Fresenius Medical Care

Insurance

• 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 alternative insurance options
• Ensure patients follow through with insurance application processes
• Obtain premium statements and patient signatures
• Complete and follow up on disputed claims paperwork
• 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 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 patient financial information for indigent program determinations
• Maintain accurate and updated 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
• Review and comply with company policies, laws, and regulations
• Assist with projects assigned by the direct supervisor and perform other duties as assigned

Insurance Coordinator

Administrative Assistant

• Perform general office duties and basic routine clerical and secretarial duties in a clinical environment
• Prepare and type routine correspondence, form letters, and reports
• Answer and route telephone calls
• Greet visitors and patients and direct them as needed
• Set up and maintain filing systems and basic databases
• Complete forms and reports for company offices, vendors, and agencies
• Record meeting minutes and provide resulting documents
• Prepare purchase orders using appropriate software
• Assist with accounts receivable and accounts payable functions
• Distribute incoming mail
• Maintain calendars and daily schedules
• Schedule appointments and arrange meetings
• Maintain office forms and supply inventory
• Assist with personnel administrative functions
• Act as backup to other clerical personnel
• Collect Patient Statistical Profile and Continuous Quality Improvement data
• Assist with month-end reporting
• Audit records for compliance with medical records standards
• Maintain hospitalization and patient travel records
• Prepare medical records for fax or mail related to travel, transplant, and disability
• Organize patient travel and provide requested medical records
• Coordinate transient patient paperwork
• Coordinate transfer placements and confirmations with the Clinical Manager
• Confirm admissions paperwork is completed and sent to designated departments
• Assist with medical appointment referrals and scheduling
• Assist with transportation coordination and referrals
• Ensure data entry is completed for Crown Web, ESRD 2728, ESRD 2746, and PART
• Travel between assigned facilities and community locations as needed
• Perform other duties as assigned

Clinic Administrative Assistant

• 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

Manager

• Oversee and support quality assurance responsibilities at pharmaceutical/drug manufacturing sites
• Provide cGMP strategic and operational quality leadership and guidance across batch disposition, CAPA management, validation, supplier quality, regulatory inspections, management reviews, and related systems and processes
• Partner with Manufacturing, Regulatory Affairs, Supply Chain, and R&D to embed a culture of quality and ensure uninterrupted, compliant supply
• Lead and demonstrate cGMP knowledge and expertise, including training
• Provide solutions and resolutions for deploying quality systems and processes
• Participate in FDA inspections and other regulatory audits
• Engage and support pharmaceutical/drug sites to ensure cGMP requirements are met
• Guide pharmaceutical/drug-related processes and system improvements and changes
• Work with manufacturing sites and site quality personnel to ensure requirements, compliant procedures, and adherence are in place
• Assess effectiveness of pharmaceutical/drug requirements at sites
• Provide independent input into in-process and finished product results, as appropriate
• Analyze deviations, OOS results, complaints, and audit findings to identify systemic quality issues
• Escalate critical quality issues to senior leadership and Regulatory Affairs
• Provide input into Management Reviews in accordance with ICH Q10 and site QMS requirements
• Compile and present Management Review data, including CAPA trends, deviation metrics, audit outcomes, product quality reviews, regulatory intelligence, and resource assessments
• Maintain compliant, audit-ready Management Review records and use outcomes to drive continuous improvement and resource allocation
• Analyze product and process data trends to assess state of control and identify improvement opportunities
• Manage the change control program where appropriate
• Serve as quality representative during FDA pre-approval, surveillance, and for-cause inspections
• Prepare sites and personnel for regulatory inspections
• Develop and manage responses to FDA Form 483 observations and Warning Letters with Regulatory Affairs
• Perform other duties as assigned

Insurance Coordinator

Clinic Administrative Assistant

Insurance Coordinator

Senior cGMP Pharmaceutical Manager