Patient Financial Advocate

10000 Sanford; United States; On-site; USD 23,000 - 39,000; Full time

Job summary

Sanford Health is seeking a Financial Counseling Representative to assist patients in understanding their financial responsibility and available resources. You will answer billing questions, review insurance coverage and EOBs, and explain charges and denials to patients.

You’ll help set up payment plans and guide applications for aid programs in a compassionate, patient-focused setting. This role requires empathy, clear communication, and the ability to explain complex insurance concepts to

Qualifications

• High school diploma or equivalent preferred.
• Post-secondary education preferred.
• Two years' experience in healthcare service or health insurance preferred.

Responsibilities

• Answers billing questions.
• Reviews patient's insurance coverage and Explanation of Benefits (EOBs).
• Provides clarification regarding charges incurred and why.
• Reviews insurance denials and explains denial to patient.
• Reviews payment plan guidelines and assists in setting up arrangements.
• Determines eligibility for payment assistance programs and assists in applications.
• Educates patients on insurance concepts and how eligibility affects payments.
• May assist with Medicaid or other insurance aid paperwork.
• Advises uninsured patients on outstanding medical costs and payment plans.
• Interacts with patients in person with empathy and diffuses strong emotions.
• Calculates cost estimates for procedures and patient shares.
• Advises on and collects prepayments for services not covered by insurance.

Skills

Empathy

Communication

Bookkeeping

Education

High school diploma or equivalent

Post-secondary education

Job description

Sanford Health is seeking a Financial Counseling Representative to assist patients in understanding their financial responsibility and available resources. You will answer billing questions, review insurance coverage and EOBs, and explain charges and denials to patients.

You’ll help set up payment plans and guide applications for aid programs in a compassionate, patient-focused setting. This role requires empathy, clear communication, and the ability to explain complex insurance concepts to