Insurance Coordinator

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Explores, recommends, and coordinates 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.

• Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options.
• Educates patients on alternative insurance options (Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA).
• Ensures patients follow through with the application process and obtains premium statements and signatures.
• Discusses employment status or other changes affecting insurance coverage.
• Follows up on claims disputes for non-payment and completes required paperwork.
• Collects necessary documents for initial and annual indigent waiver applications.
• Manages insurance coordination when contracts are terminated.
• Determines Medicare eligibility; meets with patients and contacts local Social Security offices for verification.
• Assists with Medicare application, acts as liaison between patients and local agents for terminations and re-inscriptions, and completes annual open enrollment and Medicare reinstatement papers.
• Tracks 30-month coordination period for patients on employer Group Health Plans to ensure continuity of Medicare coverage.
• Monitors and verifies monthly Medicaid status, determines spend‑down amounts, and assists patients with personal financial evaluation for indigent program eligibility.
• Prepares, analyzes, and reviews monthly reports, audits billing data for insurance accuracy, and corrects discrepancies.
• Provides monthly QA information on patients’ primary and secondary insurance status and documentation.
• Assists with direct payment verification from insurance companies for dialysis treatments owed to Fresenius.
• Assists with various projects as assigned by direct supervisor.
• Other duties as assigned.

Desk and personal computer work; interaction with patients and facility staff; moderate noise level; extensive local travel to clinics in a specified geographic area; must have a valid Driver’s License.

• 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.
• 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.

EOE, disability/veterans