Children's Hospital Colorado is seeking a Financial Clearance Coordinator to manage high-risk insurance accounts within the Finance department. The role involves verifying insurance benefits, obtaining authorizations, and serving as a liaison between families, providers, and insurance companies to ensure financial clearance of accounts.
Responsibilities
- Ensures accounts are secured and complete by performing benefit verification, estimate finalization, notice of admission, and/or prior authorization for services
- Notifies insurance companies of expected services rendered and secures authorization/pre-certification as per payer requirements
- Assists in payment collection before services are rendered by utilizing the cost estimate tool to ensure financial security of the organization
- Navigates hospital account records to identify billed services and how insurance coverage was applied
- Resolves errors within accounts regarding eligibility, verification, and authorization to ensure clean claims
- Collaborates with various departments throughout the organization to ensure accounts are secured prior to date-of-service
- Ensures patients are informed of benefits and associated costs by creating and communicating personalized estimates of financial responsibility
- Verifies that required referrals are in place for services to be covered by the payer and verifies policy details including any exclusions the payor may have for expected services rendered
- Verifies, updates, and edits insurance coverage information for patients
- Identifies and resolves issues related to insurance information, referrals, and authorizations promptly
- Coordinates with families, clinics, and referring providers to ensure financial security of encounters
- Utilizes payer portals, automation, and relevant systems to secure financial aspects of accounts
- Participates in peer development programs and serves as a resource for co-workers and staff
- Adheres to HIPAA regulations and appropriately documents all contacts within PHI-secured systems
- Assists patients, families, providers, and staff with insurance or cost estimate-related inquiries and escalations, and self-pay estimates for those without coverage or for non-covered services
- Responds to inquiries about anticipated costs, calculate balances based on coverage and benefits, coordinate with clinics and families
Skills
- High School diploma or GED
- One (1) year of customer service experience
Benefits
- Competitive pay and benefits package
- Paid time off
- Medical/dental/vision insurance
- Company provided life and disability insurance
- Paid parental leave
- 403b employer match (retirement savings)
- Robust wellness program
- Access to professional development tools
- Education benefit to help you advance your career
- Annual employee bonus program
- Annual base pay increases
Company Overview
- At Children’s Hospital Colorado, we know that kids aren’t just mini adults. It was founded in 1908, and is headquartered in Aurora, Colorado, USA, with a workforce of 10001+ employees. Its website is https://www.childrenscolorado.org.