Patient Financial Advocate

1 week ago

San Diego, California, United States Reproductive Partners Fertility Clinic- San Diego Full time
Job Summary

We are seeking an experienced Healthcare Financial Counselor to join our team at Reproductive Partners San Diego, a leading fertility clinic in Southern California. As a Healthcare Financial Counselor, you will play a crucial part in helping patients navigate the financial aspects of their healthcare services.

About Our Clinic

Reproductive Partners San Diego is a renowned fertility clinic, recognized for our success in IVF, egg freezing, and other fertility treatments. Our team is dedicated to providing exceptional care and support to our patients.

Key Responsibilities
  • Assist patients in understanding their healthcare insurance coverage, including benefits, limitations, and out-of-pocket expenses.
  • Educate patients on their financial responsibilities, such as deductibles, co-pays, and co-insurance.
  • Review medical bills, insurance claims, and other financial documents to ensure accuracy and completeness.
  • Collaborate with healthcare providers to resolve billing and payment issues, including negotiating payment plans and resolving disputes with insurance companies.
  • Provide guidance and support to patients in understanding and navigating the healthcare system, including explaining medical billing codes, procedures, and insurance terminology.
  • Maintain accurate and up-to-date records of patient financial information, insurance coverage, and payment arrangements.
  • Communicate with patients, insurance companies, and healthcare providers to facilitate timely and accurate processing of claims and payments.
  • Advise patients on alternative payment options, such as healthcare financing, crowdfunding, or community resources.
  • Stay updated on changes in healthcare insurance regulations, policies, and procedures.
Requirements
  • Bachelor's degree in healthcare administration, finance, business, or a related field (or equivalent experience).
  • Knowledge of healthcare insurance policies, billing procedures, and medical terminology.
  • Familiarity with government healthcare assistance programs, such as Medicaid and Medicare.
  • Strong analytical and problem-solving skills, with attention to detail.
  • Excellent communication and interpersonal skills to interact effectively with patients, insurance companies, and healthcare providers.
  • Ability to handle sensitive and confidential information with discretion.
  • Proficiency in using computer systems and software applications for data entry, record keeping, and billing processes.
  • Previous experience in healthcare financial counseling or a related field is preferred.
  • Customer service-oriented mindset, with the ability to empathize and provide support to patients facing financial challenges.
What We Offer
  • Competitive salary.
  • Health, dental, and vision insurance options.
  • Retirement savings plan.
  • Paid time off and holidays.
  • Opportunities for professional development and growth.
  • A friendly and supportive work environment.
  • Ability to make an impact in the communities we serve.
Competencies
  • Customer Service – Displays courtesy and sensitivity; Manage difficult or emotional patient situations; Respond promptly to patient needs; Meet commitments.
  • Dependability – Commit to doing the best job possible; Follow instructions, respond to management direction; Keeps commitments; Meets attendance and punctuality guidelines; Responds to requests for service and assistance; Take responsibility for own actions.
  • Job Knowledge – Competency in required job skills and knowledge; Displays understanding of how job relates to others; Exhibit ability to learn and apply new skills; Require minimal supervision; Uses resources effectively.
  • Teamwork - Balance team and individual responsibilities; Exhibit objectivity and openness to others' views; Give and welcome feedback; Contribute to building a positive team spirit; Put success of team above own interests; Gives and welcomes feedback.

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