Sanford Health — Amerikaning markaziy hududlaridagi jamoalarga xizmat ko‘rsatuvchi integratsiyalashgan tibbiy xizmatlar va tibbiy sug‘urta tizimi. Bosh qarorgohi Janubiy Dakota shtatining Syu-Fols shahrida joylashgan tashkilot tibbiyot markazlari, klinikalar, keksalar uchun yashash majmualari, shifokorlar va ilg‘or amaliyot mutaxassislaridan iborat keng tarmog‘i orqali 1,4 milliondan ortiq bemor hamda qariyb 200 000 nafar tibbiy sug‘urta rejasi a’zosini qo‘llab-quvvatlaydi. Uning faoliyati bevosita bemorlarga tibbiy yordam ko‘rsatish, sug‘urta, klinik tadqiqotlar va shaxsiylashtirilgan genetik tibbiyotni qamrab oladi. Shuningdek, tashkilot onkologiya, ortopediya, ayollar salomatligi va genetika kabi yo‘nalishlarda ixtisoslashtirilgan dasturlarni amalga oshiradi.
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.
Tavsif
- 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
Talablar
- 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