Children's Hospital Colorado
Financial Clearance Coordinator Sr
Children's Hospital Colorado, Aurora, Colorado, United States, 80012
Financial Clearance Coordinator – Senior
The Financial Clearance Coordinator Sr manages high‑risk insurance accounts within the Finance department, serves as a technical lead and subject‑matter expert. They verify insurance benefits, obtain authorizations and pre‑certifications, perform notices of admission, and update cost estimates prior to outpatient visits or scheduled admissions. They serve as a liaison among families, providers, and insurance companies to ensure financial clearance of accounts. Location: Aurora. Work hours: Monday to Friday, 8:00 AM – 5:00 PM (Hybrid). 40 hours per week. Regular full‑time position. Duties and Responsibilities
Serves as a subject‑matter expert, participates in large projects and meetings, acts as technical lead and trains team members, delegates high‑risk accounts. Assists in payment collection before services by using a cost estimate tool to ensure financial security. Navigates hospital account records to identify billed services and how insurance coverage was applied, resolving errors with eligibility, verification, and authorization. Collaborates with various departments to ensure accounts are secured before date of service. Performs benefit verification, estimate finalization, notice of admission, and/or prior authorization for services, and notifies insurance companies of expected services. Informs patients of benefits and associated costs by creating and communicating personalized estimates of financial responsibility; verifies, updates, and edits insurance coverage information. Verifies required referrals and policy details, including exclusions for expected services. Identifies and resolves issues related to insurance information, referrals, and authorizations promptly, coordinating with families, clinics, and providers. 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 documents all contacts in PHI‑secured systems. Assists patients, families, providers, and staff with insurance or cost estimate inquiries and escalations, including self‑pay estimates for those without coverage or for non‑covered services. Minimum Qualifications
High School diploma or GED. Minimum 2 years of customer service experience. Salary Information
Pay depends on applicant's relevant experience. Hourly range: $21.14 – $31.72. Benefits Information
Children’s Hospital Colorado offers a competitive pay and benefits package, including base pay, incentives, paid time off, medical/dental/vision insurance, company‑provided life and disability insurance, paid parental leave, 403(b) employer match, a robust wellness program, and professional development tools such as an education benefit. Total Rewards includes an annual employee bonus program tied to organizational performance, paid in April if goals are met, as well as annual base pay increases based on performance. EEO Statement
It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job‑related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. No question is intended to imply illegal preferences or discrimination based on non‑job‑related information. The position is expected to stay open until the posted close date. Please submit your application as soon as possible, as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained. Colorado Residents: You may redact or remove age‑identifying information such as age, date of birth, or dates of attendance or graduation. You will not be penalized for redacting or removing this information.
#J-18808-Ljbffr
The Financial Clearance Coordinator Sr manages high‑risk insurance accounts within the Finance department, serves as a technical lead and subject‑matter expert. They verify insurance benefits, obtain authorizations and pre‑certifications, perform notices of admission, and update cost estimates prior to outpatient visits or scheduled admissions. They serve as a liaison among families, providers, and insurance companies to ensure financial clearance of accounts. Location: Aurora. Work hours: Monday to Friday, 8:00 AM – 5:00 PM (Hybrid). 40 hours per week. Regular full‑time position. Duties and Responsibilities
Serves as a subject‑matter expert, participates in large projects and meetings, acts as technical lead and trains team members, delegates high‑risk accounts. Assists in payment collection before services by using a cost estimate tool to ensure financial security. Navigates hospital account records to identify billed services and how insurance coverage was applied, resolving errors with eligibility, verification, and authorization. Collaborates with various departments to ensure accounts are secured before date of service. Performs benefit verification, estimate finalization, notice of admission, and/or prior authorization for services, and notifies insurance companies of expected services. Informs patients of benefits and associated costs by creating and communicating personalized estimates of financial responsibility; verifies, updates, and edits insurance coverage information. Verifies required referrals and policy details, including exclusions for expected services. Identifies and resolves issues related to insurance information, referrals, and authorizations promptly, coordinating with families, clinics, and providers. 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 documents all contacts in PHI‑secured systems. Assists patients, families, providers, and staff with insurance or cost estimate inquiries and escalations, including self‑pay estimates for those without coverage or for non‑covered services. Minimum Qualifications
High School diploma or GED. Minimum 2 years of customer service experience. Salary Information
Pay depends on applicant's relevant experience. Hourly range: $21.14 – $31.72. Benefits Information
Children’s Hospital Colorado offers a competitive pay and benefits package, including base pay, incentives, paid time off, medical/dental/vision insurance, company‑provided life and disability insurance, paid parental leave, 403(b) employer match, a robust wellness program, and professional development tools such as an education benefit. Total Rewards includes an annual employee bonus program tied to organizational performance, paid in April if goals are met, as well as annual base pay increases based on performance. EEO Statement
It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job‑related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. No question is intended to imply illegal preferences or discrimination based on non‑job‑related information. The position is expected to stay open until the posted close date. Please submit your application as soon as possible, as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained. Colorado Residents: You may redact or remove age‑identifying information such as age, date of birth, or dates of attendance or graduation. You will not be penalized for redacting or removing this information.
#J-18808-Ljbffr