Financial Clearance Specialist I

Ali Aydi; Cincinnati (OH); Hybrid; USD 40,000 - 60,000; Full time

Job summary

Cincinnati Children's is seeking a role focused on securing pre-authorization for services and medications, validating insurance details, and maintaining billing workflows. The team collaborates with hospital departments to ensure smooth admissions and outpatient processes.

The position emphasizes independent work and adherence to productivity standards, with attention to accurate data entry, insurance verification, and escalation when issues arise. Equal opportunity employer.

Qualifications

• High school diploma or equivalent.
• No directly related experience.

Responsibilities

• Pre-Authorization- Efficiently obtain pre-authorizations for scheduled services and medications using medical records and systems.
• Productivity- Work independently and/or collaboratively with team to efficiently handle work volume and queues to meet or exceed productivity standards.
• Collaboration- Serve as a liaison between Hospital/Physicians Billing Service, Admitting, Outpatient Surgery, Outpatient Department, Patient Financial Services, Utilization Review and other Cincinnati Children's departments.
• Problem Resolution- Initiate calls to appropriate parties both internal and external to resolve issues.

Education

High school diploma or equivalent

Job description

Cincinnati Children's is seeking a role focused on securing pre-authorization for services and medications, validating insurance details, and maintaining billing workflows. The team collaborates with hospital departments to ensure smooth admissions and outpatient processes.

The position emphasizes independent work and adherence to productivity standards, with attention to accurate data entry, insurance verification, and escalation when issues arise. Equal opportunity employer.