Insurance Counselor I

Insurance Counselor I

Requirements

• Full vaccination against COVID-19 or a medical/religious exemption is required.
• High School Diploma or equivalent is required.
• This role requires basic computer skills, high speed internet (minimum of 40 GB) and a private workspace, and secure transportation to DaVita facilities to perform the duties of the job.
• Minimum of two (1) years’ experience working with Medicare and Medicaid insurance as well as commercial insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity) strongly preferred.
• Minimum of two (1) years’ experience in a healthcare organization working with clinical staff and patients preferred.
• Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook required Power Point preferred.
• Bilingual/Spanish Speaking strongly preferred.

Responsibilities

• Conducts patient insurance education while operating within established compliance parameters of the company.
• Identifies and effectively communicates opportunities to better the insurance status of the patient to help reduce or alleviate financial risk and burden.
• Provides information to patients to help them find and/or secure options for insurance coverage and other financial assistance programs as necessary.
• Provides a high-level of customer service to patients across multiple DaVita Dialysis facilities to ensure educational needs are met and to ensure patient questions or issues are addressed effectively.
• Completes insurance assessments/evaluations for patients to accurately document patient education sessions.
• Acts as a liaison between patients, facility teammates, billing office and the corporate office to resolve patient insurance issues and/or concerns.
• Builds and maintains relationships with field partners (e.g. Home Program Departments, Facility Administrators, Social Workers, Administrative Assistants etc.) to ensure seamless patient support.
• Works closely with supervisor/manager to meet objectives, deadlines, and reporting/measurement requirements as they pertain to patient education.
• Provides monthly reporting and analysis on key metrics related to patient education and advocacy as well as actively participates in monthly operations reviews on assigned patient portfolio.
• Seeks to find opportunities for continued process improvement and reviews ideas with team and operational leadership.
• Attends team meetings, phone conferences, and trainings as needed; may assist with onboarding and training of new teammates or other duties as assigned.

Preferred Qualifications

• Minimum of two (1) years’ experience working with Medicare and Medicaid insurance as well as commercial insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity) strongly preferred.
• Minimum of two (1) years’ experience in a healthcare organization working with clinical staff and patients preferred.
• Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook required Power Point preferred.
• Bilingual/Spanish Speaking strongly preferred.