Ophelia is hiring a
Insurance Eligibility and Financial Counselor

Summary

The job description is for a Financial Counselor at Ophelia, a company that helps people end opioid use disorder. The role involves assisting patients with insurance eligibility verification and creating bill payment pathways. This is a full-time, remote position that reports to the Director of Revenue Operations.

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
• Strong 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

Responsibilities

• 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

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!