Insurance Coordinator

Fresenius Medical Care • Antioch, TN

11d • Onsite

About The Position

The Insurance Coordinator explores, recommends, and coordinates insurance and potential financial assistance options for kidney dialysis patients in an assigned geographic area, while maximizing company revenue. The role supports FMCNA’s mission, vision, core values, and customer service philosophy and follows the FMCNA Compliance Program and applicable regulatory and company policy requirements.

The coordinator regularly meets with patients at clinics to explain insurance options, help them complete applications, obtain required premium statements and signatures, and follow up on claims disputes and financial assistance paperwork. The role supports patients with Medicare and Medicaid eligibility, applications, enrollment, reinstatement, and ongoing status monitoring, and tracks coordination periods for patients covered by employer group health plans. It also evaluates patient financial information for indigent assistance, maintains accurate insurance records, researches discrepancies, reviews reports and billing data, and provides monthly insurance and action-plan information to QA team members.

The position may include presenting insurance and financial assistance options to patients, assisting with projects assigned by the direct supervisor, and performing other duties as assigned. It requires extensive local travel to clinics in a specified geographic area and a valid driver’s license. Day-to-day work includes desk and personal computer work and interaction with patients and facility staff in a healthcare facility with temperature control and moderate noise levels. Reasonable accommodations may be made for individuals with disabilities.

Requirements

• Bachelor’s degree required.
• Two to five years of related experience.
• Excellent written and communication skills.
• Strong customer service philosophy.
• Strong organizational and time-management skills.
• Ability to work independently.
• Proficiency with PCs and Microsoft Office applications.
• Valid driver’s license.
• Ability to travel extensively within the assigned geographic area.

Nice To Haves

• A focus in Social Work or another healthcare area.
• Experience in the healthcare industry.
• Experience with Medicare, Social Security, and Medicaid systems.
• Past patient interaction.

Responsibilities

• Meet regularly with dialysis patients at clinics in the assigned region to educate them about and coordinate insurance options.
• Explain alternative insurance options, including Medicare, Medicaid, Medicare Supplement, state renal programs, and COBRA, and ensure patients follow through with application processes.
• Obtain premium statements and patient signatures; discuss options when employment or other circumstances change.
• Complete and follow up on paperwork for disputed claims and non-payment.
• Collect documents and complete initial and annual indigent waivers.
• Discuss insurance options when insurance contracts are terminated.
• Determine Medicare eligibility by meeting with patients and contacting local Social Security offices.
• Explain Medicare applications and assist eligible patients with the application process.
• Liaise between patients and local agents regarding Medicare terminations and reinstatements.
• Complete annual open-enrollment and Medicare-reinstatement paperwork with patients.
• Track the 30-month coordination period for patients with employer group health plans to help ensure Medicare is in place when coordination ends.
• Monitor and verify patients’ Medicaid status monthly and determine spend-down amounts.
• Evaluate patients’ personal financial information and determine eligibility for the indigent program.
• Track and complete annual indigent waiver applications.
• Monitor insurance information for accuracy and currency for the Accounts Receivable Department; investigate and address anomalies or discrepancies.
• Meet with patients receiving direct insurance payments to ensure payment for dialysis treatments owed to Fresenius.
• Prepare, analyze, and review monthly reports to track caseload progress.
• Audit patient reports from billing systems to verify insurance information and identify overlooked changes; research and correct discrepancies.
• Provide QA team members monthly details of patients’ primary and secondary insurance status and documentation of current action plans, as required by QA processes.
• Complete monthly audit exams to remain current on internal policies.
• Present insurance and financial assistance options to patients as needed.
• Assist with projects assigned by the direct supervisor and perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level