Insurance Coordinator

2 weeks ago

Albuquerque, United States Fresenius Medical Care, North America Full time

PURPOSE AND SCOPE:

Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. 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 completed initial and annual 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. Completing the annual open enrollment and Medicare reinstatement papers with the patients. Tracking 30-month coordinator 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 on a monthly basis 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. Tracks and completes annual indigent waiver applications. Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department. Addresses any identified anomalies or discrepancies, researches and answers questions as needed. Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius. 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 on a monthly basis as required by QA processes Completes 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.

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.

EDUCATION:

Bachelor's Degree required; Social Work or other Healthcare focus preferred.

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.

Career with a purposeWe offer an opportunity to create and deliver treatments that save and change lives for the better. We’ll support your ongoing development. And you’ll be part of a dedicated team of people who inspire each other to create the best possible healthcare outcomes each and every day. Inclusion and diversityJoining Fresenius Medical Care means becoming part of a team that values diversity. We embrace the wealth of different backgrounds, cultures, experiences and opinions that make up our workforce and strive to create an inclusive atmosphere in which all our employees feel valued. StabilityDeveloping innovative products and continuously improving our renal therapies made us the clear market leader in the production of hemodialysis machines, with sustainable, profitable growth . This position provides our 125000 employees with the stability and security they need to help improve the lives of our patients. Learning and developmentWe offer participation in programs at world-class business schools, leadership development, regular training for our nurses, health care professionals and manufacturing staff and digital access to high-quality educational content for all employees worldwide 24/7. Local benefitsOur employees enjoy both local and global opportunities for growth and personal fulfilment. We offer local benefits designed to suit the requirements of the respective country and place of work to create ideal conditions everywhere. Work-life balanceWe want to empower people to deliver better care. Therefore, we promote a better work-life balance through flexible working hours, part-time models, the possibility to work from home, and more.

  • Patient Service Coordinator

    2 weeks ago

    Albuquerque, United States UNM Medical Group, Inc. Full time

    Job DescriptionJob DescriptionUNM Medical Group, Inc. (UNMMG) is currently seeking an Patient Service Coordinator for the UNM Cancer Center - Patient Access – Patient Registration/Check-In Services.Minimum $35,692 - Midpoint $44,616**Salary is determined based on years of total relevant experience.*Salary is based on 1.0 FTE (full time equivalent) or 40...

  • Sales Coordinator

    3 days ago

    Albuquerque, United States Trussell's Transformations, LLC Full time

    Job DescriptionJob DescriptionBenefits:401(k)401(k) matchingDental insuranceHealth insurancePaid time offVision insurance Busy local residential remodeling company looking for an experienced sales coordinator to join our team. Coordinating remodeling projects demands exceptional organizational skills, attention to detail, and effective communication. The...

  • Sleep Coordinator

    5 days ago

    Albuquerque, United States HME Specialists LLC Full time

    Job DescriptionJob DescriptionAre you looking for an exciting career opportunity where you make a difference in people's lives daily? Then come join HME Specialists, we are New Mexico's largest local medical equipment and supply company!HME Specialists is a rapidly expanding company with a great work environment, career growth opportunities and great...

  • Sleep Coordinator

    7 days ago

    Albuquerque, United States HME Specialists LLC Full time

    Are you looking for an exciting career opportunity where you make a difference in people's lives daily? Then come join HME Specialists, we are New Mexico's largest local medical equipment and supply company!HME Specialists is a rapidly expanding company with a great work environment, career growth opportunities and great benefits. We offer Health, Dental and...

  • Patient Supply Coordinator

    3 weeks ago

    Albuquerque, United States HME Specialists LLC Full time

    Are you passionate about making a difference in the lives of patients? HME Specialists, LLC is seeking a Full Time Patient Supply Coordinator to join our team in Albuquerque. As a Patient Supply Coordinator, you will play a critical role in ensuring that our patients receive the medical supplies they need, when they need them. In this role, you will have the...

  • Patient Supply Coordinator

    2 weeks ago

    Albuquerque, United States HME Specialists LLC Full time

    Are you passionate about making a difference in the lives of patients? HME Specialists, LLC is seeking a Full Time Patient Supply Coordinator to join our team in Albuquerque. As a Patient Supply Coordinator, you will play a critical role in ensuring that our patients receive the medical supplies they need, when they need them. In this role, you will have the...

  • Patient Supply Coordinator

    4 weeks ago

    Albuquerque, United States HME Specialists LLC Full time

    Job DescriptionJob DescriptionAre you passionate about making a difference in the lives of patients? HME Specialists, LLC is seeking a Full Time Patient Supply Coordinator to join our team in Albuquerque. As a Patient Supply Coordinator, you will play a critical role in ensuring that our patients receive the medical supplies they need, when they need them....

