Financial Clearance Representative I

🔥 1 minute ago

🇺🇸 United States – Remote

💵 $18 - $22 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💸 Financial Planning and Analysis (FP&A)

👻 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

• 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 • Collect and provide insurance-based estimates while adhering to registration workflows • Handle work volume and queues to meet or exceed productivity standards • Collect and verify insurance information and demographics, obtain insurance authorization, and enter information into 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 • Support multiple divisions and cross-train to work insurance pre-authorization for multiple divisions • Initiate calls to appropriate internal and external parties to resolve issues • Escalate system errors and recurring divisional problems identified within work queues or reports

🎯 Requirements

• High school diploma or equivalent • No directly related experience required • Ability to obtain pre-authorizations for scheduled services and medications using medical records and systems • Ability to accurately collect and verify insurance information and demographics • Ability to enter information into required systems • General understanding of billing processes • Ability to work independently and collaboratively • Ability to resolve issues with internal and external parties • Ability to escalate system errors and recurring problems appropriately

🏖️ Benefits

• Additional pay may apply, including shift, on-call, or weekend differentials • Benefits may apply • Full-time schedule with 40 weekly hours • Regular employee status • Support for responsible use of artificial intelligence and innovation

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