202-783-3434 Fax
info@qualityforum.org
Copyright ©
2022
The National Quality Forum. All Rights Reserved.
| Privacy Policy | Terms of Use
Copyright © 2022 The National Quality Forum. All Rights Reserved. Privacy
Policy | Terms of Use