Financial Clearance Representative II

Cincinnati Children's

8d•$21 - $26•Remote

About The Position

Help patients and families move toward scheduled care by supporting accurate insurance verification and pre-authorization. In this fully remote role, you will combine payer knowledge, organized follow-up, clear communication, and thoughtful problem-solving to help resolve authorization and account issues.

Requirements

High school diploma or equivalent.
2+ years of work experience in a related job discipline.
Clear, professional communication with families, payers, and internal partners.
Critical thinking and the ability to investigate issues, follow up, and escalate appropriately.
Strong organization, attention to detail, and the ability to self-manage work in a remote setting.
Comfort working independently and collaboratively while maintaining accurate documentation and quality expectations.

Nice To Haves

Minimum of 6 months of experience with insurance authorizations.
Experience with medical billing, collections on medical claims, or denial follow-up/disputes.
Exposure to medical coding concepts, including diagnosis and CPT information.
Experience in patient access or related healthcare revenue cycle work.

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.