Patient Advocate III Transplant

About the job

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 posted pay range is based on the position's primary work location. Candidates who reside and work outside of that location may be subject to a different pay range based on their work location. Candidate starting salaries consider 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.