Financial Services Advisor, Government Specialist - Remote - California

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Posted 7 days ago United States Salary undisclosed
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Job Description

The Financial Services Advisor (FSA), Government Specialist supports insurance retention through direct patient education and assists Social Workers with insurance alternatives in each market. This position will focus on government carriers, including Medicare, Medicare Advantage, Medicaid, and Medicare Supplements.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned.

  • Partner with regional FSA's and Social Workers to contribute patient benefit education and support, focusing on government carriers.

  • Provide education on patient benefits and reduce lapses in coverage with proactive approach.

  • Liaise with local insurance brokers/agents for supplemental options when needed.

  • Perform initial assessment in tracking tool upon admission, or soon thereafter. Monitor for changes on a regular basis, as part of the facility audit process.

  • Serve as a back-up of handling of charitable premium assistance (CPA) issues for governmental policies. Identify, resolve or escalate issues as appropriate for prompt and effective resolution.

  • Implement effective tracking mechanisms and perform research as requested.

  • Provide ongoing education to Social Workers on Medicare applications and Medicare open enrollment eligibility. Participate in market quarterly training sessions.

  • Conduct monthly research on approaching COB and Medicare entitlement evaluations for underfunded patients.

  • Effectively lead the Secondary Initiative process which helps clinics identify coverage options for qualified patients. Monitor and track on weekly and monthly basis.

  • Perform a monthly Medicare eligibility system (DDE) verification process on subsets of patients. Data to be maintained on a shared drive.

  • Counsel patients to help educate on how Out of Network (OON) benefits work and expected Out of Pocket (OOP) costs.

  • Participate and/or lead various training sessions and special projects.

  • Complete monthly and quarterly reviews that impact multiple departments and facilities.

  • Identify confidential information and maintain strict confidentiality of information.

  • Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization.

  • Participate in team concepts and promote a team effort; perform duties in accordance with company policies and procedures.

  • Regular and reliable attendance is required for the job.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Requirements include:

  • High school graduate or equivalent.
  • Two (2) plus years of experience in healthcare organization; prior medical insurance experience preferred.
  • Comprehensive knowledge of Medicare, COB rules, and impact on ESRD population.
  • Ability to prioritize daily workload and work independently.
  • Excellent customer service and coaching skills; ability to communicate effectively, both verbally and in writing.
  • Bilingual preferred.
  • Must have intermediate computer skills, including Microsoft Office (Word, Excel, Power Point and Outlook); proficiency in USRC applications required within 90 days of hire.

U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran.

Additional Information