Insurance Coordinator at Fresenius Medical Care

Harrisburg, Pennsylvania, 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 (e.g., for indigent waivers)
Proficiency in completing and following up on paperwork, applications, and disputed claims
Knowledge of Medicare/Medicaid processes, including eligibility verification, applications, terminations, reinstatements, open enrollment, and 30-month coordination period tracking
Ability to monitor and verify Medicaid status monthly, including spend down amounts
Competence in evaluating personal financial information for indigent program determinations
Skills in tracking, updating, and monitoring patients' insurance information for accuracy
Experience addressing anomalies, discrepancies, researching, and correcting billing system issues
Ability to prepare, analyze, and review monthly reports and patient audits
Capacity to provide monthly insurance status information and documentation to QA team
Willingness to complete monthly audit exams on internal policies
Comfort with desk work, personal computer use, and patient/staff interactions in a health care facility environment
Adherence to FMCNA Compliance Program, regulatory, and company policy requirements

Responsibilities

Educate and coordinate insurance options with dialysis patients, including alternative options and application follow-through
Obtain premium statements, signatures, and discuss changes in employment or situations
Complete and follow up on disputed claims paperwork and indigent waivers (initial and annual)
Discuss insurance options upon contract terminations
Determine Medicare eligibility, assist with applications, act as liaison for terminations/reinstatements, and complete annual enrollment/reinstatement papers
Track 30-month coordination period for patients on employer Group Health Plans
Monitor and verify Medicaid status monthly, determining spend down amounts
Evaluate patient financial information for indigent program and complete waiver applications
Monitor all patients' insurance for accuracy and update Accounts Receivable Department
Address discrepancies, research, and answer questions
Meet with patients receiving direct insurance payments to ensure payment for dialysis treatments
Prepare, analyze, and review monthly reports to track caseload progress and audit billing systems
Provide QA team with monthly patient insurance details and plans of action
Complete monthly audit exams
Present on insurance/financial assistance options as necessary
Assist with projects assigned by supervisor and other duties as assigned

Skills

Medicare

Medicaid

COBRA

Insurance Coordination

Patient Education

Claims Dispute

Paperwork Processing

Social Security Liaison

Indigent Waivers

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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