Supv Insurance Coordination at Fresenius Medical Care

Mokena, Illinois, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medical Services, DialysisIndustries

Requirements

Knowledge of insurance processes, procedures, and functions including tracking, reporting, enrolling, and educating patients on insurance options
Understanding of varied insurance financial assistance options, timelines, standard operating procedures, company policies, and regulatory guidelines
Ability to act as a subject matter expert on insurance awareness, eligibility, and enrollment issues
Proficiency in reviewing, auditing, and ensuring accuracy of database reports, monthly reports, and effective insurance reports
Skills in monitoring Coordination of Benefit periods, Medicare applications, and patients nearing 65th birthday for insurance enrollment
Capability to provide training, guidance, counseling, and performance management to Insurance Coordinators
Adherence to FMCNA's mission, vision, core values, customer service philosophy, and Compliance Program

Responsibilities

Oversee day-to-day activities of Insurance Coordinators, providing direction, support, guidance, training, and ensuring performance standards and customer service levels are met
Facilitate execution of the Insurance Coordinator program for insurance preservation of dialysis patients, including patient education and enrollment
Address and investigate escalated issues and complex problems, contributing to problem resolution
Review and audit Insurance Coordinators' database reports and monthly reports for compliance, productivity, education, enrollment, AKF assistance, and Indigent waiver approval
Coordinate and provide monthly Insurance Coordinator database reports for the region, communicate results, and escalate concerns to IC Manager
Ensure accuracy of reports by comparing with effective insurance reports, resolve discrepancies, and provide counseling/training as needed
Monitor and ensure accurate tracking of Coordination of Benefit periods and process Medicare applications 90 days prior to the 30-month period ending
Monitor patients within 6-month window of 65th birthday for additional insurance enrollment and optimal coverage
Provide IC Manager and Division management with documentation and follow-up for patients on status reports
Monitor accuracy and completion of progress notes, providing guidance to ICs
Compile monthly reports from IC team for Division reports and provide to IC Director in absence of IC Manager
Communicate company updates, regulatory/legislative updates to IC team
Closely monitor new Insurance Coordinators post-initial training, providing support and guidance
Address performance issues with ICs, provide action plans and additional training; escalate consistent issues as needed

Skills

Insurance Coordination

Patient Enrollment

Insurance Preservation

Compliance Auditing

Team Supervision

Data Reporting

Problem Resolution

Training

Regulatory Compliance

Customer Service

Performance Standards

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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