[Hiring] Financial Clearance Representative II @Cincinnati Children's

Role Description

Help patients and families move toward scheduled care by supporting accurate insurance verification and pre-authorization. In this fully remote role, you will combine payer knowledge, organized follow-up, clear communication, and thoughtful problem-solving to help resolve authorization and account issues.

• Efficiently obtain pre-authorizations for scheduled services and medications that require 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 update required systems accurately.
• Support billing-related follow-up, account updates, payer requirements, and first-level problem resolution for internal and external customers.
• Coordinate with billing, admitting, outpatient, patient financial services, utilization review, and other departments.
• Maintain departmental information and identify process improvement opportunities for management review.

Qualifications

• High school diploma or equivalent.
• 2+ years of work experience in a related job discipline.

Requirements

• Minimum of 6 months of experience with insurance authorizations.
• Experience with medical billing, collections on medical claims, or denial follow-up/disputes.
• Exposure to medical coding concepts, including diagnosis and CPT information.
• Experience in patient access or related healthcare revenue cycle work.

Benefits

• Expected Starting Pay Range: $21.14 - $26.47
• 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.

• 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).