Cincinnati Children's · 20 hours ago
Insurance Verification Representative II
United States
Full-time
Remote
Entry, Mid Level
$20/hr - $25/hr
2+ years expCincinnati Children's is dedicated to improving children's health through a holistic team approach. The Insurance Verification Representative II will be responsible for problem resolution, collaboration with various departments, maintaining quality improvement, managing productivity, and obtaining pre-authorizations for services and medications.
Health Care
Responsibilities
Problem Resolution - Serve as first level problem resolution for both internal and external customers. 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. Work with team to suggest/recommend changes to systems or work processes
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. Participate in Department Meetings to share payer trends related to Pre-Authorizations
Quality Improvement - Maintain and update departmental system, including templates and payer and physician information. Identify opportunity for improvement in Departmental processes and communicate findings to Management for evaluation
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
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 that require a higher level of clinical knowledge. 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
Qualification
Required
High school diploma or equivalent
2+ years of work experience in a related job discipline
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.
10001+ employees
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
Leadership Team
Tony Johnston
Deputy Chief Information Officer, Vice President and CTO
Recent News
2026-01-22
Dayton Daily News
2026-01-16
Company data provided by crunchbase