Insurance Coordinator at Fresenius Medical Care

Antioch, California, United States

Fresenius Medical Care Logo
Not SpecifiedCompensation
Entry Level & New GradExperience Level
Full TimeJob Type
YesVisa
HealthcareIndustries

Requirements

Candidates must be able to explore, recommend, and coordinate insurance and financial assistance options for kidney dialysis patients. They must understand Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA. The role requires the ability to determine Medicare eligibility, assist patients with applications, and act as a liaison between patients and agents. Tracking specific patient periods, monitoring Medicaid status, and evaluating personal financial information for indigent programs are essential. Candidates must also maintain accurate patient insurance information for the Accounts Receivable Department and complete monthly audit exams to stay current on internal policies. Experience with desk and personal computer work, along with interaction with patients and facility staff, is expected.

Responsibilities

The Insurance Coordinator will educate patients on available insurance options and ensure they complete the application process. They will obtain necessary signatures, discuss options during changes in employment status, and complete paperwork for disputed claims. Responsibilities include collecting documents for indigent waivers, discussing insurance options when contracts terminate, and verifying Medicare and Medicaid eligibility and status. The coordinator will also work with patients to determine eligibility for indigent programs, track and complete waiver applications, and ensure all patient insurance information is updated and accurate. They will address discrepancies, research and answer questions, and ensure payment for dialysis treatments from insurance companies. Monthly reports on caseload progress will be prepared and analyzed, along with auditing billing systems for accuracy. Information on patient insurance status and action plans will be provided to QA teams, and presentations on insurance and financial assistance may be necessary. The role may also involve assisting with projects and other assigned duties.

Skills

Insurance Coordination
Medicare
Medicaid
Patient Education
Communication
Problem-solving
Compliance
Application Process
Claims Dispute
Indigent Waivers

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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