"I didn't know what to do," the woman on the other end of the phone sounded
near to tears. "I couldn't understand a word the person told me; I don't
speak very good English." I could tell by her accent that like me, the
woman was not a native English speaker. "Don't worry. We are here to help,"
I reassured her. "I can also help you to understand some of what the
insurance company was trying to tell you so that you can decide which
treatment program would best suit your needs. Don't ever be afraid to ask
for helpâ€"that's what we are here for!" I continued the conversation in
Spanish, explaining how the health care program worked and eliminating the
jargon that all too often accompanies such conversations. I immediately
noticed a change in her voice as I assured her that she was eligible for
full coverage for her upcoming surgery under her current plan. She no
longer sounded on the verge of tears and luckily, her health issue was not
severe and we scheduled her for surgery. However, I have encountered
numerous situations in my profession in which a person, because of
language, cultural, or financial barriers, has chosen to put off seeking
medical treatment. As a result, minor problems escalate into serious, even
fatal ones. For instance, a lump on the breast discovered early can be
safely removed but wait a few months and cancer can spread throughout the
My ability to remain patient in stressful situations and to mediate
between patients, doctors, and insurance companies makes me an ideal
managed care coordinator, a position I have held for a number of years with
an adult medical coverage group. Currently, I work with eighteen different
doctors as a liaison so that all patients receive coverage for their
services from their insurance companies. My job can be stressful,
frustrating, and immensely challenging. I spend hours per day speaking to
insurance companies on...