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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 insurance information and ensuring compliance with relevant regulations.
Highest-signal resume keywords
Medicare Eligibility DeterminationInsurance Application CoordinationPatient Education on Insurance OptionsRevenue Cycle ManagementCustomer Service Excellence
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medicare Systems ExperienceMedicaid Systems ExperienceInsurance Claims ProcessingFinancial Information EvaluationBilling System Auditing
Soft Skills
Excellent Written CommunicationStrong Organizational SkillsTime ManagementAbility to Work IndependentlyCustomer Service Philosophy
Tools & Technologies
Microsoft Office ApplicationsPC Proficiency
Certifications & Qualifications
Bachelor’s Degree PreferredValid Driver’s License
Industry Keywords
Healthcare IndustrySocial WorkInsurance OptionsFinancial Assistance ProgramsIndigent Programs
About the role
Key responsibilities & impact- Explore, recommend, and coordinate insurance and potential financial assistance options for kidney dialysis patients
- Educate patients about Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA, and other insurance options
- Ensure patients follow through with insurance application processes
- Obtain premium statements and patient signatures
- Complete and follow up on paperwork for disputed claims and indigent waivers
- Determine Medicare eligibility and assist eligible patients with applications
- Liaise between patients and local Medicare agents regarding terminations and reinstatements
- 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 financial information and determine eligibility for indigent programs
- Maintain accurate and current patient insurance information for Revenue Cycle Management
- Research and resolve insurance anomalies and discrepancies
- Meet with patients receiving direct insurance payments to explain their responsibilities
- Prepare, analyze, and review monthly caseload and patient billing reports
- Audit billing systems to verify correct insurance information and identify overlooked changes
- Provide QA team members with monthly insurance status information and action-plan documentation
- Complete monthly audit exams to stay current on internal policies
- Present insurance and financial assistance options to patients as necessary
- Comply with the Code of Business Conduct, company policies, and applicable laws and regulations
- Assist with projects assigned by the direct supervisor and perform other duties as assigned
Requirements
What you’ll need- Bachelor’s Degree preferred; Social Work or other Healthcare focus preferred
- High school diploma with minimum of 5+ years of experience in a similar position or insurance experience
- 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
- Must be able to perform extensive local travel to clinics in a specified geographic area
Benefits
Comp & perks- Equal opportunity employer
- Drug-free workplace
- Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions