Insurance Verifcation Rep II

Primary Location South Campus Department Customer Service Shift Day (United States of America) Schedule Full time Weekly Hours 40 FTE 1 Employee 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 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