Hybrid Insurance Counselor I (Pismo Beach, CA)

601 Hawaii St, El Segundo, California, 90245-4814, United States of America

About the role

This vital, patient-centered role provides education and guidance to DaVita patients about health insurance and the implications of different insurance options. The Insurance Counselor helps patients understand their insurance options and make informed employment and insurance decisions, alleviating the stress that dialysis patients often experience while navigating complicated insurance options and managing their healthcare needs.

Teammates in this role will gain expertise in motivational interviewing as well as expert knowledge of commercial and government health insurance benefits, financial assistance programs, and work leave options. Travel to DaVita clinics in Central CA Coast / Pismo Beach and surrounding areas is required to provide in-person patient support, up to 3-4 times per week, with work-from-home on other days. Some overnight travel to Monterey may be required.

Candidate must reside in Pismo Beach or the surrounding area. Bilingual (English/Spanish) is preferred. The role requires the ability to squat, walk, and stand for more than 15 minutes, and comfort with the sight of blood. A valid driver’s license is required, as Insurance Counselors will drive their personal automobiles between clinics.

Responsibilities

• Conduct patient insurance education while operating within established compliance parameters of the company.
• Identify and effectively communicate opportunities to improve the insurance status of patients to help reduce or alleviate financial risk and burden.
• Provide information to patients to help them find and/or secure options for insurance coverage and other financial assistance programs as necessary.
• Deliver a high level of customer service to patients across multiple DaVita Dialysis facilities to ensure educational needs are met and patient questions or issues are addressed effectively.
• Complete insurance assessments/evaluations for patients to accurately document patient education sessions.
• Act as a liaison between patients, facility teammates, billing office, and the corporate office to resolve patient insurance issues and/or concerns.
• Build and maintain relationships with field partners (e.g., Home Program Departments, Facility Administrators, Social Workers, Administrative Assistants) to ensure seamless patient support.
• Work closely with supervisor/manager to meet objectives, deadlines, and reporting/measurement requirements related to patient education.
• Provide monthly reporting and analysis on key metrics related to patient education and advocacy, and actively participate in monthly operations reviews on assigned patient portfolio.
• Seek opportunities for continued process improvement and review ideas with team and operational leadership.
• Attend team meetings, phone conferences, and trainings as needed; may assist with onboarding and training of new teammates or other duties as assigned.

Requirements

• Full vaccination against COVID-19 or a medical/religious exemption is required.
• High School Diploma or equivalent is required.
• Basic computer skills, high-speed internet (minimum of 40 GB), and a private workspace are required.
• Secure transportation to DaVita facilities to perform the duties of the job.
• Minimum of two (2) years' experience working with Medicare and Medicaid insurance as well as commercial insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity) strongly preferred.
• Minimum of two (2) years’ experience in a healthcare organization working with clinical staff and patients preferred.
• Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook required; PowerPoint preferred.
• Bilingual (Spanish) is preferred.
• Valid driver’s license with an acceptable driving record.

Benefits

Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment.

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out.
• Support for you and your family: Family resources, EAP counseling sessions, access to Headspace®, backup child and elder care, maternity/paternity leave, and more.
• Professional development programs: DaVita offers programs to help strong performers grow within their career and provides on-demand virtual leadership and development courses through DaVita’s online training platform, StarLearning.

At DaVita, we strive to be a community first and a company second. Our goal is to embed belonging into everything we do in our Village, so it becomes part of who we are.

Pay

The wage range for this role is $25.00 - $28.50/hour. Compensation depends on a candidate’s qualifications, skills, competencies, and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage, and a broad range of other benefits.