Insurance Coordination Crdntr
vor 3 Wochen
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 LicenseEO/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.-
Insurance Coordinator
vor 3 Wochen
Bad Homburg, Deutschland Fresenius Medical Care, North America VollzeitPURPOSE 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...
-
Insurance Coordinator
vor 2 Wochen
Bad Homburg, Deutschland Fresenius Medical Care, North America VollzeitPURPOSE 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...
-
Regulatory Specialist
vor 2 Monaten
Bad Vilbel, Deutschland STADA Arzneimittel AG VollzeitHemofarm is a member of STADA Group, one of the largest global generic pharmaceutical companies, which successfully operates in both the markets of Western Balkans. Hemofarm produces high quality pharmaceutical products within the leading pharmacotherapeutic groups, observing the key corporate values: Agility, Integrity, Entrepreneurship and ONE...
-
Specijalista Registracije
vor 1 Woche
Bad Vilbel, Deutschland STADA Arzneimittel AG VollzeitHemofarm is a member of STADA Group, one of the largest global generic pharmaceutical companies, which successfully operates in both the markets of Serbia and Western Balkans. Hemofarm produces high quality pharmaceutical products within the leading pharmacotherapeutic groups, observing the key corporate values: Agility, Integrity, Entrepreneurship and ONE...
-
Manager (m/f/d) - Network Security Services
vor 3 Wochen
Bad Homburg, Deutschland Amadeus VollzeitJob TitleManager (m/f/d) - Network Security ServicesYou probably think that working for an online travel agency that manages hundreds of millions of bookings per year or working for an airline that operates hundreds of thousands of flights per year must bring their fair chair of challenge. If so, just try to realize the scalability, the performance, the...
-
Manager (m/f/d) - Network Security Services
vor 2 Wochen
Bad Homburg, Deutschland Amadeus VollzeitJob TitleManager (m/f/d) - Network Security ServicesYou probably think that working for an online travel agency that manages hundreds of millions of bookings per year or working for an airline that operates hundreds of thousands of flights per year must bring their fair chair of challenge. If so, just try to realize the scalability, the performance, the...
-
Manager (m/f/d) - Network WAN Solutions
vor 3 Wochen
Bad Homburg, Deutschland Amadeus VollzeitJob TitleManager (m/f/d) - Network WAN SolutionsYou probably think that working for an online travel agency that manages hundreds of millions of bookings per year or working for an airline that operates hundreds of thousands of flights per year must bring their fair chair of challenge. If so, just try to realize the scalability, the performance, the...
-
Manager (m/f/d) - Network WAN Solutions
vor 2 Wochen
Bad Homburg, Deutschland Amadeus VollzeitJob TitleManager (m/f/d) - Network WAN SolutionsYou probably think that working for an online travel agency that manages hundreds of millions of bookings per year or working for an airline that operates hundreds of thousands of flights per year must bring their fair chair of challenge. If so, just try to realize the scalability, the performance, the...
-
Licensed Practical or Vocational Nurse
vor 1 Woche
Bad Homburg, Deutschland Fresenius Medical Care, North America VollzeitDescription Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team...
-
Licensed Practical or Vocational Nurse
vor 3 Wochen
Bad Homburg, Deutschland Fresenius Medical Care, North America VollzeitDescription Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team...
-
Licensed Practical Nurse – LPN – Dialysis
vor 3 Wochen
Bad Homburg, Deutschland Fresenius Medical Care, North America VollzeitDescription Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team...
-
Licensed Practical Nurse
vor 2 Wochen
Bad Homburg, Deutschland Fresenius Medical Care, North America VollzeitDescription Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team...
-
Inpatient Licensed Practical Nurse – LPN – Dialysis
vor 2 Wochen
Bad Homburg, Deutschland Fresenius Medical Care, North America VollzeitDescription Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team...
-
Regional Float Licensed Practical Nurse, LPN
vor 3 Wochen
Bad Homburg, Deutschland Fresenius Medical Care, North America VollzeitDescription Provide your personal attention and kindness, professional insight, and a generosity of spirit. Offer expertise and encouragement. Enhance each patient's future-as well as your own. Connect with your goals and change lives with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team...
-
Director Global Launch Management
vor 3 Wochen
Bad Vilbel, Deutschland STADA Arzneimittel AG Vollzeit**Director Global Launch Management (f/m/d)** - Bad Vilbel | Germany (DE) | Full-time | Permanent- Management of Global Product Launches from a Supply Chain perspective to have the right product at the right time at the right price and right quality in the markets. The Director of Global Launch Management is responsible for leading and overseeing the...
-
Head of Information Security Management
vor 2 Wochen
Bad Vilbel, Deutschland STADA Arzneimittel AG Vollzeit"Caring for People's Health as a Trusted Partner" - This mission motivates us at STADA every day to improve the health of people worldwide. With our wide range of generics, consumer health products and specialty pharmaceuticals, we offer patients, doctors and pharmacists a wide range of therapeutic options.- Around 11,700 employees live our values of...
-
Head of Information Security Management
vor 2 Wochen
Bad Vilbel, Deutschland STADA Arzneimittel AG Vollzeit"Caring for People's Health as a Trusted Partner" - This mission motivates us at STADA every day to improve the health of people worldwide. With our wide range of generics, consumer health products and specialty pharmaceuticals, we offer patients, doctors and pharmacists a wide range of therapeutic options.- Around 11,700 employees live our values of...
-
Compliance Officer
vor 2 Wochen
Bad Vilbel, Deutschland STADA Arzneimittel AG VollzeitCaring for People's Health as a Trusted Partner" - This mission motivates us at STADA every day to improve the health of people worldwide. With our wide range of generics, consumer health products and specialty pharmaceuticals, we offer patients, doctors and pharmacists a wide range of therapeutic options. Do you want to become part of a dynamic,...
-
Assistenz der Standortleitung
vor 3 Wochen
Bad Staffelstein, Bayern, Deutschland GE VollzeitJob Description SummaryÜber uns GE ist ein Arbeitgeber mit gleichen Chancen für alle. Wir leben Inklusion und Personalentscheidungen werden bei uns unabhängig von ethnischer Herkunft, Hautfarbe, Religion und Weltanschauung, Bekenntnis, sexueller Orientierung, Geschlechteridentität, Alter, Behinderung und anderer gesetzlich geschützter...
-
Assistenz der Geschäftsführung
vor 3 Wochen
Bad Staffelstein, Bayern, Deutschland GE VollzeitJob Description SummaryDie Stelle umfasst die Unterstützung der Geschäftsführung in operativen und strategischen Belangen, einschließlich eigenverantwortlicher Projektarbeit. Zu Ihren Aufgaben gehören die Organisation von Kundenbesuchen und Veranstaltungen, das Erstellen von Präsentationen sowie die allgemeine Verwaltung und Abrechnung von Dienstreisen...
