Insurance Coordinator at Fresenius Medical Care

Sioux City, Iowa, 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
Capability to educate patients on insurance options (e.g., Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA)
Skills in obtaining premium statements, signatures, and necessary documents for applications and waivers
Proficiency in determining Medicare/Medicaid eligibility, contacting Social Security offices, and assisting with applications
Competence in tracking 30-month coordination period, monitoring Medicaid status monthly, and verifying spend-down amounts
Ability to evaluate personal financial information for indigent program determinations
Experience with completing and following up on paperwork for disputed claims, indigent waivers, Medicare reinstatements, and open enrollment
Capacity to monitor and update patients' insurance information accurately for Accounts Receivable
Skills in researching and correcting discrepancies in billing systems and patient reports
Ability to prepare, analyze, and review monthly reports and provide QA information
Willingness to complete monthly audit exams and stay current on internal policies
Comfortable with desk work, personal computer use, and interaction in a health care facility environment with moderate noise

Responsibilities

Educate dialysis patients on alternative insurance options and ensure follow-through on applications
Obtain premium statements, signatures, and documents; discuss changes in employment or situations
Complete and follow up on paperwork for disputed claims and insurance terminations
Collect documents for initial and annual indigent waivers
Determine Medicare eligibility, assist with applications, act as liaison for terminations/reinstatements, and complete annual open enrollment papers
Track 30-month coordination period for patients on employer Group Health Plans
Monitor and verify Medicaid status monthly, including spend-down amounts
Evaluate financial information and complete initial/annual indigent waiver applications
Monitor all patients' insurance information for accuracy and update Accounts Receivable; address anomalies
Meet with patients receiving direct insurance payments to ensure payment for dialysis treatments
Prepare, analyze, and review monthly reports; audit billing systems and correct discrepancies
Provide monthly QA updates on insurance status and action plans
Complete monthly audit exams
Present on insurance/financial assistance options as necessary
Assist with projects as assigned by supervisor and perform other duties

Skills

Medicare

Medicaid

COBRA

Insurance Verification

Patient Education

Claims Processing

Paperwork Management

Social Security Liaison

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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