Benefits Navigator I
Description:
• Responsible for patient education while staying within established compliance parameters for the company and program.
• Identifies and effectively communicates opportunities to better the insurance status of the patients, alleviating financial risk and burden
• Provides information to patients to help them find and/or secure options for insurance coverage and other financial assistance programs as necessary
• Completes insurance assessments/evaluations for patients
• Accurately documents and classifies patient education sessions
• Provides a high-level of customer service to patients to ensure educational needs are met
• Acts as a liaison between patients, facility teammates, billing office and the corporate office to resolve patient insurance issues and/or concerns
• Attends team meetings, phone conferences, and trainings as needed
• May assist with onboarding and training of new teammates.
• Works closely with supervisor/manager to meet objectives, deadlines, and reporting/measurement requirements as they pertain to patient education.
• Reviews trends with team and operational leadership.
• Builds and maintains relationships with field partners (e.g. Insurance Counselors, Facility Administrators, Social Workers, Administrative Assistants etc.) to ensure seamless patient support.
• Participates in Team/Department/Village-wide Improvement Projects as needed
Requirements:
• Minimum of two (2) years' experience in customer service, healthcare organization, insurance company or related field- Preferred
• Intermediate computer skills and proficiency in MS Word and Outlook
• Beginner proficiency in MS Excel and PowerPoint
• Experience in healthcare industry/healthcare organization working with a clinical team and patients - Preferred
• Demonstrate extensive understanding of insurance plans and benefits (PPO, HMO, POS, EPO, Indemnity), COBRA benefit options, medical leave options, American with Disabilities Act, Coordination of Benefits, Federal and State level health coverage benefits as they relate to ESRD- Preferred
• Experience in case management and/or social work- Preferred
• Fluency in Spanish- Preferred
Benefits:
• 401k match
• healthcare coverage
• competitive total rewards package
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