Apply for Job Job ID90826 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 This is an advanced-level variance (credit and/or debit) position within the Patient Financial Services team. The position ensures reconciliation of patient accounts with enhanced EOB/insurance processing understanding, accurate and timely response to payers' correspondence, advanced credit account review with understanding of contract summaries and application to account types, and collaboration with across Revenue Cycle and appropriate departments on accounts during discrepancies. Has in depth ability to recognize deviations from contractual expectation and payor activities or decisions, recognize gaps in payment/reasoning or system errors and handle escalated, complex accounts, and is capable of auditing accounts for accuracy and working accounts to completion/resolution. Identifies trends or gaps where appropriate and follows through to ensure solutions. Additional Information Department Name: Patient Financial Services Job Status: Full time 40 hours per week. Shift:Day shift flexible hours from 6am to 6pm. Hybrid Qualifications Education: High School Diploma or equivalent required. Experience: Minimum five (5) years of healthcare and/or accounts receivable 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. * Reads and interprets EOB/insurance processing to understand and work and resolve accounts. * Reads, understands, and interprets contracts and contract summaries to advise correct applications for an account. * Recognizes and solves for deviations from contractual expectation and payor activities/decisions, recognize gaps in payment/reasoning or system errors. * Will work projects such as Novita's, Medicaid and Medicare Audits, HMS. Supports and completes audit processes. * Investigates and resolves assigned credit and/or debit balance accounts. Issue insurance refunds when appropriate. * Calculates, correspo ds on, and corrects contractual adjustments based on insurance contracts. * Intermediate trending and analysis - identifying root cause and solution-oriented mindset. Recognize and call out trends within payers and escalate as appropriate. * Proficiently discusses accounts, records, and service with patients/insurance, as needed. * Collaborates with patients, vendors, and internal departments to resolve conflicts on accounts and resolve any outstanding credit and/or debit balances of unapplied/unidentified payment receipts. * Identifies and prioritizes accounts and WQs, based on scoring, type, payor, dollar, etc. * Understanding... 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.