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Hospital Billing Insurance Collection

Cincinnati Children's Hospital Medical Center

Details

Posted: 05-May-22

Location: Cincinnati, Ohio

Salary: Open

Categories:

Admin / Clerical

Internal Number: 131340

Description

In this role you will be responsible for preparing and forwarding patient claims to appropriate third-party payers. Analyzing and reviewing claims to ensure that payer-specific billing requirements are met. Following up on billing, determining and applying appropriate adjustments, answering inquiries and updating 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 chargemaster.
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.
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

High school diploma or equivalent required

2 years of work experience in a related job discipline required

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About Cincinnati Children's Hospital Medical Center

At 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.

Connections working at Cincinnati Children's Hospital Medical Center

More Jobs from This Employer

https://careers.oregondental.org/jobs/16765832/hospital-billing-insurance-collection

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