Insurance Coordinator

Fresenius Medical Care • Tacoma, WA

13d

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 supporting company revenue, mission, values, compliance requirements, and customer service philosophy. The role regularly meets with patients at assigned clinics to explain available insurance options, assist with applications and enrollment, and help resolve coverage or payment issues. It also evaluates patient financial information for indigent assistance and keeps insurance records accurate for billing and accounts receivable.

The coordinator monitors patient insurance status, reviews reports and billing information, researches discrepancies, supports quality assurance documentation, and completes monthly audits. The position may involve presenting insurance and financial assistance options, assisting with special projects, and performing other assigned duties. It requires extensive local travel to clinics in the assigned area and a valid driver's license. Work includes desk and computer tasks and interaction with patients and facility staff in a healthcare facility environment.

Requirements

• Bachelor's degree required.
• Two to five 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.
• Ability to travel extensively locally to clinics in the assigned geographic area.

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 and coordinate insurance options.
• Explain alternative insurance options, including Medicare, Medicaid, Medicare Supplement, state renal programs, and COBRA, and follow up on applications.
• Obtain patient premium statements and signatures, and discuss insurance options when employment or other circumstances change.
• Complete and follow up on paperwork for disputed claims and nonpayment.
• Collect documents and complete initial and annual indigent waiver applications.
• Determine Medicare eligibility by meeting with patients and contacting local Social Security offices; explain and assist with Medicare applications.
• Liaise with patients and local agents regarding Medicare terminations and reinstatements, and complete annual open enrollment and reinstatement paperwork.
• Track the 30-month coordination period for patients on employer group health plans to help ensure Medicare coverage 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.
• Keep patient insurance information updated and accurate for the Accounts Receivable Department; research and resolve discrepancies or questions.
• 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 about patients' primary and secondary insurance status and current 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.

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, for bonus-eligible positions

What This Job Offers

• Job Type: Full-time