Insurance Coordinator

Must have reliable transportation as this person will be traveling to and from clinics within region (mileage reimbursement provided.) Purpose and Scope Explores, recommends, and coordinates insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while providing patients education to elect the best insurance options. Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including all regulatory and company policy requirements. Principal Duties and Responsibilities Meet regularly with dialysis patients at clinics in the assigned region to educate and coordinate insurance options. Educate patients on alternative insurance options such as Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA. Ensure patients complete the application process, obtain premium statements and signatures. Discuss changes in employment status or other situations that may affect insurance options. Complete and follow up on paperwork for disputed claims and indigent waivers. Discuss insurance options when insurance contracts are terminated or reinstated. Determine Medicare eligibility by meeting with patients and verifying with local Social Security offices. Assist eligible patients with the Medicare application process and act as liaison for Medicare terminations and re‑instatements. Educate patients during annual open enrollment and Medicare reinstatement periods. Track the 30‑month coordination period for patients on employer Group Health Plans to ensure Medicare coverage after coordination ends. Monitor monthly Medicaid status and determine spend‑down amounts. Work with patients to evaluate personal financial information for indigent program determinations and complete initial Indigent waiver applications. Monitor all patients’ insurance information for accuracy; address anomalies or discrepancies and conduct research as needed. Meet with patients receiving direct payments from insurance companies to clarify responsibilities. Prepare, analyze, and review monthly reports to track caseload progress, audit billing system entries, and correct discrepancies. Provide QA team members with monthly information on primary and secondary insurance status and documentation for current action plans. Complete monthly audit exams to stay current on internal policies. Present insurance and financial assistance options to patients as necessary. Review and comply with the Code of Business Conduct, applicable laws, and regulations. Assist with various projects assigned by direct supervisor. Physical Demands and Working Conditions Day‑to‑day work includes desk and personal computer tasks and interaction with patients and facility staff. Extensive local travel to clinics in a specified geographic area is required; a valid Driver’s License is mandatory. Education and Experience Preferred: Bachelor’s Degree in Social Work or another healthcare focus. High school diploma requires a minimum of 5+ years of experience in a similar position. 2–5 years of related experience; healthcare industry experience preferred. Experience with Medicare, Social Security and Medicaid systems is a plus. Required Skills Excellent written and oral communication skills. Strong customer service philosophy. Strong organizational and time‑management skills. Ability to work independently. Proficient with PCs and Microsoft Office applications. Valid Driver’s License. EEO Statement Fresenius Medical Care maintains a drug‑free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non‑merit‑based factors. #J-18808-Ljbffr