Bilingual Insurance Specialist (Riverside-San Bernardino, CA)

DaVita Kidney Care

18h•$24 - $29•Hybrid

About The Position

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. Bilingual (English/Spanish) required This role requires visits to our clinics throughout Riverside-San Bernardino and the surrounding area. On site visits to our clinics throughout Riverside-San Bernardino, 4 days per week is required: Work from Home 1 day per week. Candidate should reside in Riverside-San Bernardino, or the surrounding area. Valid driver’s license – Insurance Specialists will drive their personal automobiles to get from one clinic to another. A valid driver’s license within the state you are applying is required, with an acceptable driving record

Requirements

High school diploma or equivalent required
Minimum of two (2) years’ experience working with Medicare and Medicaid insurance as well as commercial insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity) required
Minimum of two (2) 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
Valid driver’s license – Insurance Specialists will drive their personal automobiles to get from one clinic to another. A valid driver’s license within the state you are applying is required, with an acceptable driving record

Nice To Haves

Bilingual/Spanish preferred

Responsibilities

Insurance Counseling 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
Help patients obtain as close to 100% insurance coverage for patients as possible by educating on all avenues and coverages
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 a patients financial situation(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 educate on what options are available for their specific situation.
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
Proactively manage insurance terminations or changes
Identify registration process improvement opportunities
Brainstorm and help resolve incomplete or problematic registration challenges
Manage and update tracking tools as appropriate
Review trends with team and operational leadership
Reporting Provide monthly reporting and analysis on key metrics related to patient education and advocacy to senior management
Compile monthly operations reviews on assigned patient portfolio
Participate in scheduled SAMs calls to review patient portfolio with designated facility teammate
Other duties and responsibilities as assigned including but not limited to:
Attend team meetings, phone conferences, and training as needed
Know, understand, and follow teammate guidelines, employment policies, and department or company procedures
Participate as requested in special projects and Insurance Management Team initiatives
Mentor team members as appropriate on Insurance Management practices
Shadow new hires to mentor and to provide training as needed
Telephonic Communication 100%

Benefits

More than just pay, our DaVita Rewards package connects teammates to what matters most.
Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment.
Below are some of our benefit offerings.
Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.

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