Insurance Coordinator

• Explore, recommend, and coordinate insurance and potential financial assistance options for kidney dialysis patients
• Meet regularly with dialysis patients at clinics in the assigned region to educate and coordinate insurance options
• Educate patients on Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA
• Ensure patients follow through with insurance application processes
• Obtain premium statements and patient signatures
• Complete and follow up on disputed claims paperwork
• Complete initial and annual indigent waiver applications
• Determine Medicare eligibility and assist eligible patients with Medicare applications
• Liaise between patients and local agents for Medicare terminations and reinstatements
• Complete annual open enrollment and Medicare reinstatement papers
• Track 30-month coordination periods for patients on employer Group Health Plans
• Monitor and verify Medicaid status and determine spend-down amounts
• Evaluate personal financial information and determine eligibility for indigent programs
• Monitor and update patient insurance information for the Accounts Receivable Department
• Research and resolve insurance information anomalies and discrepancies
• Meet with patients receiving direct insurance payments to ensure payment for dialysis treatments owed to Fresenius
• Prepare, analyze, and review monthly caseload progress reports
• Audit billing-system patient reports and correct discrepancies
• Provide QA team members with monthly insurance-status and action-plan information
• Complete monthly audit exams to remain current on internal policies
• Present insurance and financial assistance options to patients as needed
• Assist with assigned projects and other duties

• 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
• Extensive local travel to clinics in a specified geographic area

Demonstrates expertise in coordinating insurance and financial assistance options for kidney dialysis patients, with a strong focus on Medicare, Medicaid, and patient education. Proficient in managing patient interactions and ensuring compliance with insurance application processes.

• Medicare Knowledge
• Patient Education
• Insurance Coordination
• Customer Service
• Organizational Skills

• Medicare Application Assistance
• Indigent Waiver Applications
• Claims Dispute Resolution
• Financial Eligibility Evaluation
• Insurance Information Monitoring

• Excellent Communication Skills
• Strong Customer Service Philosophy
• Time Management
• Ability to Work Independently

• Bachelor's Degree

• Healthcare Industry
• Medicaid
• Social Security
• Patient Interaction
• Insurance Anomalies

• Microsoft Office Applications
• Billing Systems