Patient Advocate III Transplant

Insurance Verification Specialist

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.

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.

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 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.