Lead Benefit Navigator (Remote)

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. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Acts in a pivotal role in guiding patients through the complexities of healthcare costs, insurance coverage, Medicaid and financial assistance programs. Acts as a subject matter expert by providing specialized support in completing, submitting, and securing approvals for Medicaid and financial assistance applications. Serves as a primary resource for patient inquiries ensuring clarity and accessibility in financial options. Collaborates with RevCycle teams, offering expert cross-coverage and support to enhance the overall patient financial experience. Supports day to day operations, assiting with workflows, metrics and training.

Job Requirements:

Education and Work Experience:

High School Education/GED or equivalent: Required Associate's/Technical Degree in healthcare administration, business administration, finance or accounting or equivalent combination of education/related experience: Preferred Three years' experience in medical office, financial services, medical billing, or healthcare financial assistance:

Required Essential Functions:

Educates patients on healthcare costs, insurance coverage, and available Medicaid and financial assistance programs to ensure they understand their financial responsibilities and options. Assists patients in completing, submitting, and tracking financial assistance applications, ensuring accuracy and compliance with regulatory requirements. Determines approval decisions on Medicaid and financial assistance applications and apply necessary adjustment(s) to patient balances. Maintains accurate financial records, ensures compliance with healthcare regulations, and upholds patient confidentiality in accordance with HIPAA and other policies. Serves as the primary resource for patients, associates and peers with questions regarding workflows, Medicaid, and financial assistance. Provides customer service support. Meets with patients both in person and virtually to review their Medicaid or financial assistance questions and to assist with completion of applications. Is a knowledge expert on Benefit Navigator workflows and processes. Will train and perform quality assurance. Understands and reviews metrics. Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify.

Visit https:

//adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.