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Sutter Health

Patient Advocate III Transplant

san francisco, CA

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Job description

Insurance Verification SpecialistResponsible 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.Education: Equivalent experience will be accepted in lieu of the required degree or diploma.Preferred: College DegreeRequired: HS Diploma or equivalent education/experienceRequired: Insurance benefits, authorization & contractingPreferred 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.Job Shift: DaysSchedule: Full TimeShift Hours: 8Days of the Week: Friday, Monday, Thursday, Tuesday, WednesdayWeekend Requirements: NoneBenefits: YesUnions: NoPosition Status: Non-ExemptWeekly Hours: 40Employee Status: RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.Pay Range is $38.20 to $53.48 / hourThe 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.

Worksite address

san francisco, CA, 94109, US

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