Insurance Coordinator at Fresenius Medical Care

Dorchester, Massachusetts, United States

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Not SpecifiedCompensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medical, DialysisIndustries

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 assisting with Medicare and Medicaid applications, terminations, reinstatements, and open enrollment
Ability to track 30-month coordination period for patients on employer Group Health Plans
Proficiency in monitoring and verifying Medicaid status monthly, including spend down amounts
Competence in evaluating personal financial information for indigent program determinations
Experience with completing initial and annual indigent waiver applications
Ability to monitor and update patients' insurance information accurately for Accounts Receivable
Skills in researching and correcting discrepancies in billing systems and patient reports
Capability to prepare, analyze, and review monthly reports on caseload progress
Ability to provide monthly insurance status information and documentation to QA team
Completion of monthly audit exams to stay current on internal policies
Comfortable with desk work, personal computer use, and interaction in a health care facility environment

Responsibilities

Educate dialysis patients on alternative insurance options (Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA)
Ensure patients follow through with insurance application processes and obtain premium statements/signatures
Discuss insurance options for changes in employment status or other situations
Complete and follow up on paperwork for disputed claims due to non-payment
Collect documents for initial and annual indigent waivers
Discuss insurance options when contracts are terminated
Determine Medicare eligibility and assist with applications; act as liaison for terminations/reinstatements
Complete annual open enrollment and Medicare reinstatement papers
Track 30-month coordination period for employer Group Health Plan patients
Monitor and verify Medicaid status monthly and determine spend down amounts
Evaluate patient financial information for indigent program and complete waiver applications
Track and complete annual indigent waiver applications
Monitor all patients' insurance information for accuracy and update Accounts Receivable
Address anomalies/discrepancies, research, and answer questions
Meet with patients receiving direct insurance payments to ensure payment for dialysis treatments
Prepare, analyze, and review monthly reports to track caseload progress
Analyze patient reports from billing systems as audit checks and correct discrepancies
Provide QA team with monthly details on primary/secondary insurance status and action plans
Complete monthly audit exams
Present on insurance and financial assistance options as necessary
Assist with various projects as assigned by supervisor
Adhere to FMCNA Compliance Program, regulatory, and company policies
Support FMCNA's mission, vision, core values, and customer service philosophy

Skills

Insurance Coordination

Medicare

Medicaid

Patient Education

Eligibility Verification

Application Assistance

Claims Dispute

Paperwork Management

Financial Assistance

Liaison

Compliance

COBRA

State Renal Programs

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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