Insurance Coordinator at Fresenius Medical Care

Dover, Delaware, 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 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 changes in employment or situations, and completes/follows up on disputed claims paperwork
Collects documents for initial and annual indigent waivers, discusses options when insurance contracts terminate
Determines Medicare eligibility by meeting patients and contacting Social Security offices, assists with Medicare applications, acts as liaison for terminations and reinstatements, completes annual open enrollment and reinstatement papers
Tracks 30-month coordination period for patients on employer Group Health Plans to ensure Medicare activation
Monitors and verifies Medicaid status monthly, determines spend down amounts
Evaluates patients' personal financial information for indigent program eligibility, completes initial and annual indigent waiver applications
Monitors all patients' insurance information for accuracy and updates for Accounts Receivable Department, addresses anomalies/discrepancies, researches and corrects as needed
Meets with patients receiving direct insurance payments to ensure payment for dialysis treatments
Prepares, analyzes, and reviews monthly reports to track caseload progress; audits patient reports from billing systems for correct insurance info and changes
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

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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