Benefit Navigator (Onsite)

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus—a rejuvenating place for associates systemwide to collaborate, innovate, and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to a welcoming space designed to promote well-being and inspire your best work.

About the Role

Serves as the subject matter expert (SME) for insurance questions from associates, ancillary departments, and/or patients. Manages patient responsibility estimates and point-of-service (POS) collections. Assists with financial assistance application completion, submission, and approval. Partners with Medicaid eligibility vendor. Collects and/or creates cash deposits and provides change to departments. Acts as the point of contact for patient questions regarding insurance explanation of benefits, payments, and itemized statements. Provides cross-coverage to patient access departments, including other sites.

Responsibilities

• Completes accurate and timely benefit review and determination of patient financial liability, including eligibility for charity care.
• Collects expected patient responsibility or makes payment arrangements to collect that amount.
• May be responsible for reviewing and processing financial assistance applications.
• Works collaboratively with the care management department.
• Educates patients on insurance benefits, available payment options, and internal/external assistance programs, including providing Medicaid and/or financial assistance applications.
• Assists patients with explanation of benefits (EOB) and other insurance/account questions.
• Collaborates with financial counseling stakeholders if the patient is eligible for government assistance programs or hospital charity care.
• Provides cross-coverage and training, when needed, for other team members.
• Performs other job-related duties as assigned.

Requirements

• High School Education/GED or equivalent: Required
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• Five years' patient access experience: Preferred

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness, and hope.

Full-time, day shift position located in Saint Helena, CA.

Pay

The estimated base pay for this position is $25.13 to $33.47 per hour. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions.

Schedule

• Full-time, regular position
• Day shift
• 8-hour shifts