Insurance Coordinator at Fresenius Medical Care

Bellflower, California, 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

Adheres to the FMCNA Compliance Program, including all regulatory and company policy requirements
Completes monthly audit exam to stay current on internal policies
Day to day work includes desk and personal computer work and interaction with patients and facility staff (physical demands)

Responsibilities

Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options
Educates patients on the availability of alternative insurance options (e.g., Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA)
Ensures patients have followed through with the application process, obtains premium statements and signatures
Discusses situation and options if employment status changes or other situations change
Completes and follows up with paperwork when claims are disputed for non-payment
Collects necessary documents to complete initial and annual indigent waivers
Discusses insurance options when insurance contracts are terminated
Determines Medicare eligibility by meeting with patients and contacting local Social Security offices
Discusses the Medicare application with eligible patients and assists with the application process
Acts as liaison between the patient and local agents for Medicare terminations and re-instatements
Completes the annual open enrollment and Medicare reinstatement papers with patients
Tracks 30-month coordination period each month for patients on employer Group Health Plans
Monitors and verifies Medicaid status of each patient monthly and determines spend down amounts
Works with patients to evaluate personal financial information and make determinations for indigent program
Completes initial and annual indigent waiver applications
Monitors all patients' insurance information to ensure it is updated and accurate for Accounts Receivable
Addresses anomalies or discrepancies, researches and answers questions as needed
Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments
Prepares, analyzes, and reviews monthly reports to track work progress on caseloads
Analyzes patient reports from billing systems as an audit check and corrects discrepancies
Provides QA team with monthly information on patients' primary/secondary insurance status and plans of action
May present on insurance and financial assistance options to patients as necessary
Assists with various projects as assigned by direct supervisor
Other duties as assigned

Skills

Insurance Coordination

Medicare

Medicaid

Patient Education

Eligibility Verification

Application Assistance

Claims Dispute

Paperwork Management

Financial Assistance

COBRA

State Renal Programs

Social Security Liaison

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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