Sanford Health अमेरिका के हार्टलैंड क्षेत्र के समुदायों की सेवा करने वाली एक एकीकृत स्वास्थ्य सेवा और स्वास्थ्य बीमा प्रणाली है। इसका मुख्यालय सिओक्स फॉल्स, साउथ डकोटा में है और यह चिकित्सा केंद्रों, क्लीनिकों, वरिष्ठ निवास समुदायों, चिकित्सकों तथा उन्नत प्रैक्टिस प्रदाताओं के व्यापक नेटवर्क के माध्यम से 14 लाख से अधिक मरीजों और लगभग 2 लाख स्वास्थ्य योजना सदस्यों की सेवा करती है। इसका कार्य प्रत्यक्ष मरीज देखभाल, बीमा, नैदानिक अनुसंधान और व्यक्तिगत आनुवंशिक चिकित्सा तक फैला हुआ है, जिसमें कैंसर, ऑर्थोपेडिक्स, महिला स्वास्थ्य और आनुवंशिकी जैसे क्षेत्रों के विशेष कार्यक्रम शामिल हैं।
Financial Counselor - Sanford Health (Fargo, ND)
Help Sanford Health patients understand medical bills, insurance coverage, and payment options. Provide cost estimates, arrange payment plans, and guide patients through financial assistance programs.
विवरण
- Respond to patients' billing questions
- Review insurance coverage and Explanation of Benefits (EOB) statements
- Explain incurred charges and the reasons behind them
- Help patients understand insurance claim denials
- Explain payment plan policies and support payment arrangements
- Assess eligibility for financial assistance and help patients complete applications
- Teach patients about insurance terms, coverage, referrals, and effective dates
- Support medical assistance documentation and referrals to Medicaid, insurance assistance, and disability programs
- Discuss healthcare costs with uninsured patients and establish payment plans
- Meet with patients in person, provide empathetic support, and de-escalate difficult interactions
- Calculate procedure estimates and expected out-of-pocket costs
- Explain and collect prepayments for services excluded from insurance coverage
- Handle guest service responsibilities as needed
- Complete additional duties as assigned
आवश्यकताएँ
- Use online systems and complex software with advanced functionality
- Apply oral and written communication skills to interpret policies and procedures and resolve problems
- Understand third-party payers and basic bookkeeping or accounting principles
- Read insurance products and Explanation of Benefits statements accurately to identify adjustments, payments received, and outstanding balances
- High school diploma or equivalent preferred
- Post-secondary education preferred
- Two years of experience in healthcare services or health insurance preferred