Insurance Verifcation Rep II
Cincinnati Children'sAbout the role
Primary Location
South CampusDepartment
Customer ServiceShift
Day (United States of America)Schedule
Full timeWeekly Hours
40FTE
1Employee Status
Regular
*Expected Starting Pay Range
$20.57 - $25.72*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.
Help support timely access to care by verifying coverage, coordinating pre-authorizations, and resolving insurance-related issues for scheduled services. This role supports a high-volume pediatric surgery environment and partners across teams to keep accounts accurate and families informed with minimal stress.
What You Will Do
Collect and verify insurance and demographic information, obtain required authorizations, and enter information accurately in designated systems.
Review payer requirements and medical records to gather clinical support for pre-authorizations for scheduled services and medications.
Serve as a first point of problem resolution for internal and external customers, escalating system or recurring issues when appropriate.
Coordinate with billing, admitting, outpatient, patient financial services, utilization review, clinical teams, payers, and families.
Maintain payer and provider information, identify process-improvement opportunities, and share payer trends with the team.
Manage work queues independently and collaboratively to meet quality and productivity expectations.
What Will Help You Be Successful
Comfort working in a high-volume, fast-moving environment.
Clear communication and organized follow-through across multiple stakeholders.
Ability to interpret routine payer requirements, use sound judgment, and escalate appropriately.
Attention to detail when reviewing records, insurance data, authorizations, and account updates.
Job Qualifications
High school diploma or equivalent.
2+ years of work experience in a related job discipline.
Preferred Qualifications
Experience with insurance verification, pre-authorization, or related healthcare revenue cycle work.
Familiarity with insurance portals, CPT codes, diagnosis or ICD-10 codes, and Epic.
Experience handling work queues or supporting multiple clinical divisions in a high-volume setting.
Work Environment
This is a Monday–Friday, five-day role supporting general pediatric surgery and seven subspecialties. Training is in person through the three-to-six-month probation period. After probation, the team’s current model is four remote days and one onsite day per week
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
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