  • Logistics Coordinator

    3 weeks ago

    Albuquerque, United States Groundworks New Mexico Full time

    Manage registrations, transportation, marketing, purchasing, billing, and recordkeeping. Requires project management experience, bookkeeping skills, and proficiency in software. Strong communication, organizational, and supervisory skills essential Additional Areas of Responsibility: Manages reporting, communication, financial, tangible resources,...

  • Sales Coordinator

    5 days ago

    Albuquerque, United States Total Management Systems Full time

    Job DescriptionJob DescriptionThe TownePlace Suites by Marriott is looking for a Sales Coordinator to join the team! This is a great opportunity for someone with previous front desk experience interested in advancing a career in Sales & Marketing. Do you enjoy speaking to people and have a passion for hospitality? Do you want to play a pivotal role in...

  • Sales Coordinator

    6 days ago

    Albuquerque, United States Total Management Systems Full time

    Job DescriptionJob DescriptionThe Springhill Suites by Marriott is looking for a Dual Property Sales Coordinator to join the team! This is a great opportunity for someone with previous front desk experience interested in advancing a career in Sales & Marketing. Do you enjoy speaking to people and have a passion for hospitality? Do you want to play a pivotal...

  • Office Coordinator

    3 weeks ago

    Albuquerque, United States Ardent Health Services Full time

    Overview Join our team as a day shift, full-time, Office Coordinator in Albuquerque, NM. Fulfilling your purpose begins here: People First, Always. Here's how we take care of our people: * Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee...

  • Hospice Coordinator

    2 weeks ago

    Albuquerque, United States HME Specialists LLC Full time

    Job DescriptionJob DescriptionAs a Hospice Coordinator with HME Specialists in Albuquerque, you will have the opportunity to work in a rewarding environment where you can make a real difference in the lives of patients and their families. This position allows you to showcase your problem-solving skills while providing essential support to those in need. If...

  • Broker/Producer for Wholesale Insurance

    5 days ago

    Albuquerque, United States Novatae Risk Group Full time

    Job DescriptionJob DescriptionNovatae Risk Group is a national wholesale/brokerage for hard to place commercial insurance coverages. We are seeking experienced commercial Excess &Surplus Brokers for your area location.  We are searching for candidate(s) who have demonstrated success in the wholesale industry or MGA.  We are expanding our capabilities for...

  • Client Financial Coordinator

    6 days ago

    Albuquerque, United States Turning Point Recovery Center Full time

    Job DescriptionJob DescriptionPosition Purpose:The Client Financial Coordinator serves as the first on-site point of contact for patient financial services. This position is responsible for coordinating and/or scheduling financial consultation appointments, collecting payments from walk-ins, obtaining insurance information, prescreening clients for self-pay,...

  • Client Financial Coordinator

    2 days ago

    Albuquerque, United States Turning Point Recovery Center Full time

    Job DescriptionJob DescriptionPosition Purpose:The Client Financial Coordinator serves as the first on-site point of contact for patient financial services. This position is responsible for coordinating and/or scheduling financial consultation appointments, collecting payments from walk-ins, obtaining insurance information, prescreening clients for self-pay,...

  • Nursing Care Coordinator

    2 weeks ago

    Albuquerque, United States KabaFusion Full time

    Come join an exciting and innovative company that puts the “care” back in healthcare!Why do Nursing Care Coordinators want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients. Here, it doesn’t matter what your role is, you will be part of a team that works collaboratively to change lives. You...

  • Patient Care Coordinator

    2 weeks ago

    Albuquerque, United States KabaFusion Full time

    Come join an exciting and innovative company that puts the “care” back in healthcare!Why do Patient Care Coordinators want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients. Here, it doesn’t matter what your role is, you will be part of a team that works collaboratively to change lives. You...

  • Nursing Care Coordinator

    2 weeks ago

    Albuquerque, United States KabaFusion Full time

    Come join an exciting and innovative company that puts the “care” back in healthcare!Why do Nursing Care Coordinators want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients. Here, it doesn’t matter what your role is, you will be part of a team that works collaboratively to change lives. You...

  • Commercial Lines Select Account Manager

    7 days ago

    Albuquerque, United States USI Insurance Services Full time

    General Description: Manage and coordinate all service activities for commercial lines clients $2,500 in revenue or below. Serve as primary contact, responsible for developing and maintaining strong client relationships. Understand and execute marketing, analyze options, present recommendations, and implement insurance programs. Maintain 92% or above...

  • Nursing Care Coordinator

    2 weeks ago

    Albuquerque, United States KabaFusion Full time

    Come join an exciting and innovative company that puts the “care” back in healthcare! Why do Nursing Care Coordinators want to work here? The reason people love working for KabaFusion is because of the impact we have on our patients. Here, it doesn’t matter what your role is, you will be part of a team that works collaboratively to change lives. You...