Insurance Verification & Pre-Auth Specialist (Part-Time)

Cincinnati Children's Hospital Medical Center; Cincinnati (OH); On-site; USD 26,000 - 32,000; Part time

Job summary

Cincinnati Children's Hospital Medical Center is seeking a part-time Pre-Authorization Clerk on the South Campus to support insurance verification and pre-authorization activities. The role involves independent work and collaboration across multiple hospital departments to ensure timely authorizations for scheduled services and medications.

The position requires a high school diploma or equivalent with no directly related experience, and offers pay ranges based on experience with additional pay

Qualifications

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

Responsibilities

• Productivity - Work independently and/or collaboratively with team to efficiently handle work volume and queues to meet or exceed productivity standards.
• Accurately collect/verify insurance information and demographics, obtaining insurance authorization and entering the information into the required systems.
• 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. Multiple division support; cross trained in order to work insurance pre-authorization for multiple divisions.
• Pre-Authorization - Utilize systems including medical records to obtain needed clinical support to efficiently confirm receipt of or to obtain pre-authorization for scheduled services and medications. Collaborate with internal and external resources regarding specific authorizations scenarios. Work with team to make contact with families prior to patient scheduled visits and/or services to confirm insurance eligibility, referrals/authorizations with minimal stress to the family/patient.
• Problem Resolution - Initiate calls to appropriate parties both internal and external to resolve issues. Escalate to appropriate staff regarding system errors, recurring divisional problems/errors identified within work queues or reports.

Skills

communication

Education

High school diploma or equivalent

Job description

Cincinnati Children's Hospital Medical Center is seeking a part-time Pre-Authorization Clerk on the South Campus to support insurance verification and pre-authorization activities. The role involves independent work and collaboration across multiple hospital departments to ensure timely authorizations for scheduled services and medications.

The position requires a high school diploma or equivalent with no directly related experience, and offers pay ranges based on experience with additional pay