Financial Advocate

Careers With Purpose

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Facility: Medical Building 3 Location: Sioux Falls, SD Address: 1500 W 22nd St, Sioux Falls, SD 57105, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $19.25 - $30.50

Job Summary

We are seeking a compassionate, detail-oriented Financial Advocate to join our fertility care team. The Financial Advocate serves as a key resource for patients by helping them understand the financial aspects of fertility treatment. This role provides guidance on insurance benefits, treatment costs, financing options, and payment arrangements while ensuring a positive and supportive patient experience throughout their fertility journey.

The ideal candidate combines strong financial and insurance knowledge with exceptional communication skills and a passion for helping patients navigate complex healthcare decisions.

With the Fertility and Reproductive Medicine team you will be working with a multi-disciplinary team of providers, nursing, genetic counseling, ultrasound and lab staff. All here to support the journey of the patients in the clinic. Responsible for screening self-pay patients and evaluate them to determine eligibility in various governmental and non-governmental programs to ensure patients are assisted in meeting their financial obligations. Discuss agreeable payment plans with qualified patients. Responsible for identifying all sources of potential payers including Commercial Insurance, Private Insurance, etc. Also responsible for providing and completing the Financial Assistance Application form and assisting patients in the process of applying for any benefits for which they may be eligible. Determine patient eligibility for assistance programs through interviews and screening processes. Complete an insurance benefit investigation for all new/transferring patients as appropriate. Completes prior authorization as necessary. Works with patients to ensure continued eligibility and ensure re-certifications. Contacts appropriate agencies to obtain information and paperwork necessary to process patient's assistance applications. These resources can include state caseworkers, banks, employers, Social Security Administration, medical facilities, and insurance companies. Assist with patient assistance programs offered by pharmaceutical companies, state governments and nonprofit groups. Educates patients on various sponsorship programs available based on eligibility including but not limited to Medicare, Supplemental Security Income, Social Security Disability, Medicaid programs, County eligibility, and Indian Health Services. Assist with completing FMLA and Disability paperwork requirements. Assist patients to navigate the Medicare System to ensure benefit start dates are accurate, correct insurance is primary, ESRD benefits, etc. Ensures avenues of reimbursement or assistance are pursued for uninsured and underinsured patients. Refers patients to other agencies for assistance when needed and discusses the financial statement process relating to payment options and hospital assistance, including grants. Follows up in obtaining missing insurance information, patient demographics, etc., on patient accounts for the proper handling in the billing office. Complete price estimates. Completes annual review of insurance pamphlet and coverage options as mandated by Conditions for Coverage. Communicates with supervisor and various departments such as Nursing, Physicians, Case Management, Social Work, Patient Access, Patient Relations, Quality Resource Management and Social Services to address patient concerns. Complies with other job-related responsibilities as directed by Leadership. Demonstrates a caring and respectful attitude to all patients, family members, visitors and fellow employees as defined in the mission and values of the organization.

Qualifications

Bachelor’s degree in social work, case management, public relations or related field required. In lieu of degree, consideration may be given to six years equivalent work experience.

Previous experience in healthcare services or health insurance would be beneficial, but not required.

Benefits

Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [email protected] .

Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0275106 Job Function: Revenue Cycle Featured: No