A remote role at Cincinnati Children’s.
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Original listing text, shown exactly as published by the company.
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Productivity - Work independently and/or collaboratively with team to efficiently handle work volume and queues to meet or exceed productivity standards. Accurately collect/verify insurance information and demographics, obtaining insurance authorization and entering the information into the required systems.
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Collaboration - 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. Multiple division support; cross trained in order to work insurance pre-authorization for multiple divisions.
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Pre-Authorization - 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. Collaborate with internal and external resources regarding specific authorizations scenarios. Work with team to make contact with families prior to patient scheduled visits and/or services to confirm insurance eligibility, referrals/authorizations with minimal stress to the family/patient.
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Problem Resolution - Initiate calls to appropriate parties both internal and external to resolve issues. Escalate to appropriate staff regarding system errors, recurring divisional problems/errors identified within work queues or reports.
JOB QUALIFICIATIONS
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High school diploma or equivalent
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No directly related experience
Primary Location
Remote
Schedule
Full time
Shift
Day (United States of America)
Department
Centralized Pre-authorization
Employee Status
Regular
FTE
1
Weekly Hours
40
*Expected Starting Pay Range
*Annualized pay may vary based on FTE status$18.16 - $22.25
Cincinnati Children’s
Other
15 open roles on Sydicom
Cincinnati Children's is a leading pediatric academic medical center. It provides comprehensive medical care for children and conducts research focused on improving child health.
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