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Insurance Coordinator
Fresenius Medical Care. Explore, recommend, and coordinate insurance and potential financial assistance options for kidney dialysis patients .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coordinating insurance options and financial assistance for kidney dialysis patients, with a strong focus on Medicare, Medicaid, and patient education. Proficient in managing patient interactions, documentation, and compliance with healthcare regulations.
Highest-signal resume keywords
Medicare KnowledgeMedicaid KnowledgePatient EducationInsurance CoordinationCustomer Service
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance Application ProcessingFinancial Assistance CoordinationIndigent Waiver ApplicationsBilling System AuditingMedicare Eligibility Determination
Soft Skills
Excellent Communication SkillsStrong Organizational SkillsTime ManagementAbility to Work Independently
Tools & Technologies
Microsoft OfficePC Proficiency
Certifications & Qualifications
Valid Driver’s License
Industry Keywords
Healthcare IndustryRevenue Cycle ManagementFMCNA Compliance ProgramSocial Security SystemsPatient Interaction
About the role
Key responsibilities & impact- Explore, recommend, and coordinate insurance and potential financial assistance options for kidney dialysis patients
- Meet regularly with dialysis patients at clinics in the assigned region to educate and coordinate insurance options
- Educate patients about Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA, and other alternative insurance options
- Ensure patients follow through with insurance applications
- Obtain premium statements and patient signatures
- Complete and follow up on paperwork for disputed non-payment claims
- Collect documents for indigent waivers and complete initial indigent waiver applications
- Determine Medicare eligibility and assist eligible patients with applications
- Liaise between patients and local agents regarding Medicare terminations and reinstatements
- Educate and review insurance options during annual open enrollment and Medicare reinstatement periods
- Track 30-month coordination periods for patients on employer Group Health Plans
- Monitor and verify Medicaid status and determine spend-down amounts
- Evaluate patients’ financial information and determine eligibility for indigent programs
- Maintain accurate and current insurance information for Revenue Cycle Management
- Research and resolve insurance information anomalies and discrepancies
- Meet with patients receiving direct insurance payments to explain their responsibilities
- Prepare, analyze, and review monthly caseload progress reports
- Audit billing-system patient reports and correct insurance discrepancies
- Provide QA team members with monthly insurance-status information and action-plan documentation
- Complete monthly audit exams to remain current on internal policies
- Present insurance and financial assistance options to patients as needed
- Assist with projects assigned by the direct supervisor and perform other duties as assigned
Requirements
What you’ll need- 2–5 years’ related experience; healthcare industry preferred
- High school diploma with a minimum of 5+ years of experience in a similar position or insurance experience, as an alternative to the preferred bachelor’s degree
- Experience with Medicare, Social Security, and Medicaid systems a plus
- Past patient interaction a plus
- Excellent written and communication skills
- Strong customer service philosophy
- Strong organizational and time management skills
- Ability to work independently
- Proficient with PCs and Microsoft Office applications
- Valid Driver’s License
- Must comply with applicable company policies, local, state, and federal laws and regulations
- Must comply with the FMCNA Compliance Program and Code of Business Conduct
Benefits
Comp & perks- Equal opportunity employer
- Drug-free workplace
- Reasonable accommodations for individuals with disabilities
- Extensive local travel to clinics in a specified geographic area