Insurance Services Coordinator

vor 4 Wochen


Bad Homburg vor der Höhe, Hessen, Deutschland Fresenius Medical Care Vollzeit

POSITION SUMMARY:

The Insurance Coordinator plays a crucial role in assisting kidney dialysis patients by identifying, recommending, and coordinating various insurance and financial aid options available within a designated area, all while ensuring the company's revenue is maximized. This position aligns with the mission, vision, core values, and customer service principles of Fresenius Medical Care.

KEY RESPONSIBILITIES:

The coordinator will engage with dialysis patients at clinics in the assigned region to provide education and support regarding insurance options:

  • Inform patients about alternative insurance options, including Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA.
  • Assist patients in completing the application process.
  • Collect premium statements and necessary signatures from patients.
  • Discuss changes in employment status or other circumstances that may affect insurance.
  • Manage paperwork for disputed claims to ensure resolution.
  • Gather required documents for initial and annual indigent waivers.
  • Address insurance options in the event of contract terminations.

Responsibilities related to Medicare and Medicaid include:

  • Assessing Medicare eligibility through patient meetings and liaising with local Social Security offices.
  • Guiding eligible patients through the Medicare application process.
  • Acting as a liaison for patients regarding Medicare terminations and reinstatements.
  • Facilitating annual open enrollment and Medicare reinstatement documentation.
  • Monitoring the 30-month coordination period for patients on employer Group Health Plans.
  • Regularly verifying Medicaid status and determining spend down amounts.
  • Evaluating personal financial information to assist in indigent program eligibility.
  • Completing and tracking indigent waiver applications.
  • Ensuring accurate and updated insurance information for the Accounts Receivable Department.
  • Investigating and resolving any discrepancies in patient insurance information.
  • Meeting with patients receiving direct payments to ensure timely payment for dialysis services.
  • Preparing and analyzing monthly reports to monitor caseload progress and ensure accuracy in billing systems.
  • Providing the QA team with monthly updates on patients' insurance status and action plans.
  • Conducting monthly audits to remain compliant with internal policies.
  • Presenting information on insurance and financial assistance options to patients as needed.
  • Assisting with additional projects as directed by the supervisor.
  • Performing other duties as assigned.

WORK ENVIRONMENT:

This role requires local travel to various clinics within the designated area and necessitates a valid Driver's License. The work environment is typical of a healthcare facility, involving desk work, personal computer usage, and interaction with patients and staff.

EDUCATION AND EXPERIENCE:

  • Bachelor's Degree is required; a focus in Social Work or Healthcare is preferred.
  • 2 to 5 years of relevant experience, preferably in the healthcare sector.
  • Familiarity with Medicare, Social Security, and Medicaid systems is advantageous.
  • Experience in patient interaction is beneficial.
  • Exceptional written and verbal communication skills.
  • A strong commitment to customer service.
  • Excellent organizational and time management abilities.
  • Capability to work independently.
  • Proficiency in Microsoft Office applications.

EO/AA Employer: We are an equal opportunity employer, welcoming applications from individuals of diverse backgrounds.

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



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