Pre-Auth & Insurance Verification Specialist I

Cincinnati Children's Office of Academic Affairs and Career Development; Cincinnati (OH); On-site; USD 26,000 - 32,000; Full time

Job summary

Cincinnati Children’s Hospital Medical Center in Cincinnati, OH, is seeking a Customer Service professional to efficiently obtain pre-authorizations for scheduled services and medications, verify insurance eligibility and referrals, and support registration workflows.

You will work with teams across Hospital Billing Service, Admitting, Outpatient Surgery, and Patient Financial Services to resolve issues, escalate system errors, and maintain accurate insurance information while delivering quality

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 meet productivity standards and verify insurance information and demographics.
• 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 internal and external parties to resolve issues and escalate system errors.

Skills

Customer service

Education

High school diploma or equivalent

Job description

Cincinnati Children’s Hospital Medical Center in Cincinnati, OH, is seeking a Customer Service professional to efficiently obtain pre-authorizations for scheduled services and medications, verify insurance eligibility and referrals, and support registration workflows.

You will work with teams across Hospital Billing Service, Admitting, Outpatient Surgery, and Patient Financial Services to resolve issues, escalate system errors, and maintain accurate insurance information while delivering quality