Insurance Coordinator at Fresenius Medical Care

Fort Wayne, Indiana, 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, interaction 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 application processes, obtains premium statements and signatures
Discusses insurance options for changes in employment status or other situations
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
Tracks 30-month coordination period for patients on employer Group Health Plans
Monitors and verifies Medicaid status monthly, including spend down amounts
Evaluates personal financial information to determine indigent program eligibility and completes initial/annual indigent waiver applications
Monitors all patients' insurance information for accuracy and updates for Accounts Receivable Department; addresses anomalies/discrepancies
Meets with patients receiving direct insurance payments to ensure payment for dialysis treatments
Prepares, analyzes, and reviews monthly reports on caseload progress; audits billing system reports for correct insurance info and corrects discrepancies
Provides QA team with monthly info on primary/secondary insurance status and action plans
Presents on insurance and financial assistance options as necessary
Assists with various projects as assigned by supervisor
Other duties as assigned; may focus on specific departments/locations per addendum

Skills

Key technologies and capabilities for this role

Insurance CoordinationMedicareMedicaidPatient EducationEligibility VerificationApplication AssistanceClaims DisputePaperwork ManagementFinancial AssistanceLiaisonComplianceCOBRAState Renal Programs

Questions & Answers

Common questions about this position

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

This information is not specified in the job description.

What salary or compensation can I expect for the Insurance Coordinator role?

This information is not specified in the job description.

What key skills or experiences are required for this Insurance Coordinator position?

The role requires strong knowledge of insurance options like Medicare, Medicaid, and indigent programs, excellent patient coordination and education skills, attention to detail for monitoring insurance status and resolving discrepancies, and proficiency in analyzing reports and billing systems.

What is the company culture like at Fresenius Medical Care for this role?

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 position?

A strong candidate would have experience working directly with dialysis patients, deep knowledge of Medicare/Medicaid processes, and skills in financial coordination, paperwork management, and discrepancy resolution to maximize revenue and ensure compliance.

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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