Insurance Coordinator
About The Position
The Insurance Coordinator explores, recommends, and coordinates insurance and potential financial assistance options available to 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 applicable regulatory and company policy requirements under the FMCNA Compliance Program. The coordinator regularly meets with dialysis patients at clinics in the assigned region to explain insurance options, help patients complete applications, gather required documents, and address changes in employment, coverage, or insurance contracts. The role supports Medicare and Medicaid eligibility, enrollment, reinstatement, and ongoing status tracking; evaluates patients’ financial information for indigent assistance; and keeps insurance information accurate for Accounts Receivable and billing. The coordinator also reviews reports, researches and corrects insurance discrepancies, provides monthly information to QA team members, completes monthly audit exams, and may present insurance and financial assistance options to patients. The position involves desk and computer work, interaction with patients and facility staff, and extensive local travel to clinics in a specified geographic area. A valid driver’s license is required.
Requirements
- Bachelor’s degree required.
- 2–5 years of related experience.
- Excellent written and verbal 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.
Nice To Haves
- Bachelor’s degree in Social Work or another healthcare-focused field preferred.
- Healthcare industry experience preferred.
- Experience with Medicare, Social Security, and Medicaid systems is a plus.
- Prior patient interaction is a plus.
Responsibilities
- Meet regularly with dialysis patients at clinics in the assigned region to educate them about insurance options and coordinate coverage.
- Explain alternative insurance options, including Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA.
- Ensure patients follow through with insurance applications; obtain premium statements and patient signatures.
- Discuss insurance options when employment status, other circumstances, or insurance contracts change.
- Complete and follow up on paperwork for disputed claims and non-payment.
- Collect documentation for initial and annual indigent waivers.
- Determine Medicare eligibility by meeting with patients and contacting local Social Security offices.
- Explain Medicare applications and assist eligible patients with the application process.
- Act as liaison 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 covered by employer Group Health Plans to ensure Medicare is in place when coordination ends.
- Monitor and verify each patient’s Medicaid status monthly and determine spend-down amounts.
- Review patients’ personal financial information and determine eligibility for the indigent program.
- Complete initial and annual indigent waiver applications.
- Monitor patients’ insurance information for accuracy and currency for the Accounts Receivable Department; research and resolve 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 plans of action 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.
- Travel extensively to clinics in the assigned geographic area.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) with company match
- Paid time off
- Parental leave
- Potential performance-based bonuses depending on company and individual performance
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What This Job Offers
Job Type
Full-time
