Financial Clearance Coordinator

Children's Hospital Colorado is seeking a Financial Clearance Coordinator to manage high-risk insurance accounts within the Finance department. The role involves verifying insurance benefits, obtaining authorizations, and serving as a liaison between families, providers, and insurance companies to ensure financial clearance of accounts. Responsibilities 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 Assists in payment collection before services are rendered by utilizing the cost estimate tool to ensure financial security of the organization Navigates hospital account records to identify billed services and how insurance coverage was applied. Resolves errors within accounts regarding eligibility, verification, and authorization to ensure clean claims Collaborates with various departments throughout the organization to ensure accounts are secured prior to date-of-service Ensures patients are informed of benefits and associated costs by creating and communicating personalized estimates of financial responsibility Verifies that required referrals are in place for services to be covered by the payer and verifies policy details including any exclusions the payor may have for expected services rendered Verifies, updates, and edits insurance coverage information for patients Identifies and resolves issues related to insurance information, referrals, and authorizations promptly. Coordinates with families, clinics, and referring providers to ensure financial security of encounters Utilizes payer portals, automation, and relevant systems to secure financial aspects of accounts Participates in peer development programs and serves as a resource for co-workers and staff Adheres to HIPAA regulations and appropriately documents all contacts within PHI-secured systems Assists patients, families, providers, and staff with insurance or cost estimate-related inquiries and escalations, and self-pay estimates for those without coverage or for non-covered services. Responds to inquiries about anticipated costs, calculate balances based on coverage and benefits, coordinate with clinics and families Skills High School diploma or GED One (1) year of customer service experience Benefits 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 Access to professional development tools, including an education benefit to help you advance your career Annual employee bonus program Annual base pay increases Company Overview At Children’s Hospital Colorado, we know that kids aren’t just mini adults. It was founded in 1908, and is headquartered in Aurora, Colorado, USA, with a workforce of 10001+ employees. Its website is