Insurance Pre-Authorization Specialist I

CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER; Mount Vernon (VA); On-site; USD 26,000 - 32,000; Full time

Job summary

Cincinnati Children’s Hospital Medical Center is seeking a Regular Full-time Pre-Authorization Clerk at the South Campus, Financial Clearance Center. The role is 40 hours per week and pays starting range between $18.66 and $22.89 per hour.

Responsibilities include obtaining pre-authorizations, verifying insurance details, collaborating with hospital departments, and resolving issues to keep scheduling and billing workflows smooth. High school diploma required; no direct experience needed.

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 Hospital Medical Center is seeking a Regular Full-time Pre-Authorization Clerk at the South Campus, Financial Clearance Center. The role is 40 hours per week and pays starting range between $18.66 and $22.89 per hour.

Responsibilities include obtaining pre-authorizations, verifying insurance details, collaborating with hospital departments, and resolving issues to keep scheduling and billing workflows smooth. High school diploma required; no direct experience needed.