Financial Counselor

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

Additional Information
Department Name: Financial Counseling
Job Status: Ful time, 40 hours per week
Shift: Sunday through Thursday 9:30am to 6pm.

Duties & Responsibilities

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.

Minimum Qualifications

• Degrees
  • 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
• Licenses & Certifications
  • Certification with the State of Colorado for CBMS Access within the first 2 months of hire

Salary Information
Pay is dependent on applicant's relevant experience.

Hourly Range: $22.20 to $33.30

Benefits 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.

EEO Statement
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.

Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information.