Remote Insurance Authorization Specialist

CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER; United States; Remote; USD 26,000 - 32,000; Full time

Job summary

Cincinnati Children's Hospital Medical Center is seeking a remote Pre-Authorization Specialist to join the Heart Institute Administration. This full-time role supports scheduling and billing workflows by obtaining pre-authorizations for procedures and medications, reviewing insurance eligibility, and communicating with families to minimize stress.

The ideal candidate will efficiently verify insurance information, collaborate across hospital departments, and help maintain accurate registration

Qualifications

• High school diploma or equivalent is required.

Responsibilities

• Pre-Authorization- Efficiently obtain pre-authorizations for scheduled services and medications using medical records and systems.
• Collaborate with internal and external resources on authorization scenarios.
• Contact families before scheduled visits to confirm insurance eligibility and referrals with minimal stress.
• Collect/provide insurance-based estimates and adhere to registration workflows. Maintain a general understanding of billing processes.

Education

High school diploma or equivalent

Job description

Cincinnati Children's Hospital Medical Center is seeking a remote Pre-Authorization Specialist to join the Heart Institute Administration. This full-time role supports scheduling and billing workflows by obtaining pre-authorizations for procedures and medications, reviewing insurance eligibility, and communicating with families to minimize stress.

The ideal candidate will efficiently verify insurance information, collaborate across hospital departments, and help maintain accurate registration