Professional Billing Claims Follow Up Rep - Full-time

JOB RESPONSIBILITIES

• Financial Support - May perform duties of FSR I & II. May have specialized areas of responsibility (e.g. government & non-government billing, appeal processing, review & approval of refunds, etc.).

• Systems Support - Identify system and technology needs. Participate in advancing use of technology. Ensures systems meet all regulatory and compliance requirements.

• Quality - May perform research and analysis. Participate in departmental/division performance improvement and quality assurance controls. May develop and execute corrective actions plans.

• 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.

• Collaboration - Act as a preceptor and/or lead 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. May have supervisory responsibilities.

JOB QUALIFICATIONS

• High school diploma or equivalent

• 3+ 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

$20.57 - $25.72

 

• Medical coverage starting day one of employment.  

• Competitive retirement plans  

• Tuition reimbursement for continuing education  

• Expansive employee discount programs through our many community partners  

• Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions 

• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group  

• Physical and mental health wellness programs  

• Relocation assistance available for qualified positions 

*Benefits may vary based on FTE Status and Position Type 

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 a top 10  for more than 15 years 

• Consistently among the top 3 Children's Hospitals for  Funding 

• Recognized as one of   (2025), (2025) 

• One of the nation's  as noted by Fortune 

• Consistently certified as  

• A  as noted by the  

• Magnet® designated for the fourth consecutive time by the  

 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