Patient Benefit Advisor (SEIU), Full Time, Day Shift

Nestled on the Central California Coast, Adventist Health Sierra Vista has been providing care to our community since 1959. Our 162-bed acute care facility includes a Level III Neonatal Intensive Care Unit and county designated trauma center. San Luis Obispo offers the excitement of a lively community while being a fifteen-minute drive from the serenity of Avila Beach, known for their natural hot springs, and Pismo Beach, known for their sand dunes and eucalyptus trees.

Featuring a charming downtown, comfortable coastal weather, idyllic views, and an active lifestyle San Luis Obispo offers much to be had.

Job Summary

Ensures all services are financially secure. Provides accurate and timely insurance verification, benefit review and determination of patient financial liability. Collects patient financial liability. Educates patients on available payment options and internal/external assistance programs. Provides assistance in initiation of insurance authorization and notification to insurance companies of patient admissions within required time limits.

Creates a positive patient experience by always being polite, compassionate and professional. This position is represented by SEIU. Job Requirements: Education and Work Experience: High School Education/GED or equivalent: Preferred Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred Hospital/medical business office experience with insurance procedures and patient interaction: Preferred Essential Functions: Educates patients on benefits and programs.

Collects demographic and insurance information from patients, collects expected patient responsibility or makes arrangements for the collection of that amount, and financially secures the account. Determines accounts that may be eligible for government assistance programs or hospital charity care. Works with patients to ensure encounters are financially secured prior to time of discharge.

This includes insurance verification and collection of patient financial liability. It also may include notification to payer of admission and/or assistance in initiating authorization. Responds to questions from patients, insurers and other appropriate parties pertaining to an account. Educates patients on available external assistance programs as well as hospital charity/discount program.

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.