Insurance Coordinator
4 weeks ago
We are seeking a highly skilled Insurance Coordinator to join our team at Fresenius Medical Care North America. As an Insurance Coordinator, you will play a critical role in ensuring that our patients receive the best possible care by coordinating their insurance benefits and financial assistance options.
Key Responsibilities- Meet with patients to educate them on available insurance options and assist with the application process.
- Ensure patients have followed through with the application process and obtain necessary documents.
- Discuss insurance options with patients when employment status changes or other situations occur.
- Complete and follow up on paperwork when claims are disputed for non-payment.
- Collect necessary documents to complete initial and annual indigent waivers.
- Discuss insurance options with patients when insurance contracts are terminated.
- Act as liaison between patients and local agents for Medicare terminations and re-in statements.
- Complete annual open enrollment and Medicare reinstatement papers with patients.
- Track 30-month coordinator period each month for patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends.
- Monitor and verify Medicaid status of each patient on a monthly basis and determine spend down amounts.
- Work with patients to evaluate personal financial information and make determination for indigent program.
- Complete initial and annual indigent waiver applications.
- Monitor all patients' insurance information to ensure it is updated and accurate for the Accounts Receivable Department.
- Address any identified anomalies or discrepancies, research and answer questions as needed.
- Meet with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius.
- Prepare, analyze and review monthly reports to track work progress on caseloads; analyze patient reports from billing systems as an audit check to ensure correct insurance information is entered into the billing system and other changes are not overlooked.
- Research and correct any discrepancies identified.
- Provide QA team members with monthly information regarding the details of patients' primary and secondary insurance status as well as documentation regarding the plans of action currently in place on a monthly basis as required by QA processes.
- Complete monthly audit exam to stay current on internal policies.
- May present on insurance and financial assistance options to patients as necessary.
- Assist with various projects as assigned by direct supervisor.
- Other duties as assigned.
- Bachelor's Degree required; Social Work or other Healthcare focus preferred.
- 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.
Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.
The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.
Annual Rate: $47, $71,000.00
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