OneMain Financial Jobs

SENIOR CUSTOMER RELATIONS REPRESENTATIVE (MEDICAL/DENTAL BILLING CODER)

Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/5255314)

Apply



SENIOR CUSTOMER RELATIONS REPRESENTATIVE (MEDICAL/DENTAL BILLING CODER)

Salary

$58,016.19 - $62,944.72 Annually

Location

Ohio 45202, OH

Job Type

Full-time Classified

Job Number

26-02660

Department

Health

Opening Date

03/02/2026

Closing Date

3/16/2026 11:59 PM Eastern

• Description

• Benefits

• Questions

General Statement of Duties

This experienced employee represents the City of Cincinnati to customers and (deals with patients, billikng and coding. The individual is responsible for processing, generating, maintaining medical/dental billing; verifying patient information and demographics. In addition this role is charged with the important tasks of maintaining and obtaining required paperwork for processing medical/dental claims from health center services. Employee interacts with customers in person, by telephone, by e-mail, or in writing while maintaining a high level of customer satisfaction. Employee performs more complex customer service tasks, including determining proper course of action for billing activities, authoring correspondence, researching and analyzing complex customer issues, and assisting supervisor with customer calls and issues referred for supervisor intervention. Employee may be assigned special projects and investigations. Performs related duties as required.

Minimum Qualifications (KSAs)

(Illustrative only. Any one position may not require all of the listed KSAs nor do the listed examples include all the KSAs which may be required.)

Knowledge of:

Medical and dental billing (i.e., ICD-10 codes, ICD-9-CM, CPT and CDT codes and can translate CDT codes to CPT and ICD-9-CM codes.

Medicare and Medicaid billing procedures and regulations, State and Federal program obligations, sliding fee scale, and private insurance billing practices.

Principles and practices of mathematics.

Principles of business letter writing and report preparation.

Problem solving techniques Methods needed to gather relevant information from callers by asking appropriate questions.

City of Cincinnati services and functions in order to refer complaints to the appropriate department or agency.

Federal bankruptcy laws and related collection activities.

Software applications used for customer service and billing functions.

Safety policies and procedures, e.g., Employee Safety Instruction Manual and applicable agency requirements.

Skill to:

Operate a computer utilizing the appropriate software related to assigned area of responsibility.

Operate assigned vehicle.

Input appropriate data into computer system utilized.

Ability to:

Communicate effectively orally and in writing.

Interpret and communicate to the public, City of Cincinnati policies and procedures, including the ability to match the appropriate policies and procedures to the particular jurisdiction for each call.

Prepare clear and concise reports.

Listen effectively.

Interpret unclear or complex information and instructions.

Determine the nature of a problem based on the caller's information and to make decisions concerning referral of messages with limited information.

Research, investigate, and analyze issues as they occur.

Organize work and follow directions, both oral and written.

Read and interpret information provided in reference manuals, on computer printouts and spreadsheets and in staff meetings.

Empathize with customers and communicate clearly in layman's terms. Handle difficult customers or situations in a calm and professional manner.

Perform mathematical calculations. Work in a fast paced environment.

Self- direct work within guidelines provided by supervisor.

Apply problem solving techniques.

Provide information and feedback to supervisor as needed for process development and improvement.

Work independently.

Use good judgment.

Train and direct others.

Examples of Work Performed:

(Illustrative only. Any one position within this classification may not include all of the duties listed nor do the listed examples include all of the tasks which may be performed.)

Answers incoming calls from citizens, medical/dental business customers, other City Departments and other agencies.

Receives complaints and requests, provides information, analyzes data to determine proper response to inquiries, responds to inquiries, and/or directs citizens to proper department for assistance.

Resolves difficult or sensitive customer service inquiries or problems; advises public on complex rules, policies, and procedures.

Collects patient's chart, pulls up information on the computer; confirms it is the correct patient and the insurance information is accurate; checks for current consent for treatment form; checks for proof of income and or insurance.

Answers patient medical/dental billing inquiries.

This includes contacting patients regarding balances due and sending appropriate time-based collection letters, eventually following through to collections if necessary.

Codes and submits claims electronically and manually.

Posts payments. Works through denied/rejected claims.

Reconciles accounts.

Works Patient Balance Reports and Provider Aging Reports.

Manages aged patient accounts.

Ensures the management of patient information, insurance verification, prior authorizations and appeals, and medical/dental billing collection; identifies, corrects, and reports coding problems; resolves coding edits and denials in a timely manner; and identifies opportunities to reduce denials and enhance revenue.

Makes decisions on actions needed to resolve customer billing and service issues and concerns; initiates service investigations and interprets results and recommends next steps.

