Campus Pride Jobs

Apply for Job

Job ID90578

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 Patient Access Coordinator works in close coordination with Patient Access leadership and other clinical and operational stakeholders to complete assigned tasks including denial management, financial clearance of complex visit types, and resolution of escalated high-risk issues. Supports performance improvement efforts by conducting root-cause analysis of data (including denial and patient data), summarizing analyses of identified trends, and supporting meetings with operational stakeholders to drive issue resolution. This position is a liaison between Primary Care Physicians (PCPs), patients, internal providers, Managed Care, and other revenue cycle team members to support Patient Accesses needs and goals. Responsible for working with Patient Access and other departments to develop and maintain training and guidelines around specific patient areas such as: RAVE (Referrals, Authorization, Verification and Eligibility), Financial Counseling, Scheduling, Registration, Admissions, Referrals, Check-in, or Patient Family Access Center. This position requires strong partnering with management and staff across multiple areas but is not limited to Patient Access, Ambulatory Services, Case Management, Patient

Additional Information

Department Name: Insurance Verification Job Status: Full time, 40 hours per week. Shift: Day shift, Hybrid

Qualifications

Education: High School Diploma or equivalent required. Experience: Four (4) years of experience in revenue cycle, claim mitigation and account research, or patient access. Equivalency: A relevant associate or bachelor's degree may substitute for the required experience on a year for year basis.

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. Participates in Patient Access projects, c nducting in-depth research and proposing solutions for root cause issues impacting patient accounts, insurance verification, and authorizations. Independently works through complex issues with key stakeholders. Coaches and assists team members with challenging accounts. Supports supervisor with ad hoc tasks like analysis, training, and meeting prep. Partners with key stakeholders to address patient populations and trends, ensuring follow-up on action items from meetings. Identifies high-level trends through data analysis, conducts specialized account research to understand root causes, and proposes/implements solutions. Identifies and implements workflow improvements in Patient Access and other departments. Leads recurring meetings discussing metric trends, presents research