Patient Cost Estimate Specialist Senior

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 our doors.

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.

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.

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

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

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 well 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 Supervisor.

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 but may be of substantial intricacy. Employee primarily applies standardized practices. Decision Making: Decisions or recommendations on non-standardized situations are limited to relating organizational policies to specific cases. Brings non routine issues to supervisor. Problems that are not covered by guidelines or are without precedent are taken up with the supervisor. Communications: Contacts with the public or employees where explanatory or interpretive information is exchanged, gathered, or presented and some degree of discretion and judgment are required within the parameters of the job function. Supervision Received: Under normal supervision, within a standardized work situation, the employee performs duties common to the line of work without close supervision or detailed instruction. Work product is subject to continual review.

Ability to Perform Essential Functions of the Job

PHYSICAL REQUIREMENTS Ability to Perform Essential Functions of the Job * Audio-Visual: Hearing: Good * Audio-Visual: Near Vision: Good * General Activity: Sit: 2-4 hrs. per day * Motion: Bend: Up to 1/3 of time * Use of Hands/Feet: Precise Motor Function * Weight Lifted/Force Exerted: Up to 30 pounds
WORK ENVIRONMENT * Mental and Emotional Requirements: Independent discretion/decision making. * Mental and Emotional Requirements: Makes decisions under pressure. * Mental and Emotional Requirements: Manages stress appropriately. * Mental and Emotional Requirements: Works with others effectively.

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.

The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained.

Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career.

As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April.

Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.