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About the Role
Provides financial counseling to patients and their families, assisting with insurance verification, eligibility, and preauthorization for services. Ensures proper handling of insurance claims and cost of care issues, gaining patient and provider confidence through competent performance and effective communication. Adheres to regulations for privacy and safety while delivering optimal patient care and collecting financial responsibility. Collaborates with ancillary departments.
Responsibilities
- Assists with insurance verification and eligibility
- Assesses patient financial requirements and insurance policies
- Obtains preauthorization for all services
- Ensures all patient issues regarding insurance claims and cost of care are handled properly
- Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent job performance, attentive monitoring and care, and effective communication
- Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care
- Collections of financial responsibility
- Collaborates with ancillary departments
Requirements
- Equivalent experience will be accepted in lieu of the required degree or diploma
- 1 year of recent relevant experience
- Knowledge of patient accounting functions, billing, and insurance or other third party coverage
- Knowledge of insurance and medical terminology
- Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form
- Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people
- Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines
- Prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines
- Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions
- Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options
- Ensure the privacy of each patient’s Protected Health Information (PHI)
- Build collaborate relationships with peers and other staff members to achieve departmental and corporate objectives
Skills
- Patient accounting functions
- Billing
- Insurance verification
- Eligibility assessment
- Preauthorization
- Insurance claims handling
- Cost of care assessment
- Medical terminology
- Data interpretation
- Written communication
- Verbal communication
- Time management
- Organizational skills
- Prioritization
- Independent work
- Teamwork
- Problem-solving
- PHI privacy
- Collaborative relationship building
Location
- CPMC-California Pacific Med Center - Mission Bernal
Work Type
- Day/Evening
- Per Diem/Casual
- Variable
- Rotating Weekends
Experience Level
- 1 year of recent relevant experience
Education Level
- HS Diploma or equivalent education/experience
Salary/Compensations
- $32.30 to $43.34 / hour
Benefits
- No
About the Company
- Sutter Health is an equal opportunity employer EEOE/M/F/Disability/Veterans.
- 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.
Equal Opportunity
- EOE/M/F/Disability/Veterans