Patient Advocate

Sutter Health•Oakland, CA

1d•Onsite

About The Position

Provides financial counseling to patients and their families. Assists with insurance verification and eligibility, assessment of patient financial requirements and insurance policies, and obtaining preauthorization for all services. Ensures that all patient issues regarding insurance claims and cost of care are handled properly. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent job performance, attentive monitoring and care, and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. Collections of financial responsibility. Collaborates with ancillary departments.

Requirements

HS Diploma or equivalent education/experience
1 year of recent relevant experience.
Knowledge of patient accounting functions, billing, and insurance or other third party coverage.
Knowledge of insurance and medical terminology.
Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form.
Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines.
Prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines.
Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
Ensure the privacy of each patient’s Protected Health Information (PHI).
Build collaborates relationships with peers and other staff members to achieve departmental and corporate objectives.

Nice To Haves

Equivalent experience will be accepted in lieu of the required degree or diploma.

Responsibilities

Provides financial counseling to patients and their families.
Assists with insurance verification and eligibility.
Assesses patient financial requirements and insurance policies.
Obtains preauthorization for all services.
Ensures that all patient issues regarding insurance claims and cost of care are handled properly.
Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent job performance, attentive monitoring and care, and effective communication.
Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care.
Collections of financial responsibility.
Collaborates with ancillary departments.