See more Collapse

Insurance Coordinator

3 months ago

Cleveland, United States FRESENIUS MEDICAL CENTER Full time

PURPOSE AND SCOPE:

Explores, recommends, and coordinates insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while providing our patients education to elect the best insurance options for them. Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options:

  • Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA).

  • Ensures patients have followed through with the application process.

  • Obtains premium statements and signatures from patients.

  • Discusses situation and options if employment status changes or other situations change.

  • Completes and follows up with paperwork when claims are disputed for non-payment.

  • Collects necessary documents to complete indigent waivers.

  • Discusses insurance options when insurance contracts are terminated.

  • Responsibilities involving Medicare and Medicaid include but are not limited to:

  • Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility.

  • Discussing the Medicare application with eligible patients and assisting with the application process.

  • Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements.

  • Educate and review insurance options for annual open enrollment and Medicare reinstatement periods with patients.

  • Tracking 30-month coordination period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends.

  • Monitoring and verifying the Medicaid status of each patient monthly and determining the spend down amounts.

  • Works with patients to evaluate personal financial information and make determination for indigent program.

  • Completes initial Indigent waiver applications.

  • Monitors all patients’ insurance information to ensure that it is updated and accurate for the Revenue Cycle Management.

  • Addresses any identified anomalies or discrepancies, research and answers questions as needed.

  • Meets with patients receiving direct payments from insurance companies to ensure patients understand their responsibility with the handling of those payments.

  • Prepares, analyzes, and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified.

  • Provides QA team members with monthly information regarding the details of the patients’ primary and secondary insurance status as well as documentation regarding the plans of actions currently in place monthly as required by QA processes.

  • Completes monthly audit exam to stay current on internal policies.

  • May present insurance and financial assistance options to patients as necessary.

  • Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state, and federal laws, and regulations.

  • Assist with various projects as assigned by direct supervisor.

  • Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS :

  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day-to-day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Extensive local travel to clinics in a specified geographic area; must have a valid Driver’s License.

SUPERVISION:

  • None

EDUCATION:

  • Bachelor’s Degree preferred, Social Work or other Healthcare focus preferred. High school diploma would require minimum of 5+ years of experience in similar position or insurance experience.

EXPERIENCE AND REQUIRED SKILLS :

  • 2 – 5 years’ related experience; healthcare industry preferred.

  • Experience with Medicare, Social Security and Medicaid systems a plus.

  • Past patient interaction a plus.

  • Excellent written and communication skills.

  • A strong customer service philosophy.

  • Strong organizational and time management skills.

  • Ability to work independently.

  • Proficient with PCs and Microsoft Office applications.

  • Valid Driver’s License

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity

Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

We have other current jobs related to this field that you can find below

  • Lab Coordinator

    1 month ago

    Cleveland, United States Cleveland Museum of Art Full time

    Job DescriptionJob DescriptionThe Museum seeks a full-time Lab Coordinator to join its active conservation department. The Lab Coordinator assists the Conservation Department in the overall coordination of its activities taking place in the Eric T. and Jane Baker Nord Family Conservation Suite, a beautiful, state-of-the-art 18,000-square-foot facility in the...

  • Service Coordinator

    2 months ago

    Cleveland, United States McGregor Foundation Full time

    Job DescriptionJob DescriptionJoin Our Team as a Service Coordinator McGregor’s mission is to Support Seniors and Those Who Serve Them. McGregor has served its residents and the larger community since 1877 and has a strong reputation as an innovative and quality service provider in residential living and community-based services. We are looking for an...

  • Event Coordinator

    3 months ago

    Cleveland, United States Cleveland Museum of Art Full time

    Job DescriptionJob DescriptionThe Event Coordinator oversees and is responsible for the planning, staging, execution, and analysis of the museum’s auxiliary services including facility rental and event management. This position serves as liaison to museum’s food service vendor in the rental of museum spaces through the coordination of scheduling spaces...

  • Event Coordinator

    1 month ago

    Cleveland, United States CMA Co Full time

    The Event Coordinator oversees and is responsible for the planning, staging, execution, and analysis of the museum's auxiliary services including facility rental and event management. This position serves as liaison to museum's food service vendor in the rental of museum spaces through the coordination of scheduling spaces and museum provided services....

  • Event Coordinator

    2 months ago

    Cleveland, United States Cleveland Museum of Art Full time

    Job DescriptionJob DescriptionThe Event Coordinator oversees and is responsible for the planning, staging, execution, and analysis of the museum’s auxiliary services including facility rental and event management. This position serves as liaison to museum’s food service vendor in the rental of museum spaces through the coordination of scheduling spaces...

  • Biologics Coordinator

    3 months ago

    Cleveland, United States Cleveland Clinic Full time

    Coordinates all support and clerical activities for department by providing support to internal clients while functioning as liaison with external clients.Experience with insurance and prior authorizations preferred Responsibilities:Coordinates various department activities by facilitating analysis and reporting information.Develops, maintains and...

  • Set Coordinator

    7 days ago

    Cleveland, Ohio, United States Heidelberg Distributing Company Full time

    JOB SUMMARY The Set Coordinator is responsible for managing sales in assigned territories and working closely with retail customers to analyze data and create shelf schematics aligned with customer and company objectives. This role requires a strategic approach to plan development and analyzing sales trends to identify opportunities. Key responsibilities...

