Insurance Coordinator Jobs

About The Position

Requirements

• 2–5 years of related experience; healthcare industry experience preferred.
• A high school diploma requires a minimum of 5+ years of experience in a similar position or insurance 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.

Nice To Haves

• Bachelor’s degree preferred; Social Work or another healthcare focus preferred.
• 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 and coordinate insurance options.
• Educate patients about Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA, and other available insurance options.
• Ensure patients follow through with insurance applications; obtain premium statements and patient signatures.
• Discuss insurance options when a patient's employment status, circumstances, or insurance contracts change.
• Complete and follow up on paperwork for disputed non-payment claims.
• Collect documents needed to complete indigent waivers and complete initial indigent waiver applications.
• Determine Medicare eligibility by meeting with patients and contacting local Social Security offices to verify eligibility.
• Discuss Medicare applications with eligible patients and assist with the application process.
• Act as liaison between patients and local agents regarding Medicare terminations and reinstatements.
• Educate patients about and review insurance options during annual open enrollment and Medicare reinstatement periods.
• Track the 30-month coordination period for patients covered by employer Group Health Plans to help ensure Medicare is in place when coordination ends.
• Monitor and verify each patient's Medicaid status monthly and determine spend-down amounts.
• Evaluate patients' personal financial information and determine eligibility for the indigent program.
• Monitor patient insurance information to ensure it is accurate and updated for Revenue Cycle Management.
• Address identified anomalies or discrepancies, research issues, and answer questions as needed.
• Meet with patients receiving direct insurance payments to ensure they understand their responsibilities for handling those payments.
• Prepare, analyze, and review monthly reports to track caseload progress; audit patient billing-system reports for correct insurance information and overlooked changes, and 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 a monthly audit exam to remain current on internal policies.
• Present insurance and financial assistance options to patients as necessary.
• Review and comply with the Code of Business Conduct, company policies and procedures, and applicable local, state, and federal laws and regulations.
• Assist with projects assigned by the direct supervisor and perform other duties as assigned.