Insurance Counselor

Profile

6825 Burden BlvdSuite A,Pasco,Washington,98402,United States of America
We are looking for a great new teammate to help educate our patients on their insurance options and care. This is a great opportunity to work with many different patients and teams. We haveclinics aroundWAstate fromthe Tri-Cities to Yakima to the Palouse area. There will be as-needed travel to clinics within this area and every day will be different. We are lookingfora self starter who is excellent with time management and customer service. We are a top company for training and development. The training period will be 5 weeks.
90% remote work; 10% travel to local facilitiesto provide education and guidance to DaVita patients about health insurance is required. Candidate must be based in Kennewick, Richland, Yakima, WA or surrounding area.
GENERAL PURPOSE OF THE JOB
This position provides guidance and information to patients on insurance and the implications of different insurance options to allow patients to make informed insurance decisions. This position ensures that commercial patients' insurance questions are addressed and resolved, assists in securing secondary coverage for Medicare No Secondary patients, and assists under-insured and uninsured/pending coverage patients with eligibility and/or coverage options. Position provides accurate and timely patient, revenue, and treatment trend reporting to the Group insurance Manager and operations teams that it supports.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive.
Insurance Retention
Act as a liaison between patients, facility teammates, billing office and the corporate office to resolve patient insurance issues and/or concerns
Identify, resolve or escalate issues as appropriate for prompt and effective resolution
Proactively build relationships with patients
Proactively review patient lists with Facility Administrators and teammates to identify potential patient insurance issues
Proactively build relationships with clinical and regional resources to emphasize and integrate Insurance Management priorities
Support education on and completion of Patient Financial Evaluations to determine if payment or payment arrangements are an option
Help patients find potential payment plan options
Obtain as close to 100% insurance coverage for patients as possible by exploring all avenues and coverage
Ensure that patients who qualify have 100% coverage (excluding non-compliant patients)
Support patient collection activities as necessary by educating patients about balances due and encouraging them to work with the billing office to resolve
Identify any DaVita programs that would help (i.e. Patient Financial Evaluations)
Assist patients and Social Workers with applications for Charitable Assistance as necessary
Partner with Social Workers to maintain awareness of patient insurance questions
Patient Interaction
Assist Medicare patients with securing secondary insurance coverage
Assist patients and/or Social Workers as necessary to determine if cash repayment is an option
Research commercial patients' financial issues and insurance options and assist patients in retaining commercial insurance coverage
Review additional insurance options for primary and/or secondary coverage
Provide high-level of customer service to ensure patient questions or issues are addressed effectively
Provide information to patients to help them find and/or secure all options for insurance coverage
Facilitate Conference calls
Facilitate weekly team calls partnering with facility and billing office teammates to ensure smooth registration process
Proactively manage insurance terminations or changes
Identify registration process improvement opportunities
Brainstorm and help resolve incomplete o

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