Financial Advocate

Sanford Health is one of the largest and fastestgrowing notforprofit health systems in the United States. Were proud to offer many development and advancement opportunities to our nearly 50000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Work Shift:

8 Hours Day Shifts (United States of America)

Scheduled Weekly Hours:

40

Salary Range: $19.25 $25.50

Union Position:

No

Department Details

Come join the Patient Financial Services team as a Financial Advocate!

We are looking for a team player who is able to think creatively to address patients finical needs. Experience working in healthcare or with health insurance is a bonus.

The schedule for this position is 8 am to 5 pm Monday Friday; no weekends or holidays.

Summary

Provides financial advocacy counseling to patients/families including topics of insurance coverage treatment coverage prompt pay and financial hardship discounts to patients and family members.

Job Description

Responsible for screening selfpay patients and evaluate them to determine eligibility in various governmental and nongovernmental 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 recertifications. Contacts appropriate agencies to obtain information and paperwork necessary to process patients 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 jobrelated 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

Bachelors 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.

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 callor send an email to