Cincinnati Children's · 10 hours ago
Insurance Verification Representative I
Cincinnati Children's is a leading healthcare organization focused on improving children's health. The Insurance Verification Representative I will be responsible for verifying insurance information, collaborating with various departments, and ensuring pre-authorizations are obtained for scheduled services.
Health Care
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
Qualification
Required
High school diploma or equivalent
Preferred
Experience with insurances, authorizations, and or healthcare registration
Company
Cincinnati Children's
Cincinnati Children’s, a nonprofit academic medical center established in 1883, offers services from well-child care to treatment for the most rare and complex conditions.
H1B Sponsorship
Cincinnati Children's has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (132)
2024 (109)
2023 (131)
2022 (124)
2021 (98)
2020 (68)
Funding
Current Stage
Late StageTotal Funding
$15.6MKey Investors
Nestle Purina PetcareNational Institutes of HealthFarmer Family Foundation
2025-12-29Grant
2024-03-12Grant· $2.6M
2023-04-20Grant· $5M
Recent News
2026-01-22
Dayton Daily News
2026-01-16
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