Insurance Coordinator

Insurance Coordinator

Address: 6300 S Kingery Hwy, Willowbrook, IL 60527, United States of America

Job ID: R0271969

Location Type: Onsite

Job Overview

Fresenius Medical Care serves around 292,000 dialysis patients worldwide and provides products in more than 140 countries. We are a vertically integrated medical technology (MedTech) and healthcare service company made up of three operating segments: Care Delivery, Value-Based Care, and Care Enablement. This structure allows us to provide the full spectrum of healthcare services, systems, devices, technologies, products, and pharmaceuticals to deliver high-quality care to people living with kidney disease.

Job Description

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 our patients education to elect the best insurance options for them. Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options:
• Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA).
• Ensures patients have followed through with the application process.
• Obtains premium statements and signatures from patients.
• Discusses situation and options if employment status changes or other situations change.
• Completes and follows up with paperwork when claims are disputed for non-payment.
• Collects necessary documents to complete indigent waivers.
• Discusses insurance options when insurance contracts are terminated.
• Responsibilities involving Medicare and Medicaid include but are not limited to:
• Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility.
• Discussing the Medicare application with eligible patients and assisting with the application process.
• Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements.
• Educate and review insurance options for annual open enrollment and Medicare reinstatement periods with patients.
• Tracking 30-month coordination period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends.
• Monitoring and verifying the Medicaid status of each patient monthly and determining the spend down amounts.
• Works with patients to evaluate personal financial information and make determination for indigent program.
• Completes initial Indigent waiver applications.
• Monitors all patients’ insurance information to ensure that it is updated and accurate for the Revenue Cycle Management.
• Addresses any identified anomalies or discrepancies, research and answers questions as needed.
• Meets with patients receiving direct payments from insurance companies to ensure patients understand their responsibility with the handling of those payments.
• Prepares, analyzes, and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified.
• Provides QA team members with monthly information regarding the details of the patients’ primary and secondary insurance status as well as documentation regarding the plans of actions currently in place monthly as required by QA processes.
• Completes monthly audit exam to stay current on internal policies.
• May present insurance and financial assistance options to patients as necessary.
• Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state, and federal laws, and regulations.
• Assist with various projects as assigned by direct supervisor.
• Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day-to-day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Extensive local travel to clinics in a specified geographic area; must have a valid Driver’s License.

SUPERVISION:

• None

EDUCATION

• Bachelor’s Degree preferred, Social Work or other Healthcare focus preferred. High school diploma would require minimum of 5+ years of experience in similar position or insurance experience.

EXPERIENCE AND REQUIRED SKILLS:

• 2 – 5 years’ related experience; healthcare industry preferred.

• Experience with Medicare, Social Security and Medicaid systems a plus.

• Past patient interaction a plus.

• Excellent written and communication skills.

• A 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

• Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

• Care in every moment.

• Connection in every step.

• Our Offerings

• We are committed to your total well-being.

• We want to help you thrive and are committed to an equitable workplace that fuels individual success and our

• company's growth. With tailored healthcare, wellness programs, training, and consistent support, our

• programs ensure you have the resources to be your best self at work and at home.

• Health

• Medical plan options

• Dental insurance

• Vision plan

• Short- and long-term disability

• Wealth

• 401(k) retirement plan with company match

• Student debt and loan support

• Flexible spending accounts

• Commuter benefits

• Employee discounts

• Well-being

• Hybrid working model

• Paid time off and leave programs

• Fertility, family building, and postpartum support

• Caregiving support

• Development

• Go4RN program helps employees get to RN status with covered tuition and eligible expenses

• Tuition assistance for employees and their families

• Digital access to high-quality educational content, through The University, for all employees worldwide

• For more information and eligibility requirements, please contact your recruiter or HR representative.

• Important notices

• Fraud Notice

• Fresenius Medical Care is aware of fraudulent communications from individuals or organizations falsely claiming to represent our company. To help protect yourself, please note:

• Fresenius Medical Care will only contact candidates using official company email domains or

• through Cara, our virtual AI (Artificial Intelligence) assistant at Fresenius Medical Care.

• We do not request payment, fees, gift cards, cryptocurrency, or banking information at any stage

• of the recruitment process.

• We do not conduct interviews exclusively through messaging apps or social media platforms.

• All legitimate job openings are posted on our official careers website.

• If you receive suspicious communication claiming to be from Fresenius Medical Care, do not respond

• or share personal information. We encourage you to report the activity to your local consumer

• protection agency, law enforcement authority, or cybercrime reporting center. We have included links

• for the most common hiring locations for your convenience.

• United States: Federal Bureau of Investigation (IC3) –

• www.ic3.gov

• Germany: Bundeskriminalamt (BKA) –

• www.bka.de

• United Kingdom: Action Fraud –

• www.actionfraud.police.uk

• Poland: CERT Polska –

• www.cert.pl

• India: National Cyber Crime Portal –

• www.cybercrime.gov.in

• Mexico: Guardia Nacional –

• www.gob.mx/gn

• Philippines: Philippine National Police Anti-Cybercrime Group –

• www.pnp.gov.ph

• We are committed to maintaining a safe and transparent recruitment process.

• Recruitment Agency

• If you are a recruitment agency submitting a resume on behalf of a client: Fresenius Medical Care AG

• and its affiliates (FME) only accepts candidate submissions from agencies on its approved Preferred

• Supplier List. All third-party searches and submissions require an existing signed agreement and

• prior, written approval from Human Resources; all other submissions will be c