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Insurance Coordinator
Fresenius Medical Care. Explore, recommend, and coordinate insurance and potential financial assistance options for kidney dialysis patients .
About the role
Key responsibilities & impact- Explore, recommend, and coordinate insurance and potential financial assistance options for kidney dialysis patients
- Educate dialysis patients about Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA, and other insurance options
- Ensure patients follow through with insurance applications and obtain required premium statements and signatures
- Complete and follow up on paperwork for disputed claims and indigent waivers
- Determine Medicare eligibility and assist eligible patients with applications
- Liaise with local Medicare agents regarding terminations and reinstatements
- Complete annual open enrollment and Medicare reinstatement paperwork
- Track 30-month coordination periods for patients on employer Group Health Plans
- Monitor and verify patients' Medicaid status and determine spend-down amounts
- Evaluate patients' financial information and determine eligibility for indigent programs
- Maintain accurate insurance information for the Accounts Receivable Department
- Research and resolve insurance anomalies and discrepancies
- Meet with patients receiving direct insurance payments to ensure dialysis treatment payments owed to Fresenius are collected
- Prepare, analyze, and review monthly caseload and billing reports
- Audit billing-system insurance information and correct discrepancies
- Provide QA team members with monthly insurance-status and action-plan information
- Complete monthly audit exams and present insurance and financial assistance options as needed
- Assist with assigned projects and other duties
- Meet regularly with patients at clinics in the assigned region
Requirements
What you’ll need- Bachelor's Degree required; Social Work or other Healthcare focus preferred
- 2 - 5 years' related experience; healthcare industry preferred
- 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
- Extensive local travel to clinics in a specified geographic area
Benefits
Comp & perks- Drug-free workplace
- Equal opportunity employment
- Reasonable accommodations for individuals with disabilities