Financial Clearance Representative I

Cincinnati Children's

. Efficiently obtain pre-authorizations for scheduled services and medications using medical records and systems .

Posted 11/2/2026full-timeRemote • United StatesMid-LevelSenior💰 $19 - $23 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates proficiency in obtaining pre-authorizations for services and medications, while effectively collecting and verifying insurance information. Capable of collaborating with various departments and resolving issues to ensure smooth operations in a healthcare setting.

Highest-signal resume keywords

Pre-Authorization ManagementInsurance Information VerificationBilling Process UnderstandingCollaboration SkillsIssue Resolution

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pre-AuthorizationInsurance VerificationMedical Records ManagementData EntryBilling Processes

Soft Skills

Independent WorkCollaborative WorkProblem Solving

Certifications & Qualifications

High School Diploma

Industry Keywords

HealthcarePatient Financial ServicesUtilization ReviewInsurance EligibilityRegistration Workflows

About the role

Key responsibilities & impact

Efficiently obtain pre-authorizations for scheduled services and medications using medical records and systems
Collaborate with internal and external resources on authorization scenarios
Contact families before scheduled visits to confirm insurance eligibility and referrals
Collect and provide insurance-based estimates while adhering to registration workflows
Handle work volume and queues to meet or exceed productivity standards
Collect and verify insurance information and demographics, obtain insurance authorization, and enter information into required systems
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
Support multiple divisions and cross-train to work insurance pre-authorization for multiple divisions
Initiate calls to appropriate internal and external parties to resolve issues
Escalate system errors and recurring divisional problems identified within work queues or reports

Requirements

What you’ll need

High school diploma or equivalent
No directly related experience required
Ability to obtain pre-authorizations for scheduled services and medications using medical records and systems
Ability to accurately collect and verify insurance information and demographics
Ability to enter information into required systems
General understanding of billing processes
Ability to work independently and collaboratively
Ability to resolve issues with internal and external parties
Ability to escalate system errors and recurring problems appropriately

Benefits

Comp & perks

Additional pay may apply, including shift, on-call, or weekend differentials
Benefits may apply
Full-time schedule with 40 weekly hours
Regular employee status
Support for responsible use of artificial intelligence and innovation