Apply for Job Job ID93692 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 The Financial Clearance Coordinator Sr manages high-risk insurance accounts within the Finance department, serves as a technical lead, and a subject matter expert resource. Verifies insurance benefits, obtains authorizations and pre-certifications, performs notice of admissions, and updates cost estimates prior to outpatient visits or scheduled admissions. Serves as a liaison between the family, provider, and insurance company to ensure financial clearance of accounts. Additional Information Department Name: Insureance Verification Job Status: Full time, 40 hours per week. Shift: Day Shift. Hybrid Qualifications EDUCATION - High School Diploma or Equivalent EXPERIENCE - Two (2) years of customer service including financial experience 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. Serves as a subject matter expert in finance area by participates in large scale projects and meetings, serves as technical lead, trains specific team members and delegates specific high-risk accounts. 2. 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. 3. Ensures patients are informed of benefits and associated costs by creating and communicating personalized estimates of financial responsibility. 4. Verifies that all required referrals are in place for services to be covered by the payor and verifies policy details including any exclusions the payor may have for expected services rendered. 5. Addresses referral/authorization issues by coordinating with families, clinics, and referring providers to ensure financial security of encounters. 6. Verifies, updates, and edits insurance coverage information for patients. 7. Identifies and resolves issues related to insurance information, referrals, and authorizations promptly. 8. Utilizes payer portals, automation, and relevant systems to secure financial aspects of accounts. 9. Participates in peer development programs and serves as a resource for co-workers and staff. 10. Adheres to HIPAA regulations and appropriately document all contacts within PHI-secured systems. 11. Provides customer service in person, by phone, or email; assist patients, families, providers, and staff with insurance or cost estimate-related inquiries and escalations, and self-pay estimates for those without... For full info follow application link. Equal Employment Opportunity 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. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information.