Job Information
Children's Hospital Colorado Patient Cost Estimate Specialist in Aurora, Colorado
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Job ID90640
LocationAurora, Colorado
Full/Part TimeFull-Time
Regular/TemporaryRegular
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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
This position produces estimates of cost of care for families and makes arrangements for payment of patient portion. 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: Insurance 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: One (1) year of customer service experience 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. 1. Estimates Trending and Reporting: 1) Updates and maintains estimate trending reports. 2) Conducts analysis and develops reports of estimate patterns by payors and clinical departments. 3) Assists in communicating results of reports to various component with Revenue Integrity and other depart 2. Maintains knowledge of requirements and guidelines for hospital-sponsored charity care, as well as the availability of financial assistance from external sources. 3. Performs billing and follow-up functions on assigned accounts to resolve billing, payment, and contractual issues in a manner that conforms to all federal, state, and payer regulations and that elicits accurate and timely reimbursement from payers and families. 4. 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. 5. Replies to inquiries from patients/families anticipating s rvices 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.
Other Information
SCOPE & LEVEL Guidelines: Guidelines are generally numerous, well established, and directly applicable to the work assignment. Work assignment and desired results are explained by general oral or written instructions. Complexity: Duties assigned are generally repetitive and restricted in scope