Provides customers information on bills, account balances, services, delinquent accounts, and adjustments; explains bills and billing calculations.

Maintains confidentiality of information according to the HIPAA Act of 1996.

Provides customers with as much information and direct services as possible without referring the customer to another person.

Receives complaints and requests, provides information, analyzes data to determine proper response to inquiries, responds to inquiries, and/or directs citizens to proper area of health center for assistance.

Provides information and assistance related to health center services, activities, procedures, or other issues; responds to questions, complaints, or requests for service, and resolves customer inquiries relating to billing, billing adjustments, and/or other issues regarding health center services.

Answers incoming calls from patients; prioritizes calls received.

Researches, analyzes, and resolves customer's problems and inquiries.

Operates a computer to input information from patient and to access patient records; creates, edits, compiles, manipulates, and retrieves files, databases, and create reports. Takes and relays messages to doctors, nurses, supervisors, and other personnel by personal contact, e-mail, or telephone.

Retrieves customer account information to ascertain bill payment history.

Provides customers information on bills, account balances, services, delinquent accounts, and adjustments; explains bills and billing calculations.

Updates customer files; verifies accuracy of account files against various sources of information.

Determines if and when to grant bill extensions and extended payment arrangements; listens to circumstances and determines if supervisor's approval of extension is needed.

Updates customer files; verifies accuracy of account files against various sources of information; works from quality assurance reports to correct data in customer billing and information system.

Working knowledge of current safety policies, instructions for proper usage, and other procedures and professional practices required for completing job duties. Identifies unsafe practices and conditions and brings such matters to the attention of the supervisor.

Conveys a positive image and handles a large volume of customers in a friendly, effective, efficient, and professional manner.

Required Education and Experience

RESUME, BILLING/MEDICAL CODER CERTIFICATION, AND A VALID DRIVER'S LICENSE MUST BE ATTACHED TO YOUR ONLINE APPLICATION OR APPLICATION WILL BE REJECTED.

Each applicant must be Certified Billing/Medical Coder and have three years of experience as a Certified Medical/Dental Billing Coder.

OTHER REQUIREMENTS

Must have a valid Driver's License.

The below information is solely intended as a summary of the benefits available and is subject to change. Not all benefits listed are available for every position. Benefits can vary depending on applicable labor agreements and/or salary plan. For specific questions, contact the HR Contact indicated on the Job Posting.

The City of Cincinnati offers its employees competitive salaries and a comprehensive benefit package designed to actively attract and retain quality employees' to add additional value to the City of Cincinnati's workforce. A summary of these benefits for full-time employment is listed below. This is a general listing of benefits for all employees and is not intended to be a comprehensive listing for all bargaining units.

The City offers a variety of training programs, ranging from job-specific skills such as computer and equipment instruction, to helping supervisors improve their management techniques.

Equal Employment Opportunity

The City of Cincinnati is dedicated to providing equal employment without regard to race, gender, age, color, religion, disability status, marital status, sexual orientation or transgendered status, or ethnic, national or Appalachian origin, or on the basis of any other category protected under federal, state and local laws.

Holidays

The City of Cincinnati has 11 paid holidays annually that include:

New Year's Day

Martin Luther King Day

President's Day

Memorial Day

Juneteenth

Independence Day

Labor Day

Veterans' Day

Thanksgiving Day

Day after Thanksgiving

Christmas

Health Insurance

The City of Cincinnati 80/20 offers 3 medical plans to all full time City of Cincinnati employees and eligible dependents: the 80/20 PPO medical plan, the HDHP medical plan with an HSA contribution, and a Health Reimbursement Arrangement for those enrolled on another non-city eligible group plan.

Eligible dependents include:

Legal Spouse or Equal Partner

Child (natural child, adopted child, and/or child who the group has determined is covered under a "Qualified Medical Child Support Order")

Step-child

Child for whom the employee or employee's spouse/equal partner is a legal guardian

Basic Life Insurance

A $50,000 Basic Life Insurance policy is paid for by the City for certain eligible employees. Full time employees not eligible for the City-paid basic life insurance policy are generally provided a similar benefit through their union group.

Supplemental Life, Long Term Disability, Accident & Critical Illness Insurance

Most full time City employees are eligible to participate in a supplemental life insurance program, a long term disability plan, and accident and critical illness insurance programs at their own expense. Premiums are determined by age, amount of coverage, and various additional factors.

Flexible Benefits Plans

Healthcare Flex Spending Account

City employees can participate in the Healthcare Flex Spending Account that can be used to pay out-of-pocket medical, prescription, dental, and vision care expenses for employees and family members.

