Job ID74983
LocationAurora, Colorado
Full/Part TimeFull-Time
Regular/TemporaryRegular
Why Work at Children's....
Here, it's different. Come join us.Children's Hospital Colorado has defined and delivered pediatric healthcareexcellence for more than 100 years.Here, the nation's brightest nurses, physicians, scientists,researchers, therapists, and care providers are creating the future ofchild health. With an optimist's outlook, a trailblazing spirit, and acelebrated history, we're making new strides every day.We've been Magnet-designated four times by the American Nurses CredentialingCenter and are consistently recognized among the nation's top 10 pediatrichospitals by U.S. News & World Report.As a national leader in pediatric care, we serve children and families fromall over the nation. Our System of Care includes four pediatric hospitals,11 specialty care centers, 1,300+ outreach clinics and more than10,000 healthcare professionals representing the full spectrum of pediatriccare specialties.Here, we know it takes all of us, every role, to deliver the bestpossible 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 differentidentities and backgrounds can nurture creativity and innovation. We know wecan see, treat, and heal children better when our team reflects thediversity of our patient population. We strive to attract and retain diversetalent because we know a truly inclusive and equitable workforce will help usone day realize our most basic calling: to heal every child who comesthrough oA career at Children's Colorado will challenge you, inspire you, andmotivate you to make a difference in the life of a child. Here, it'sdifferent.
Job Overview
This is an advanced-level variance (credit and/or debit) position withinthe Patient Financial Services team. The position ensures reconciliation ofpatient accounts with enhanced EOB/insurance processing understanding,accurate and timely response to payers' correspondence, advanced creditaccount review with understanding of contract summaries and application toaccount types, and collaboration with across Revenue Cycle and appropriatedepartments on accounts during discrepancies. Has in depth ability torecognize deviations from contractual expectation and payor activities ordecisions, recognize gaps in payment/reasoning or system errors and handleescalated, complex accounts, and is capable of auditing accounts foraccuracy and working accounts to completion/resolution. Identifies trends orgaps where appropriate and follows through to ensure solutions.#LI-Hybrid
Additional Information
Department: Patient Financial ServicesHours per week: 40, eligible for benefitsShift: Flexible
Qualifications
Education: High School Diploma or equivalent required.Experience: Minimum five (5) years of healthcare medical billing andaccounts receivable experience.
Responsibilities
POPULATION SPECIFIC CARENo Direct Patient Care
Other Information
SCOPE & LEVELGuidelines: Guidelines are generally but not always clearly applicable,requiring the employee to exercise judgment in selecting the most pertinentguideline, interpret precedents, adapt standard practices to differingsituations, and recommend alternative actions in situations without precedent.Complexity: Duties assigned are generally complex and may be of substantialintricacy. Work assignment is performed within an established framework undergeneral instructions but requires simultaneous coordination of assignedfunctions or projects in various stages of completion.Decision Making: Exercises judgment and discretion, and is responsible fordetermining the time, place and sequence of the work performed.Communications: Contacts with team members, clients or the public whereexplanatory or nterpretive information is exchanged, defended, andgathered and discretion and judgment are required within the parameters of thejob function. Supervision Received: Performs work with minimal supervisoryoversight. Under general supervision, the employee receives assignments andis expected to carry them through to completion with substantial independence.Work is reviewed for adherence to instructions, accuracy, completeness,and conformance to standard practice or precedent. Recurring work clearlycovered by guidelines may or may not be reviewed.
Physical Requirements
Ability to Perform Essential Functions of the JobAudio-Visual: Far Vision: GoodAudio-Visual: Hearing: Good