Insurance Coordinator at Fresenius Medical Care

Tupelo, Mississippi, 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
Performs day-to-day desk and personal computer work
Interacts with patients and facility staff in a health care facility environment

Responsibilities

Meets regularly with dialysis patients at clinic(s) in assigned region to educate and coordinate insurance options, including Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA
Ensures patients follow through with insurance application processes and obtains premium statements and signatures
Discusses insurance options and situations for changes in employment status or other circumstances
Completes and follows up on paperwork for disputed claims due to non-payment
Collects documents for initial and annual indigent waivers
Discusses insurance options when contracts are terminated
Determines Medicare eligibility by meeting patients and contacting Social Security offices
Assists eligible patients with Medicare applications and acts as liaison for terminations and reinstatements
Completes annual open enrollment and Medicare reinstatement papers with patients
Tracks 30-month coordination period for patients on employer Group Health Plans
Monitors and verifies Medicaid status monthly, including spend down amounts
Evaluates patients' personal financial information for indigent program eligibility and completes initial and annual indigent waiver applications
Monitors all patients' insurance information for accuracy and updates for Accounts Receivable Department, addressing anomalies and discrepancies
Meets with patients receiving direct insurance payments to ensure payment for dialysis treatments
Prepares, analyzes, and reviews monthly reports to track caseload progress and audits billing system reports for correct insurance information
Provides QA team with monthly information on patients' insurance status and plans of action
Presents on insurance and financial assistance options to patients as necessary
Assists with various projects as assigned by supervisor and performs other duties as assigned

Skills

Medicare

Medicaid

Insurance Coordination

Patient Education

Claims Processing

Eligibility Verification

Paperwork Management

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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