Apply for Job

Job ID90628

LocationAurora, Colorado

Full/Part TimeFull-Time

Regular/TemporaryRegular

Add to Favorite Jobs

Why Work at Children's....

Here, it's different. Come join us. Children's Hospital Colorado has defined and delivered pediatric healthcare excellence for more than 100 years. Here, the nation's brightest nurses, physicians, scientists, researchers, therapists, and care providers are creating the future of child health. With an optimist's outlook, a trailblazing spirit, and a celebrated history, we're making new strides every day. We've been Magnet-designated four times by the American Nurses Credentialing Center and are consistently recognized among the best of the best pediatric hospitals with #1 rankings in Colorado and the region by U.S. News & World Report. As a national leader in pediatric care, we serve children and families from all over the nation. Our System of Care includes four pediatric hospitals, 11 specialty care centers, 1,300+ outreach clinics and more than 10,000 healthcare professionals representing the full spectrum of pediatric care specialties. Here, we know it takes all of us, every role, to deliver the best possible care to each child and family we treat. That's why we build our teams toward a foundation of equity in access, advancement, and opportunity. We know teams of individuals with different identities and backgrounds can nurture creativity and innovation. We know we can see, treat, and heal children better when our team reflects the diversity of our patient population. We strive to attract and retain diverse talent because we know a truly inclusive and equitable workforce will help us one day realize our most basic calling: to heal every child who comes through o A career at Children's Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child. Here, it's different.

Job Overview

Position produces estimates of cost of care for families prior to date of service. Focuses on complex, cost estimates identified as high risk. Is a lead for other Patient Cost Estimate Specialists. The individual must have good investigatory skills, be detail-oriented, exhibit good listening skills and problem-solving skills, and be able to speak with patients/families who may be under stress due to potential financial liability and anticipated medical services.

Additional Information

Department Name: Isurance Verification Job Status: Full time, 40 hours per week. Shift: Monday to Friday, 8am to 4:30pm, Hybrid

Qualifications

Education - High School Diploma or equivalent Experience - Three (3) years of customer service experience, including two years in a medical office setting.

Responsibilities

POPULATION SPECIFIC CARE No direct patient care. ESSENTIAL FUNCTIONS An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform. * Performs lead duties within the unit as well as focuses on cost estimates identified as high risk by the department. * Provides cost estimate training and support to the unit. * Mentors and coaches co-workers; collaborates with management in order to reach goals and business outcomes. * Provides input surrounding federal regulations and project improvement. * Notifies families of cost estimates for services being rendered prior to the services being performed. * Estimates Trending & Reporting: 1) Updates and maintains estimate trending reports. 2) Conducts analysis and develop reports of estimate patterns by payors and clinical departments. 3) Assists in communicating results of reports to various components within Revenue Integrity and other departments. * Reviews and Analyzes Patient Cost Estimate Complaints. * Maintains knowledge of requirements and guidelines for hospital-sponsored charity care, as w ll as the availability of financial assistance from external sources. * Provides excellent customer service to all stakeholders, internal and external. Responds to all phone calls in an efficient and courteous manner. Listens and responds to customer service needs with the appropriate level of urgency. * Replies to inquiries from patients/families anticipating services to prepare estimates of amounts due based on anticipated services and patient coverage. Calculates balances based on plan and benefits, and then discusses and finalizes the method of resolving balances. * Serves as a subject matter expert for co-workers and staff. * Provides customer service in person by phone or email; assists customers, patients, families, providers, and staff with complex or escalated cost estimate questions. * Works in conjunction with hospital departments to solve intradepartmental issues. * Assists on special projects as assigned by the Supe