Benefit Navigator (Onsite, AHMC)

Adventist Health • Fort Bragg, CA

3d • Onsite

About The Position

Located where miles of breathtaking ocean views meet dense coastal forests,
Adventist Health Mendocino County has a rich history serving community members
on the coast since 1971. We are comprised of a 25-bed critical access hospital
and offer a range of services in Fort Bragg. The Mendocino Coast offers a
small-town atmosphere and is known for its natural beauty, from the smallest to
the tallest redwoods in the world, to glass bottom beaches and the only
oceanfront botanical gardens in the United States. With whale watching, fishing,
hiking trails and many more outdoor adventures readily available, this coastal
region is a place to immerse yourself in its landscape and history.

Job Summary:

Serves as the subject matter expert (SME) for insurance questions from
associates, ancillary depts, and/or patients. Manages patient responsibility
estimates and POS collections. Assists with financial assistance application
completion, submission and approval. Partners with Medicaid eligibility vendor.
Collects and/or creates cash deposits and provides change to departments. Acts
as the point of contact for patient questions regarding insurance explanation of
benefits, payments, and itemized statements. Provides cross coverage to patient
access departments including other sites. This position is represented by UFCW.

Requirements

• High School Education/GED or equivalent: Required
• Five years' patient access experience: Preferred

Nice To Haves

• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

Responsibilities

• Completes accurate and timely benefit review and determination of patient financial liability including eligibility for charity care.
• Collects expected patient responsibility or makes payment arrangements to collect that amount. May be responsible for reviewing and processing of financial assistance applications. Works collaboratively with care management department.
• Educates patient on insurance benefits, available payment options, and internal/external assistance programs including providing Medicaid and/or financial assistance application. Assist patients with EOB explanations and other insurance/account questions.
• Collaborates with financial counseling stakeholder if patient is eligible for government assistance programs or hospital charity care.
• Provides cross coverage and training, when needed, for other team members.
• Performs other job-related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees