Financial Clearance Coordinator

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