Financial Counselor

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.

This position conducts face-to-face interviews with patients and families to gather, assemble and review information supplied by the applicant for financial assistance.

Department Name: Financial Counseling
Job Status: Full time, 40 hours per week.
Shift: Saturday through Wednesday, 8am to 4:30pm. Weekend committment. In person.

• EDUCATION - High School Diploma or equivalent.
• EXPERIENCE - One (1) year of experience in medical insurance and/or customer service in healthcare environment OR one (1) year of experience in medical insurance in public sector (State or County) OR two (2) years of non-health care, non-public sector financial experience.
• EQUIVALENCY - Associates Degree may substitute for required experience
• CERTIFICATION(S) - Certification with the State of Colorado for CBMS Access within the first 2 months of hire

POPULATION SPECIFIC CARE
No direct patient care.

ESSENTIAL FUNCTIONS
An employee in this position may be called upon to do any or all the following essential functions. These examples do not include all the functions which the employee may be expected to perform.

1.Completes financial screening and obtains required documentation for each application type. Completes financial applications for Medicaid, CICP and Child Health Plan Plus. Secures and converts all self-pay, underinsured, and high dollar patients, inpatients, ER patients and scheduled surgery patients.
2.Answers patient questions regarding financial assistance eligibility and communicates the application status. Follows the application and updates patient Medical Record for all applicable accounts once the application has been proceeded by the county. Assists with certain out of state Medicaid applications.
3.Interprets individual financial statements, bank accounts and tax returns to accurately rate a patient using the guidelines of the charitable and government programs. Provides families with pharmacy needs with CHCO internal Balloon Boy Program and 340B Pharmacy program.
4.Provides families additional resources that CHCO offers such as payment plans and Cost Estimates. Provides the family additional resources for Health Care Guides and Affordable Care ACT.
5.Manages assigned work queues and phone que. Provides customer service to patients, co-workers, and clinical staff. Greets customers on the telephone or in person, assesses needs and provides information for services requested. Acts as a liaison between health services, social services, case management and the community.
6.Completes patient accounts based on departmental protocol, state and federal policies, procedures, and compliance with regulatory agencies. Administers hospital, State and Federal regulations for financial assistance policies, Medicaid and the Colorado Indigent Care Program (CICP).
7.Establishes and coordinates a schedule for walk-in assistance applicants and facilitates application process.
8.Works with families to ensure that insurance is active and help resolve any discrepancies such as COBRA, Date of Birth Miss match and adding a newborn to coverage.
9.Maintains knowledge and stays up-to-date with all internal and external policy and procedures that may affect reimbursement.
10.Scans all required documents and approved applications within EMR.
11.Collects copays for services rendered based on copay scale.

SCOPE AND LEVEL

Guidelines: Developmental, standard, or intermediate level. 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: Falls between the entry and full performance/senior level. 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 that are without precedent are taken up with the supervisor.

Communications: Contacts with team members, clients or the public 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

Audio-Visual: Far Vision: Good

Audio-Visual: Hearing: Good

Audio-Visual: Near Vision: Good

General Activity: Sit 2-4 hours per day

Motion: Bend: Up to 1/3 of time

Motion: Reach: Up to 1/3 of time

Use of Hands/Feed: Both Hands- Precise Motor Function (Or Fine Manipulation)

Weight Lifter/ Force Exerted: Up to 10 pounds: Up to 1/3 of time

WORK ENVIRONMENT

Equipment: telephone, computers, fax machines, copiers, reading reports/graphs

Exposure: Exposure to blood/body fluid: Occasional

Exposure: Exposure to cold/heat: Occasional

Exposure: Exposure to infectious disease: Occasional

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.

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.