Financial Clearance Representative II

🕒 September 30

🇺🇸 United States – Remote

💵 $21 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💸 Financial Planning and Analysis (FP&A)

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Cincinnati Children's

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1883

🏥 Healthcare

🤝 Non-profit

📚 Education

Healthcare • Non-profit • Education

Cincinnati Children's is a leading children's hospital dedicated to providing exceptional healthcare services for infants, children, and adolescents. The hospital offers a wide range of resources, including urgent care, specialty care, and clinical trials. With a commitment to education, research, and community support, Cincinnati Children's aims to deliver the best outcomes and ensure the comfort of young patients and their families.

📋 Description

• Obtain pre-authorizations for scheduled services and medications requiring 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 accurately update required systems • Support billing-related follow-up, account updates, payer requirements, and first-level problem resolution • Coordinate with billing, admitting, outpatient, patient financial services, utilization review, and other departments • Maintain departmental information • Identify process improvement opportunities for management review • Help patients and families move toward scheduled care through accurate insurance verification and pre-authorization

🎯 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 ability to investigate issues, follow up, and escalate appropriately • Strong organization and attention to detail • Ability to self-manage work in a remote setting • Ability to work independently and collaboratively while maintaining accurate documentation and quality expectations • Preferred: minimum of 6 months of experience with insurance authorizations • Preferred: experience with medical billing, collections on medical claims, or denial follow-up/disputes • Preferred: exposure to medical coding concepts, including diagnosis and CPT information • Preferred: experience in patient access or related healthcare revenue cycle work

🏖️ Benefits

• Additional pay may apply, including shift, on-call, or weekend differentials • Benefits may apply • Regular employee status • Full-time schedule, 40 hours per week • Equal opportunity employer