Ins Verify Rep Iii - Prior Authorization

Cincinnati Children's Hospital

Cincinnati, OH, US
Base: $22.18 - $27.73; bonus/equity: not specified...
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Utilize medical records
Confirm insurance eligibility
Obtain pre-authorization
** Cincinnati Children’s Hospital is seeking an Insurance Verification Representative III for Pre-Authorization duties, primarily focusing on insurance eligibility confirmation and problem resolution. The role requires at least three years of relevant experience, and it emphasizes collaboration, productivity, and customer service within a pediatric healthcare environment. **

Job Summary

  • 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.
  • Serve as second level problem resolution for both internal and external customers, involving Manager, if necessary.
  • Work independently and/or collaboratively with team to efficiently handle work volume and queues to meet or exceed productivity standards.

Matching Summary

Match Score: 75

** Cincinnati Children’s Hospital is seeking an Insurance Verification Representative III for Pre-Authorization duties, primarily focusing on insurance eligibility confirmation and problem resolution. The role requires at least three years of relevant experience, and it emphasizes collaboration, productivity, and customer service within a pediatric healthcare environment. **

Salary

Base: $22.18 - $27.73; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • utilize medical records
  • confirm insurance eligibility
  • obtain pre-authorization
  • resolve complex issues
  • collaborate with departments
  • meet productivity standards

Nice-to-have

  • higher level of clinical knowledge
  • provide feedback to team members
  • establish and maintain payer libraries

Key Requirements

  • 3+ years of work experience
  • High school diploma or equivalent

Work Rights

Not specified

Tailored Resume

Cover Letter