About this role
Overview:
Schedule: Monday-Friday (1st shift)
Location: On-site training during the probation period until cleared to work remote. Employee must reside within Central Ohio area.
Job Description Summary:
Job Description:
- Reviews patient account information for completeness and accuracy.
- Makes necessary changes/updates to patient account information to ensure timely payment on accounts. Retrieves status information from government and third party payers regarding outstanding professional claims.
- Coordinates with governmental agencies, third-party payers, and internal auditors to ensure maximum reimbursement for hospital services.
- Acts as a liaison between the hospital and third party payers in resolving billing and reimbursement issues.
- Provides follow-up on claim edits, rejections, denials, and outstanding professional claims in a timely manner.
- Maintains patient records and ensures confidentiality of sensitive information.
Education Requirement:
- High school diploma, required.
- Associates degree, preferred.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
- Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and ICD9 coding, and reimbursement regulations and policies of third party payers.
- The ability to do data entry and work a calculator.
- Problem identification and problem solving skills,required.
- Excellent interpersonal, verbal, and written communication skills.
- Excellent organization skills and the ability to comprehend and follow written and verbal instructions.
Experience:
- Two years' experience in medical billing, claims follow-up and customer service, required.
- One year experience working on a mainframe computer. Experience using Outlook, Word and Excel, required.
Physical Requirements:
OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking
FREQUENTLY: Flexing/extending of neck, Patient Equipment, Peripheral vision
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
Other facts
About Nationwide Children's Hospital
Nationwide Children’s is one of America's largest pediatric hospitals, an international leader in research and is ranked in all 10 specialties on U.S. News & World Report’s 2025-26 “America’s Best Children’s Hospitals” list. Our staff, comprised of 1,600 medical professionals and over 16,000 employees, provides state-of-the-art pediatric care for 1.8 million patient visits annually. And, according to the Children’s Hospital Association, Nationwide Children's is the #1 provider of pediatric surgery in the country.
Our doctors represent every major pediatric sub-specialty. With over 50 locations throughout Ohio, signature programs include heart, cancer, gastroenterology and neonatology care, all of which are internationally recognized. Tim Robinson is CEO of Nationwide Children’s Hospital, which includes the Abigail Wexner Research Institute at Nationwide Children’s Hospital, Nationwide Children’s Hospital Foundation and The Center for Family Safety and Healing at Nationwide Children’s Hospital.
As home to the Department of Pediatrics of The Ohio State University College of Medicine, Nationwide Children’s physicians train the next generation of pediatricians and pediatric specialists. The Abigail Wexner Research Institute at Nationwide Children’s Hospital is one of the Top 10 National Institutes of Health-funded freestanding pediatric research facilities. Nationwide Children’s remains true to the original mission since its founding in 1892 of providing care regardless of a family’s ability to pay. More information is available at NationwideChildrens.org.
What you'll do
- The Patient Accounts Representative is responsible for the timely processing of patient accounts, ensuring accuracy in billing and follow-up activities. They act as a liaison between the hospital and third-party payers to resolve billing issues and maximize reimbursement.
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