Bilingual Insurance Specialist (Riverside-San Bernardino, CA)
DaVitaAbout the role
Posting Date
01/30/20261800 Medical Center Dr, San Bernardino, California, 92411-1218, United States of AmericaGENERAL 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.
- 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
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 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
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