Patient Advocate III Transplant

Sutter Health•San Francisco, CA

86d•$38 - $53•Onsite

About The Position

Responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments, and obtaining preauthorization for all complex services. Works closely with department staff, physicians and practice staff to facilitate timely start and continuity of services. Works in conjunction with managed care and departments to maintain accuracy in clinical and billing information. Requires detailed knowledge of insurance benefits and facility & professional managed care contracting.

Requirements

HS Diploma or equivalent education/experience
Insurance benefits, authorization & contracting
Familiarity of medical terminology/anatomy
Verbal and written communication skills for regular contact with physicians, employees, patients and insurance personnel
Organizational skills
Ability to work with others in a flexible, cooperative manner
Computer data entry skills to enter patient and authorization information

Nice To Haves

College Degree
2 years of complex insurance authorizations, detailed benefits for facility & professional charges and managed care contracting.

Responsibilities

Insurance verification and eligibility
Assessment of patient financial requirements
Counseling patients on insurance benefits and co-payments
Obtaining preauthorization for all complex services
Works closely with department staff, physicians and practice staff to facilitate timely start and continuity of services
Works in conjunction with managed care and departments to maintain accuracy in clinical and billing information