Insurance Verification Representative I

Cincinnati Children's

2d • $18 - $22 • Remote

About The Position

Hours: 8a-4:30p, remote (must live within 50 miles of our main campus) JOB 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.

Requirements

• High school diploma or equivalent
• Must live within 50 miles of our main campus

Nice To Haves

• Experience with insurances, authorizations, and or healthcare registration preferred

Responsibilities

• 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.
• 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.
• 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.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees