Patient Advocate III Transplant
San Francisco, CAFull-time$38.2–53.48/hrPosted 4w agoStill listed 2w ago
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Job overview
Sutter Health is hiring a Patient Advocate III Transplant. The Patient Advocate III is responsible for verifying insurance eligibility, assessing patient financial needs, counseling patients on benefits and co‑payments, and obtaining pre‑authorizations for complex services while collaborating with physicians, staff, and managed‑care teams to ensure accurate clinical and billing information.
Key focus areas include Verify insurance eligibility and benefits, Assess patient financial requirements, and Counsel patients on insurance benefits and co‑payments.
Important skills include Insurance Benefits Knowledge, Authorization And Contracting, and Team Collaboration. Preferred (not required): Medical Terminology, Communication, Organizational Skills, and Computer Data Entry.
Skills & qualifications
Skills
Qualifications
Full job description
We are so glad you are interested in joining Sutter Health!
Organization:
CPMC-California Pacific Med Center Van Ness
Position Overview:
Responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments, and obtaining preauthorization for all complex services. Works closely with department staff, physicians and practice staff to facilitate timely start and continuity of services. Works in conjunction with managed care and departments to maintain accuracy in clinical and billing information. Requires detailed knowledge of insurance benefits and facility & professional managed care contracting.
Job Description :
EDUCATION Equivalent experience will be accepted in lieu of the required degree or diploma.
- Preferred: College Degree
- Required: HS Diploma or equivalent education/experience
- Required: Insurance benefits, authorization & contracting
PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:
- 2 years of complex insurance authorizations, detailed benefits for facility & professional charges and managed care contracting.
SKILLS AND KNOWLEDGE
- Familiarity of medical terminology/anatomy.
- Verbal and written communication skills for regular contact with physicians, employees, patients and insurance personnel.
- Organizational skills.
- Ability to work with others in a flexible, cooperative manner.
- Computer data entry skills to enter patient and authorization information.
#LI-TM1
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
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $38.20 to $53.48 / 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.
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