PURPOSE OF POSITION
To provide support for all aspects of professional/departmental billing and/or financial accounting for a Medical Center dedicated to the care of infants, children and adolescents. To serve as a resource and role model for the department/division.
MAJOR DUTIES AND RESPONSIBILITIES:
1. Billing/Financial Support: Compile and prepare customer charges. Prepare invoices, indicating individual line items for services and total costs. Review and post data. Review computer printouts to ascertain monthly costs, schedule of services completed and type of services performed. Obtain and evaluate family, third party payors 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 payors 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.
2. Collaboration: Serve as a liaison between Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patent Financial Services and other Cincinnati Children’s departments.
3. System Support: Provide Quality Assurance reports for the division. Maintain and update departmental system, including templates and payor and physician information.
4. Act as a Department Resource: 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.
Effective verbal, written and interpersonal communication skills. Ability to relate to diverse age and demographic backgrounds. Computer literate and familiarity with mainframe and software applications (word processing, spreadsheet and database). Capable of working independently, performing non-routine functions and problem-solving. Knowledge of ICD-9 and CPT Codes. Demonstrate attention to detail, teamwork skills and ability to prioritize and to meet deadlines. Operate calculator, personal computer and printer. Knowledge of standard office equipement and medical terminology helpful.
High School Diploma or equivalent
plus one of the following
: (1) documented completion of continuing education, (2) completion of professional coding certification, or (3) completion of an Associate or Bachelor degree
Minimum two years previous related experience (Cincinnati Children’s experience between 2-4 years performing Level I functions, outside experience in a related career/field rated between 4-6 years performing Level 1 functions, external candidates meeting the experience requirements and demonstrating core competencies of the position should be hired as Level II, Internal candidates in positions outside the FSR ladder must meet the external requirements for Level II)
Cincinnati Children Hospital - 19 months ago
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