Benefit Navigator (Onsite)

Adventist Health; Sonora (CA); On-site; USD 26,000 - 44,000; Full time

Job summary

Adventist Health Sonora is seeking a Specialist in Patient Access to serve as SME for insurance questions, manage patient responsibility estimates, assist with financial assistance applications, and coordinate with Medicaid eligibility. This role provides cross coverage to other sites and supports accurate billing and payments.

The ideal candidate will have a High School diploma (GED) with preferred Associate’s/Technical degree and about five years of patient access experience, with strong

Qualifications

• High School Education/GED or equivalent is required.
• Associate’s/Technical Degree or equivalent combination is preferred.
• Five years' patient access experience is preferred.

Responsibilities

• Completes accurate and timely benefit review and determination of patient financial liability including eligibility for charity care.
• Collects expected patient responsibility or arranges payments to collect that amount.
• Educates patient on insurance benefits, available payment options, and financial assistance programs.
• Assists with Medicaid eligibility or government assistance programs as applicable.
• Provides cross coverage and training for other team members as needed.
• Performs other job-related duties as assigned.

Education

High School Education/GED or equivalent

Associate’s/Technical Degree or equivalent

Job description

Job Description

Adventist Health Sonora has been one of the area's leading healthcare providers since 1900. We are comprised of a 72-bed hospital, 30 medical offices, comprehensive cancer care and a vast scope of award-winning services located throughout Tuolumne and Calaveras counties and the surrounding areas. Sonora is known for its friendly hometown charm, vast outdoor experiences and lively downtown. The allure of Sonora's close-knit community is complimented by its proximity to Yosemite National Park, as well as just a quick drive to Lake Tahoe.

Job Summary

Serves as the subject matter expert (SME) for insurance questions from associates, ancillary depts, and/or patients. Manages patient responsibility estimates and POS collections. Assists with financial assistance application completion, submission and approval. Partners with Medicaid eligibility vendor. Collects and/or creates cash deposits and provides change to departments. Acts as the point of contact for patient questions regarding insurance explanation of benefits, payments, and itemized statements. Provides cross coverage to patient access departments including other sites.

Job Requirements

Education and Work Experience:

• High School Education/GED or equivalent: Required
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• Five years' patient access experience: Preferred

Essential Functions

• Completes accurate and timely benefit review and determination of patient financial liability including eligibility for charity care.
• Collects expected patient responsibility or makes payment arrangements to collect that amount. May be responsible for reviewing and processing of financial assistance applications. Works collaboratively with care management department.
• Educates patient on insurance benefits, available payment options, and internal/external assistance programs including providing Medicaid and/or financial assistance application. Assist patients with EOB explanations and other insurance/account questions.
• Collaborates with financial counseling stakeholder if patient is eligible for government assistance programs or hospital charity care.
• Provides cross coverage and training, when needed, for other team members.
• 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.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

JOB INFO

Job Identification : 70676

Job Category : Specialist

Posting Date : 2026-08-19T21:38:40+00:00

Job Schedule : Full time

Job Shift : Day Shift

Locations :

Sonora, CA, United States

Assignment Category : Full-time regular

Pay Range : The estimated base pay for this position is $25.13 to $32.49. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Hiring Department : Patient Access - General

Shift Length : 8 Hours