Insurance Counselor I (ROPS)

DaVita Kidney Care•McAllen, TX

8d•$19 - $26•Hybrid

About The Position

This patient-centered role educates and guides DaVita patients about health insurance options and the implications of those options, helping them make informed insurance and employment decisions while managing their health care needs. The Insurance Counselor primarily supports patients with existing commercial insurance coverage or those who are uninsured. The role requires strong customer service skills and the ability to build trust and rapport with patients and teammates. The position offers experience in motivational interviewing and expertise in commercial and government health insurance benefits, financial assistance programs, and work leave options. The role requires regular travel to DaVita clinics in McAllen, Edinburg, Harlingen, Brownsville, Laredo, surrounding areas, and Corpus Christi. Travel and in-person patient support may be required three to four times per week, depending on patient needs; work from home on other days. Overnight stays in Corpus Christi may be necessary. Candidates must live in Harlingen, McAllen, Brownsville, or the surrounding area, and must use a personal automobile to travel between clinics. Bilingual English/Spanish skills are required.

Requirements

High school diploma or equivalent.
Bilingual English/Spanish skills.
Full vaccination against COVID-19 or an approved medical or religious exemption.
Basic computer skills, high-speed internet of at least 40 GB, a private workspace, and secure transportation to DaVita facilities.
Valid driver’s license in the state where applying and an acceptable driving record; the role requires driving a personal automobile between clinics.
Ability to squat, walk, and stand for more than 15 minutes, and comfort with the sight of blood.
Intermediate computer skills and proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.

Nice To Haves

At least two years of experience working with Medicare and Medicaid insurance, as well as commercial insurance plans and benefits such as PPO, HMO, POS, EPO, and Indemnity plans.
At least two years of experience in a healthcare organization working with clinical staff and patients.
PowerPoint proficiency is also noted as preferred.

Responsibilities

Educate patients about insurance while following company compliance requirements.
Identify and communicate opportunities to improve patients’ insurance status and reduce financial risk or burden.
Provide information to help patients find or secure insurance coverage and financial assistance programs.
Provide customer service across multiple DaVita Dialysis facilities, ensuring patients’ educational needs and questions or concerns are addressed.
Complete insurance assessments and evaluations to document patient education sessions accurately.
Act as a liaison among patients, facility teammates, the billing office, and the corporate office to resolve insurance issues and concerns.
Build and maintain relationships with field partners, including Home Program Departments, Facility Administrators, Social Workers, and Administrative Assistants.
Work with the supervisor or manager to meet objectives, deadlines, and reporting and measurement requirements related to patient education.
Provide monthly reporting and analysis on patient education and advocacy metrics, and participate in monthly operations reviews for the assigned patient portfolio.
Identify process-improvement opportunities and review ideas with the team and operational leadership.
Attend team meetings, phone conferences, and training as needed; may assist with onboarding and training new teammates or perform other assigned duties.