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Insurance Verification Representative I
Company: Cincinnati Children's Hospital Medical Center
Location: Cincinnati, OH
Employment Type: Full Time
Date Posted: 01/29/2026
Job Categories: Finance/Economics, Insurance
Job Description
Insurance Verification Representative I

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.

JOB QUALIFICIATIONS

  • High school diploma or equivalent

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


Primary Location

Remote


Schedule

Full time


Shift

Day (United States of America)


Department

Utilization Review


Employee Status

Regular


FTE

1


Weekly Hours

40


*Expected Starting Pay Range

*Annualized pay may vary based on FTE status

$18.16 - $22.25


About Us

At Cincinnati Childrens, we come to work with one goal: to make childrens health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Childrens.

Cincinnati Children's is:

We Embrace InnovationTogether. We believe in empowering our teams with the tools that help us work smarter and care better. Thats why we support the responsible use of artificial intelligence. By encouraging innovation, were creating space for new ideas, better outcomes, and a stronger futurefor all of us.

Comprehensive job description provided upon request.

Cincinnati Childrens is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability

Contact Information
Contact Name:
Company Name: Cincinnati Children's Hospital Medical Center
Phone Number:
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Website: https://jobs.cincinnatichildrens.or...
Company Description:

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