Insurance Coordination Crdntr at Fresenius Medical Care

Fredericksburg, Virginia, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Ability to meet regularly with dialysis patients at clinic(s) in assigned region
Knowledge of insurance options including Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA
Capability to determine Medicare eligibility by meeting patients and contacting Social Security offices
Skills in evaluating personal financial information for indigent program determinations
Proficiency in preparing, analyzing, and reviewing monthly reports and patient reports from billing systems
Ability to conduct research, correct discrepancies, and address anomalies in insurance information
Comfortable with desk work, personal computer use, and interaction with patients and staff in a health care facility environment
Willingness to complete monthly audit exams to stay current on internal policies
Adherence to FMCNA Compliance Program, regulatory, and company policy requirements

Responsibilities

Educate dialysis patients on alternative insurance options and ensure follow-through on applications
Obtain premium statements and signatures from patients; discuss changes in employment or situations
Complete and follow up on disputed claims paperwork for non-payment
Collect documents for initial and annual indigent waivers
Discuss insurance options upon termination of insurance contracts
Determine Medicare eligibility, assist with applications, act as liaison for terminations and reinstatements, complete annual open enrollment and reinstatement papers
Track 30-month coordination period for patients on employer Group Health Plans
Monitor and verify Medicaid status monthly, including spend down amounts
Work with patients to complete initial and annual indigent waiver applications
Monitor all patients' insurance information for accuracy and update Accounts Receivable Department
Address anomalies, research, and answer questions on insurance discrepancies
Meet with patients receiving direct insurance payments to ensure payment for dialysis treatments
Prepare, analyze, and review monthly reports to track caseload progress; audit billing system reports and correct discrepancies
Provide QA team with monthly information on insurance status and plans of action
Complete monthly audit exams
Present on insurance and financial assistance options as necessary
Assist with various projects as assigned by supervisor
Other duties as assigned; may focus on specific departments or locations

Skills

Medicare

Medicaid

COBRA

Insurance Coordination

Patient Education

Paperwork Processing

Claims Dispute

Social Security

Financial Assistance

Dialysis Patient Support

Fresenius Medical Care

Provides dialysis and renal healthcare services

About Fresenius Medical Care

Fresenius Medical Care North America focuses on delivering high-quality healthcare services to individuals with kidney and other chronic conditions. The company operates a vast network of dialysis centers and outpatient labs for cardiac and vascular care, ensuring coordinated treatment for many patients across the continent. It stands out as the largest fully integrated renal company, providing not only dialysis services but also specialty pharmacy and laboratory services. Additionally, Fresenius manufactures and distributes a wide range of dialysis equipment, disposable products, and renal pharmaceuticals. The goal of Fresenius Medical Care is to enhance the quality of life for patients with chronic illnesses by providing comprehensive and accessible healthcare solutions.

Waltham, MassachusettsHeadquarters

1996Year Founded

$39.1MTotal Funding

LATE_VCCompany Stage

Biotechnology, HealthcareIndustries

11-50Employees

Benefits

Professional Development Budget

Conference Attendance Budget

Flexible Work Hours

Risks

Increased competition from telehealth solutions like Philips' eCareManager 4.1.

Rising mental health challenges may impact FMCNA's employee productivity.

Virtual reality education may face adoption and accessibility challenges in rural areas.

Differentiation

FMCNA is the world's largest fully integrated renal company.

FMCNA offers a comprehensive line of dialysis equipment and renal pharmaceuticals.

FMCNA provides coordinated healthcare services at pivotal care points for chronic conditions.

Upsides

Telehealth market growth supports FMCNA's remote patient monitoring services.

Home dialysis market expansion aligns with FMCNA's patient-centric care approach.

AI integration enhances FMCNA's predictive analytics and personalized medicine capabilities.

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