Patient Advocate II, Primary Care at Sutter Health

San Francisco, California, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Jun, 26

Salary

45.48

Posted On

29 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Financial Counseling, Insurance Verification, Eligibility, Preauthorization, Claims Handling, Cost Assessment, Communication, Regulatory Adherence, Patient Privacy, Financial Collections, Collaboration, Time Management, Organizational Skills, Problem Solving, Medical Terminology, Patient Accounting

Industry

Hospitals and Health Care

Description

We are so glad you are interested in joining Sutter Health! Organization: SPMF-Sutter Pacific Medical Foundation - South Position Overview: Provides financial counseling to patients and their families. Asists 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. Job Description: EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. HS Diploma or equivalent education/experience TYPICAL EXPERIENCE: 1 year of recent relevant experience. SKILLS AND KNOWLEDGE: 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 collaborate relationships with peers and other staff members to achieve departmental and corporate objectives. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Friday, Monday, Thursday, Tuesday, Wednesday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $36.39 to $45.48 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Responsibilities

This role involves providing financial counseling to patients and families, which includes verifying insurance eligibility, assessing financial requirements, and obtaining necessary preauthorizations for services. The advocate must ensure all patient insurance claims and cost-of-care issues are handled correctly while maintaining patient privacy and adhering to regulations.