Benefit Navigator (Remote) at Adventist Health

Roseville, California, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Jun, 26

Salary

0.0

Posted On

04 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Knowledge, Benefit Review, Financial Liability Determination, Charity Care Eligibility, Collections, Payment Arrangements, Financial Assistance Application, Medicaid Eligibility, Cash Deposits, Explanation of Benefits (EOB), Itemized Statements, Patient Access, Cross Coverage, Training, Patient Education

Industry

Hospitals and Health Care

Description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. 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. Job Requirements: Education and Work Experience: * High School Education/GED or equivalent: Required * Associate's/Technical Degree or equivalent combination of education/related experience: Preferred * Five years' patient access experience: Preferred Essential Functions: * 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. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Responsibilities

The role involves serving as the subject matter expert for insurance inquiries from associates, ancillary departments, and patients, managing financial responsibility estimates, and assisting with financial assistance applications. Responsibilities also include collecting deposits, acting as the point of contact for payment and statement questions, and providing cross coverage to patient access departments.