Insurance Verification Rep I

Job description

Primary Location South Campus Department Utilization Review Shift Day (United States of America) Schedule Full time Weekly Hours 40 FTE 1 Employee Status Regular *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. Insurance Verification Representative I Support timely patient care by helping confirm insurance coverage and obtain authorizations for scheduled and inpatient services. In this entry-level business support role, you will work with payer systems, medical records, internal partners and families to keep accounts accurate and help reduce avoidable delays. What You Will Do Collect and verify insurance information and patient demographics, obtain insurance authorizations, and enter information into required systems. Work independently and collaboratively to manage assigned work queues and meet productivity expectations. Use payer portals, medical records and other systems to confirm receipt of or obtain pre-authorization for services and medications. Serve as a liaison among billing, admitting, outpatient services, Patient Financial Services, Utilization Review and other departments. Contact internal and external partners to resolve issues, and escalate system errors or recurring work-queue problems appropriately. Help confirm insurance eligibility, referrals and authorizations with minimal stress to patients and families. What Will Help You Be Successful Ability to learn payer-specific processes and system workflows quickly. Comfort navigating technology, payer portals, email and multiple work queues. Careful attention to detail, steady follow-through and an organized approach to changing priorities. Clear, respectful communication with internal partners, payer representatives and families. A collaborative approach and willingness to help the team manage changing workload needs. Job Qualifications High school diploma or equivalent. 0+ years of related work experience; no directly related experience is required. Preferred Qualifications Helpful experience includes insurance verification, registration, financial clearance, admitting, billing, pre-authorization or other healthcare revenue cycle work. Experience using insurance company portals to upload information, initiate cases or research authorization status. Exposure to Epic or another electronic health record system. Experience managing email requests, troubleshooting account questions and balancing a high-volume queue. Work Environment This role is fully remote, including virtual training and virtual interviews. Must be in the 50-mile tri-state residency radius. Standard department hours are 8:00 a.m.–4:30 p.m., Monday–Friday, with schedule flexibility based on team coverage. About Us 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. Cincinnati Children's is: 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 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) We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us. Comprehensive job description provided upon request. Cincinnati Children’s 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