Patient Insurance Educator

Innovative Renal Care
Hybrid

About The Position

Innovative Renal Care is seeking a Patient Insurance Educator to help dialysis patients and their families understand health insurance options and financial assistance programs so they can make informed coverage decisions. In this role, you’ll educate patients about eligibility requirements, support enrollment in Qualified Health Plans (QHPs) via Federal and State Exchanges, and connect patients to insurance affordability programs. This remote-hybrid role lets you work from home while visiting clinics across the area. During clinic visits, you will meet with patients in person to provide education, answer questions, and assist with the enrollment process. Travel expectations range from once per quarter to once per month, depending on business needs and clinic support requirements.

Requirements

  • High school diploma, GED, or equivalent required
  • 1–3 years of experience in health insurance, patient advocacy, or enrollment
  • Understanding of QHPs, eligibility rules, and HIPAA standards
  • Proficiency in Microsoft Office (Excel, Word, Outlook, PowerPoint)
  • Ability to travel locally up to once per month

Nice To Haves

  • Bachelor’s degree in healthcare or related field preferred (experience considered)

Responsibilities

  • Provide fair, accurate, and impartial education to patients and families on Qualified Health Plans (QHPs), eligibility requirements, and available affordability or assistance programs.
  • Support patients through eligibility screening and enrollment applications, including QHP enrollment through Federal and State Exchanges.
  • Assist individuals with disabilities directly or by connecting them to appropriate Exchange resources.
  • Maintain compliance with CMS requirements, HIPAA, and IRC policies, and protect patient confidentiality.
  • Document patient interactions and enrollment activity accurately and timely, maintaining organized records.
  • Communicate clearly and compassionately with patients, caregivers, and clinic partners, and escalate issues appropriately.
  • Use sound judgment, manage multiple cases and deadlines, and adapt to changing priorities in a fast-paced healthcare environment.

Benefits

  • 401(k) match
  • healthcare coverage
  • Enhanced PTO – Your most recent dialysis experience counts toward PTO accrual.
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