Benefit Navigator

4 weeks ago

Kailua, United States Adventist Health Full time
Job 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, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 90 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of 37,000 includes employees, physicians and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

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