Insurance Eligibility and Financial Counselor

March 19

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Ophelia

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Evidence-based, accessible, and judgment-free approach to opioid use disorder—right in the comfort of your own home.

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Description

• Verify Patient health insurance and benefit information and provide timely responses to our patients and care coordination teams. • Verify insurance through web portals and contacting insurance companies directly. • Identify any potential non-coverage issues and effectively communicate across all departments and to our patients. • Communicate with patients as needed to acquire necessary & pertinent information to determine accurate insurance benefits. • Triage internal group communications regarding patient insurance questions/coverage in real-time with enrollment and care coordination teams. • Perform timely follow-up of new & existing benefits information requests through text messaging and calls. • Negotiate acceptable payment terms with patients in accordance with Ophelia’s policies and procedures. • Track patients with payment plans or other options to resolve patient account balances. • Other duties as assigned.

Requirements

• 2-4 years of current and relevant experience in insurance verification and financial counseling in a healthcare environment. • Knowledgeable of all Payer product types including HMO, PPO, Medicare & Medicaid. • Successfully communicate complex insurance topics such as benefit coverages, copays, deductibles, and coinsurance to patients in a way that they can understandStrong interpersonal skills and ability to communicate across many departments, to insurance companies and patients. • Ability to de-escalate tense situations, empathize with patients on sensitive topics, and work towards mutually beneficial solutions. • Excellent computer skills (preferably Google Docs) and experience. • Utilizing various insurance web portals and computer applications. • Detail-oriented, a high degree of initiative in tackling work, and eagerness to learn from and collaborate with others on the team • Be willing and able to work in a fast-paced startup environment and can easily adapt to increased business demands.

Benefits

• Remote work anywhere in the United States • Competitive medical, vision, and health insurance (many plans are fully covered for the employee!) • 20 days of PTO per year • 10 company holidays • $1,000 Work From Home Stipend • 401k Contribution Platform • Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others!