  • Activity Coordinator

    4 weeks ago

    Cleveland, United States McGregor Foundation Full time

    Job DescriptionJob Description Activities CoordinatorFull-Time Monday through Friday with Rotating WeekendsMcGregor - Supporting Seniors in need and those who serve them. McGregor is perfectly situated on a picturesque 45-acre estate, overlooking downtown Cleveland with a view of Lake Erie in the distance. Recognized as a leader in innovation and high-value...

  • Maintenance Coordinator

    3 days ago

    Cleveland, United States Imagine Homes Management Full time

    About Imagine Homes ManagementAt Imagine Homes, we specialize in providing our residents with premier single-family living. We believe that our focus and attention to detail distinguish us, and we are proud to help our residents find properties that they come to call home. We currently manage a growing portfolio of 2,000 single-family properties in...

  • Senior Outreach Coordinator

    3 months ago

    Cleveland, United States Northeast Ohio Neighborhood Full time

    Job DescriptionJob DescriptionGeneral DutiesUnder the supervisor of the Director of Social Services & Special programs, the Seniors Outreach Coordinator will develop and implement initiatives and programs geared towards the senior population. The Seniors Outreach Coordinator will work to develop strategic partnerships within the community to strengthen...

  • Therapy Coordinator

    2 months ago

    Cleveland, United States Reliant Rehabilitation Full time

    Overview: **$2,500 SIGN-ON OR RELOCATION BONUS IS BEING OFFERED!** **SEEKING A LICENSED THERAPIST TO TAKE ON THE FULL TIME THERAPY COORDINATOR ROLE - PTA OR OTA PREFERRED!** When you join Reliants therapy team, you join a team that makes a very real impact in the lives of the patients and residents we serve. As a leading rehab therapy provider for skilled...

  • Project Coordinator

    2 months ago

    Cleveland, Ohio, United States tapwage Full time

    TriMark USA is the country's largest provider of design services, equipment, and supplies to the foodservice industry. We proudly serve our customers by providing design services, commercial equipment, and foodservice supplies across a wide range of industries and business sectors. Headquartered in Massachusetts, with a history dating back to 1896, we have...

  • Maintenance Coordinator

    3 days ago

    Cleveland, United States Imagine Homes Management Full time

    Job DescriptionJob DescriptionAbout Imagine Homes ManagementAt Imagine Homes, we specialize in providing our residents with premier single-family living. We believe that our focus and attention to detail distinguish us, and we are proud to help our residents find properties that they come to call home. We currently manage a growing portfolio of 2,000...

  • Maintenance Coordinator

    1 day ago

    Cleveland, United States Imagine Homes Management Full time

    Job DescriptionJob DescriptionAbout Imagine Homes ManagementAt Imagine Homes, we specialize in providing our residents with premier single-family living. We believe that our focus and attention to detail distinguish us, and we are proud to help our residents find properties that they come to call home. We currently manage a growing portfolio of 2,000...

  • Safety Coordinator

    2 months ago

    Cleveland, United States Depot Connect International Full time

    Job DescriptionJob DescriptionQuala is currently hiring a full-time Safety Coordinator. The Safety Coordinator is responsible for conducting safety meetings, audits, and inspections to evaluate compliance and performance, identify corrective action, and implement follow up activity and assessments.Position ResponsibilitiesMaintains detailed logs of Safety...

  • Front Office Coordinator

    2 weeks ago

    Cleveland, United States Jackson Furniture Ind. Full time

    Job DescriptionJob DescriptionHuman Resources CoordinatorJackson Furniture Industries has 9 operations and 1300+ employees in four states. We are located in Cleveland, TN, and are currently seeking candidates for the position of Human Resources Coordinator. This position will support the Human Resources Department by performing various HR-related tasks,...

  • Procurement Transplant Coordinator I

    1 month ago

    Cleveland, United States Lifebanc Full time

    Title: Procurement Transplant Coordinator Are you ready to save a life? Do you want to be the person that makes the miracle of organ donation a reality? Do you want to turn tragedy into hope and healing?This is what we do every single day and we think you have what it takes. Join a team that combines the fulfillment of an amazing mission with incredible...

  • Work Experience Coordinator

    2 months ago

    Cleveland, United States Dynamic Workforce Solutions Full time

    Job DescriptionJob DescriptionJob Title: Work Experience CoordinatorOffice Location: Cleveland, OHPosition Classification: Non-ExemptEXPERIENCE EXTREME CUSTOMER SERVICEAbout the CompanyDynamic Workforce Solutions (DWFS) contracts with state and local entities to provide services that offer the communities we serve reliable workforce development and training...

  • Event Coordinator

    3 months ago

    Cleveland, United States The Cleveland Orchestra Full time

    **Position:** Event Coordinator **Location:** Cleveland, OH **Job Id:** 205 **# of Openings:** 1 The Cleveland Orchestra is seeking an **Event Coordinator** who will uphold and execute the principals of The Cleveland Orchestra Guest Experience Brand, Behaviors, and Standards in all actions with guests and colleagues. The Event Coordinator ensures the...

  • Client Services Coordinator

    3 months ago

    Cleveland, United States PPS-HPS Full time

    Job DescriptionJob DescriptionClient Services CoordinatorAll candidates must have a positive attitude, strong work ethic and the ability to work in a team. This can be a hybrid position upon completion of training.Applicants must have:Previous experience in Commercial Printing and/or digital printing or similar industry such as advertising agency or in-house...