Revenue Cycle Complaints Coordinator

Job Overview

The Revenue Cycle Complaints Coordinator specializes in patient complaint management and de‑escalation. This role is responsible for addressing and resolving complex patient concerns related to billing, insurance, and account inquiries. The specialist works closely with internal teams to investigate issues, ensure timely resolution, and uphold compliance with regulatory and organizational standards.

Additional Information

• Department Name:
  Patient Financial Services
• Job Status:
  Full time, 40 hours per week.
• Shift: Monday to Friday. 8am to 4:30pm, hybrid

• Perform the role as the central contact for all Revenue Cycle complaints, ensuring prompt, accurate, and empathetic resolution.
• Collaborate with patients and families to resolve Patient Responsibility (PR) balances related to non-covered services, including direct outreach to insurance providers to explore overturning balances when appropriate.
• Support guarantors with drafting and submitting insurance appeals, providing step‑by‑step guidance throughout the process.
• Act as a liaison between Patient Relations and internal Revenue Cycle teams to ensure alignment and efficiency in addressing concerns.
• Identify trends, barriers, and opportunities for process improvement within the Revenue Cycle and patient financial experience.
• Maintain compliance with hospital policies, state/federal regulations, and payer requirements.
• Provide clear documentation and tracking of complaints and resolutions in appropriate systems.
• Bring forward opportunities and/or solutions to make improvements internally where needed based on findings through complaint resolution process.

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.

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.

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.

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.

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.

• Degrees
  • High School Diploma or equivalent GED
• Experience
  • Three (3) years of healthcare and/or revenue cycle experience.
• Equivalency
  • None

Pay is dependent on applicant's relevant experience.

Hourly Range: $22.20 to $33.30

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.

It is our intention that all qualified applicants be given equal opportunity and that selection decisions be…