Dependent Care Flex Spending Account

City employees can participate in a Dependent Care Flex Spending Account that can be used to pay work-related dependent care expenses. Participants can set aside money each year through pre-tax payroll deductions to pay for these expenses.

Transportation Expense Reimbursement Account

City employees can participate in a Transportation Expense Reimbursement Account (TERA) that can be used to reimburse expenses related to traveling to and from work. Participants can set-up a pre-tax payroll deduction up to an IRS regulated amount.

Healthy Lifestyles Program

City employees can voluntarily participate in a wellness incentive program that encourages and rewards employees and their spouses/equal partners for making positive choices for better health. The City of Cincinnati will contribute up to $300/year to a Health Reimbursement Account for each the employee and their spouse/equal partner for meeting specified program goals. These dollars can be used to offset qualified out-of-pocket medical expenses.

Integrated Health Reimbursement Arrangement (HRA)

This is a voluntary program that serves as an alternative healthcare option to traditional medical plans. If you have alternate group health coverage available to you through a spouse, equal partner, another job, or a non-city retirement plan, you may be eligible for this plan which reimburses you for the difference in premiums between the plans and your covered out of pocket expenses on the other plan.

Retirement Plan

The City provides a defined benefit pension plan for part-time and full-timeemployees. New hires and re-hired employees are required to participate in the City of Cincinnati's Retirement System (CRS), regardless of previous participation in an Ohio State pension system or any another state or federal pension system. CRS is funded by employer and employee contributions, and investment returns from plan assets. CRS provides retirement and health care benefits subject to eligibility requirements. The following groups are excluded from participation in CRS: Mayor and Members of City Council; Sworn Police & Fire; Police Recruits; and Rehired Ohio Police & Fire Retirees.

Deferred Compensation

As an Ohio government employer, the City offers employees the ability to participate in a 457(b) tax-deferred retirement savings plan. The City makes an annual match to your 457(b) of up to $750, or as otherwise specified in applicable regulations and union contracts.

01

By completing this supplemental evaluation you are attesting that the information you have provided is accurate. Any information you provide may be reviewed by the Human Resources staff and hiring department(s). Any misstatements or falsification of information may eliminate you from consideration or may result in dismissal. "See resume" is not an acceptable answer to the questions. The Human Resources staff will verify that you meet the minimum qualifications as outlined in the job posting, based on the information provided in your application and in these answers. Please indicate you have read and agree with this information.

• Yes, I understand and agree

  02

  How many years of experience as a Certified Medical/Dental Billing Coder do you have?

• No experience

• Less than 1 year

• 1 year to less than 2 years

• 2 years to less than 3 years

• 3 years to less than 4 years

• 4 years to less than 5 years

• 5 years or more

  03

  Do you have three years of experience as a Certified Medical/Dental Billing Coder?

• Yes

• No

  04

  Do you have a valid driver's license?

• Yes

• No

  05

  Are you a Certified Billing/Medical Coder?

• Yes

• No

  06

  Did you attach a copy of your resume, billing/medical coder certification, and valid driver's license to your application? (Resume, billing/medical coder certification, and valid driver's license must be attached or application will be rejected.)]

• Yes

• No

  07

  Do you understand that if your application does not include your resume, billing/medical coder certification, and a valid driver's license that your application will be rejected? Resume, billing/medical coder certification, and a valid driver's license is required and must be attached.

• I have read the above statement and understand that my resume, billing/medical coder certification, and a valid driver's license must be attached to my application or my application will be rejected.

  08

  Do you understand that representatives from the hiring department will be selecting and contacting applicants for interviews related to this position and that interviews are at the discretion of the hiring department.

• Yes, I understand.

  09

  Do you understand any corrections to the online application such as attachments (resume, high school diploma, transcripts, certifications, driver's license, etc.) must be made and provided to the assigned human resources analyst prior to the job posting closing? Correction(s) made after the job posting closing date will not be accepted and will be rejected. You can email Isabel Harney, Isabel.harney@cincinnati-oh.gov, for application correction(s).

• Yes

• No

  10

  I understand I am responsible for maintaining the accuracy of my contact information, including my street address, email address, and telephone numbers. My failure to maintain accurate contact information may result in me not receiving information regarding this job announcement and/or may result in me not receiving further consideration for this employment opportunity. To update this information, visit www.governmentjobs.com, click on the "career seekers" link, and follow the prompts. For technical difficulties, contact NEOGOV support at 855-524-5627.

• Yes, I understand and agree

  Required Question

Employer

City of Cincinnati

Address

805 Central Avenue Suite 200

Cincinnati, Ohio, 45202

Phone

513-352-2400

Website

http://agency.governmentjobs.com/cincinnati/default.cfm