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Job Field: Government Jobs
Location: San Bernardino, CA
Salary: $Not stated

JOB SUMMARY:

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<tr><td valign="top" width="450"><b>The Group Insurance Counselor has two primary responsibilities: first is to provide timely assessment, education and guidance to patients regarding their insurance and the implications of different options enabling the patient to make informed decisions and ensuring insurance related issues are resolved. The second is to supervise 3 - 6 Insurance Counselors responsible for patient assistance within their clinic footprint. The focus of the collective team is reducing or eliminating the amount of patient and facility liability while providing accurate and timely patient, revenue and treatment trend reporting. This position also identifies, resolves, or escalates satisfaction concerns of all patients to ensure DaVita is the provider of choice.* Patient Interaction and Commercial Retention* Meets with new patient to discuss insurance assessment* Educate patient of financial rights and responsibilities* Identify and communicate effectively opportunities to better the insurance status of the patient, alleviating financial risk and burden for patient and facility* Initiate appropriate and necessary paperwork ensuring the least amount of patient and facility liability* Timing of new patient visit dependant on patient risk factors, ranging from 2 weeks to 30 days from first day of treatment at DaVita facility* Provide high-level of customer service to patients to ensure patient needs are met* Act as a liaison between patients, facility teammates, billing office and the corporate office to resolve patient insurance issues and/or concerns; proactively establish relationships with patients* Maintain relationship with existing patients* Identify, resolve or escalate issues (insurance, billing, and satisfaction) as appropriate for prompt and effective resolution* Support patient collection activities as necessary, especially where payer sends payments directly to patient* Assist patients in retaining or obtaining insurance coverage* Research and communicate effectively to the patient additional insurance options for primary and/or secondary coverage* Through signed release of information, advocate on behalf of patient in researching and resolving financial issues and insurance options with employer, insurance company or other available entities seen fit* Field Interaction* Establish and build relationships with clinical and regional resources (DVP, ROD, FA) to emphasize and integrate Insurance Management priorities* Review patient lists with Facility Administrators and teammates to identify potential patient insurance issues* Partner with Social Workers to maintain awareness of patient insurance questions* Distribute tracking reports to social work teammates and supply any additional tools or education that may be necessary* Identify and brainstorm to resolve difficult situations that may impact a patient&#39;s level of financial liability* Partner with Social Worker and/or other Facility teammates for continued follow through of processing any necessary applications or forms to ensure least liability for patient and facility* Support presentation development and distribution of educational tools on insurance information for field teammates * Provide training to clinical teammates to anticipate and recognize changes in patient insurance coverage as necessary* Reporting* Provide monthly reporting and analysis on key metrics related to patient growth and retention to management* Compile monthly operations reviews on assigned patient portfolio* Participate in SAMs calls as necessary to report status of patient losses or potential losses * Monitor and evaluate daily, weekly and monthly key metrics to identify trends or areas of focus * Review insurance trends with leadership on a scheduled basis* Attend meetings and develop presentations on patient retention and insurance coverage as needed* Teammate Management* Provide leadership to direct reports* Help direct reports overcome any organizational obstacles encountered during projects* Know, und

KEY REQUIREMENTS:

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Not stated