[Hiring] Financial Clearance Rep I @Cincinnati Children's

Role Description

• Pre-Authorization: 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 with minimal stress.
• Collect/provide insurance-based estimates and adhere to registration workflows.
• Maintain a general understanding of billing processes.

• 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.

• 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.

Qualifications

• High school diploma or equivalent
• No directly related experience

Benefits

• Expected Starting Pay Range: $18.66 - $22.89
• Starting pay is based on experience, skills, and equity; exceptions may apply for highly qualified candidates.
• Additional pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply.
• Annual pay may vary based on FTE status.

Company Description

At Cincinnati Children’s, we come to work with one goal: to make children’s 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 Children’s.

• Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years.
• Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding.
• Recognized as one of America’s Best Large Employers (2025).
• America’s Best Employers for New Grads (2025).
• One of the nation's America’s Most Innovative Companies as noted by Fortune.
• Consistently certified as a great place to work.
• A Leading Disability Employer as noted by the National Organization on Disability.
• Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC).