Financial Advocate - Differential Waiver

October 29

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Sanford Health

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Cancer • Children's • Heart • Orthopedics & Sports Medicine • Women's

10,000+

Description

• Provides financial advocacy counseling to patients/families including topics of insurance coverage, treatment coverage, prompt pay and financial hardship discounts. • Responsible for screening self-pay patients and evaluate them to determine eligibility in various governmental and non-governmental programs. • Discuss agreeable payment plans with qualified patients. • Identifying all sources of potential payers including Commercial Insurance, Private Insurance, etc. • Assists patients in completing the Financial Assistance Application form. • Determine patient eligibility for assistance programs through interviews and screening processes. • Complete insurance benefit investigation for all new/transferring patients as appropriate. • Works with patients to ensure continued eligibility and ensure re-certifications. • Contacts appropriate agencies to obtain information and paperwork necessary to process patient's assistance applications. • Educates patients on various sponsorship programs available based on eligibility. • Completes FMLA and Disability paperwork requirements. • Ensures avenues of reimbursement or assistance are pursued for uninsured and underinsured patients. • Refers patients to other agencies for assistance when needed.

Requirements

• Bachelor's 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.