Remote Insurance Pre-Authorization Specialist II

Cincinnati Children's Hospital Medical Center; Cincinnati (OH); Remote; USD 29,000 - 36,000; Full time

Job summary

Cincinnati Children’s Hospital Medical Center is seeking a Financial Clearance Representative II for a fully remote role. You will help verify insurance, obtain pre-authorizations, and support billing and account resolution with payers and internal teams.

The position requires a high school diploma and at least 2 years in a related role, with preferred experience in insurance authorizations and medical billing.

Qualifications

• High school diploma or equivalent.
• 2+ years of work experience in a related job discipline.

Responsibilities

• Efficiently obtain pre-authorizations for scheduled services and medications that require a moderate level of clinical knowledge.
• Collaborate with internal and external resources to resolve authorization scenarios and confirm insurance eligibility and referrals.
• Collect and verify insurance and demographic information, document authorization details, and update required systems accurately.
• Support billing-related follow-up, account updates, payer requirements, and first-level problem resolution for internal and external customers.
• Coordinate with billing, admitting, outpatient, patient financial services, utilization review, and other departments.
• Maintain departmental information and identify process improvement opportunities for management review.

Skills

Communication

Critical thinking

Organization

Self-management

Education

High school diploma

Job description

Cincinnati Children’s Hospital Medical Center is seeking a Financial Clearance Representative II for a fully remote role. You will help verify insurance, obtain pre-authorizations, and support billing and account resolution with payers and internal teams.

The position requires a high school diploma and at least 2 years in a related role, with preferred experience in insurance authorizations and medical billing.