Insurance Counselor - Davita - Fresno, CA

Insurance Counselor - Davita - Fresno, CA -

We’re on the lookout for somebody with a versatile schedule Monday-Friday. Journey shall be required between a number of amenities within the Fresno space along with occasional journey in different areas. Strongly want somebody who’s bilingual in Spanish.

This place offers steerage and knowledge to sufferers on insurance and the implications of various insurance choices to permit sufferers to make knowledgeable insurance selections. This place ensures that business sufferers’ insurance questions are addressed and resolved, assists in securing secondary protection for Medicare No Secondary sufferers, and assists beneath-insured and uninsured/pending protection sufferers with eligibility and/or protection choices. Place supplies correct and well timed affected person, income, and remedy development reporting to the Group insurance Supervisor and operations groups that it helps.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The next duties and duties usually mirror the expectations of this place however will not be meant to be all inclusive.

Insurance Retention

Act as a liaison between sufferers, facility teammates, billing workplace and the company workplace to resolve affected person insurance points and/or considerations

Determine, resolve or escalate points as applicable for immediate and efficient decision

Proactively construct relationships with sufferers

Proactively assessment affected person lists with Facility Directors and teammates to determine potential affected person insurance points

Proactively construct relationships with medical and regional assets to emphasise and combine Insurance Administration priorities

Help schooling on and completion of Affected person Monetary Evaluations to find out if cost or cost preparations are an choice

Assist sufferers discover potential cost plan choices

Acquire as near 100% insurance protection for sufferers as potential by exploring all avenues and coverages

Be sure that sufferers who qualify have 100% protection (excluding non-compliant sufferers)

Help affected person assortment actions as crucial by educating sufferers about balances due and inspiring them to work with the billing workplace to resolve

Determine any DaVita packages that may assist (i.e. Affected person Monetary Evaluations)

Help Social Staff with completion of AKF purposes as vital

Associate with Social Staff to take care of consciousness of affected person insurance questions

Affected person Interplay

Help Medicare sufferers with securing secondary insurance protection

Help sufferers and/or Social Staff as vital to find out if money reimbursement is an choice

Analysis business sufferers’ monetary points and insurance choices and help sufferers in retaining business insurance protection

Evaluation further insurance choices for main and/or secondary protection

Present excessive-degree of customer support to make sure affected person questions or points are addressed successfully

Present info to sufferers to assist them discover and/or safe all choices for insurance protection

Facilitate Convention calls

Facilitate weekly workforce calls partnering with facility and billing workplace teammates to make sure clean registration course of

Proactively handle insurance terminations or modifications

Determine registration course of enchancment alternatives

Brainstorm and assist resolve incomplete or problematic registration challenges

Handle and replace monitoring instruments as applicable

Assessment developments with staff and operational management

Reporting

Present month-to-month reporting and evaluation on key metrics associated to affected person progress and retention to senior management

Compile month-to-month operations evaluations on assigned affected person portfolio

Take part in scheduled SAMs calls to assessment affected person portfolio with designated facility teammate

Different duties and obligations as assigned together with however not restricted to:

Attend staff conferences, telephone conferences, and coaching as wanted

Know, perceive, and comply with teammate tips, employment insurance policies, and division or firm procedures

Take part as requested in particular tasks and Insurance Administration Staff initiatives

Mentor group members as applicable on Insurance Administration practices

Shadow new hires to mentor and to offer coaching as wanted

Journey Required: as much as 85% inside assigned space

Here’s what you’ll be able to anticipate whenever you be a part of our Village:
A “group first, firm second” tradition based mostly on Core Values that basically matter.

Medical outcomes persistently ranked above the nationwide common.

Award-profitable schooling and coaching throughout a number of profession paths that will help you attain your potential.

Efficiency-based mostly rewards based mostly on stellar particular person and staff contributions.

A complete advantages package deal designed to reinforce your well being, your monetary properly-being and your future.

Dedication, above all, to caring for sufferers affected by continual kidney failure throughout the nation.

Qualifications

Highschool diploma or equal required

Minimal of two (2) years’ expertise working with Medicare and Medicaid insurance in addition to business insurance plans and advantages (PPO, HMO, POS, EPO, Indemnity) required

Present driver’s license in state of residence and insurable driving report required

Minimal of two (2) years’ expertise in a healthcare group working with medical employees and sufferers most popular

Intermediate pc expertise and proficiency in MS Phrase, Excel, PowerPoint, and Outlook required

Bilingual talents are a plus

ESSENTIAL BEHAVIORS, SKILLS, AND ATTITUDES REQUIRED FOR SUCCESS IN THIS POSITION

Dedication to DaVita’s values of Service Excellence, Integrity, Workforce, Steady Enchancment, Accountability, Achievement and Enjoyable with potential to show these positively and proactively to sufferers, teammates, management, physicians, and/or distributors (Village Service Companions) in on a regular basis efficiency and interactions

Robust written, verbal, and interpersonal communications expertise together with capacity to pay attention attentively and to speak info clearly and successfully

Demonstrated capability to work nicely with cross-useful teams

Demonstrated interpersonal, collaborative, and relationship-constructing expertise; means to work together positively with sufferers and teammates in any respect ranges throughout the corporate

Demonstrated professionalism and courtesy in responding to telephone calls and emails

Approachable and open

Capacity to offer multi-degree reporting and communication

Demonstrated time management expertise and skill to work independently, deal with a number of priorities concurrently with shifting time frames, and meet deadlines; self-starter with excessive diploma of initiative, urgency, and comply with by means of

Demonstrated strengths in organizational, consideration-to-element, analytical, reasoning, essential considering, and drawback fixing expertise

Self-directed; capable of work independently and as a member of a staff and to foster a constructive work setting

Demonstrated means to take care of absolute confidentiality regarding info accessed

APPLY THIS JOB HERE

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