Insurance Coordinator at Fresenius Medical Care

Wyoming, Michigan, 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, COBRA, and indigent waivers
Capability to determine Medicare and Medicaid eligibility through patient meetings and contacting Social Security offices
Proficiency in completing and following up on applications, paperwork, premium statements, signatures, and disputed claims
Skills in tracking 30-month coordination period, monthly Medicaid status, spend down amounts, and insurance updates
Ability to evaluate personal financial information for indigent program determinations
Competence in preparing, analyzing, and reviewing monthly reports and patient billing system audits
Capacity to research and correct discrepancies in insurance information
Experience providing monthly insurance status updates and documentation to QA team
Ability to complete monthly audit exams 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, terminations, or other situations
Complete and follow up on disputed claims paperwork for non-payment
Collect documents for initial and annual indigent waivers
Determine Medicare eligibility, assist with applications, act as liaison for terminations/reinstatements, and complete annual enrollment/reinstatement papers
Track 30-month coordination period for patients on employer Group Health Plans
Monitor and verify monthly Medicaid status and spend down amounts
Evaluate patient financial information and complete initial/annual indigent waiver applications
Monitor all patients' insurance information for accuracy and update Accounts Receivable Department
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 audits, research/correct discrepancies
Provide QA team with monthly details on primary/secondary insurance status and action plans
Complete monthly audit exams to stay current on policies
Present on insurance/financial assistance options as necessary
Assist with projects assigned by supervisor and other duties as assigned
Adhere to FMCNA Compliance Program, regulatory, and company policies

Skills

Medicare

Medicaid

Insurance Coordination

Patient Education

Claims Processing

Paperwork Management

Eligibility Verification

Financial Assistance

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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