Insurance Coordinator at Fresenius Medical Care

North Haven, Connecticut, 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 perform desk and personal computer work, interact with patients and facility staff in a health care facility environment
Completion of monthly audit exams to stay current on internal policies

Responsibilities

Educate dialysis patients on alternative insurance options and ensure follow-through with application processes
Obtain premium statements and signatures from patients; discuss changes in employment or other 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, address anomalies, research and correct 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
Provide QA team with monthly information on patients' insurance status and plans of action
Present on insurance and financial assistance options as necessary
Assist with various projects as assigned by supervisor and perform other duties as assigned

Skills

Key technologies and capabilities for this role

MedicareMedicaidCOBRAInsurance CoordinationPatient EducationClaims ProcessingPaperwork ManagementSocial SecurityFinancial AssistanceEligibility Verification

Questions & Answers

Common questions about this position

What is the salary for the Insurance Coordinator position?

This information is not specified in the job description.

Is this a remote position or does it require on-site work?

This information is not specified in the job description.

What are the main responsibilities or skills needed for this role?

The role involves meeting regularly with dialysis patients to educate and coordinate insurance options like Medicare and Medicaid, assisting with applications, tracking eligibility and waivers, monitoring insurance status, and analyzing reports to ensure accurate billing.

What is the company culture like at Fresenius Medical Care?

The company emphasizes supporting its mission, vision, core values, and customer service philosophy, while adhering to the FMCNA Compliance Program and all regulatory and company policy requirements.

What makes a strong candidate for the Insurance Coordinator role?

Strong candidates should have experience or skills in patient coordination, knowledge of insurance programs like Medicare, Medicaid, and indigent waivers, attention to detail for tracking and reporting, and the ability to meet regularly with patients at clinics.

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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