Fresenius Medical Care — бүйрек ауруларын емдеуге және күтуге бағытталған жаһандық денсаулық сақтау компаниясы. 1996 жылы құрылғаннан бері компания бүйрек ауруымен өмір сүретін адамдарды қолдауға арналған диализ өнімдерін, емдеу әдістерін және клиникалық қызметтерді әзірлеп келеді. Оның бүкіл әлем бойынша 4 000-нан астам диализ клиникасы бар және компанияда 125 000-нан астам адам жұмыс істейді. Жұмыс беруші ретінде Fresenius Medical Care пациенттерге күтім көрсету, денсаулық сақтау технологиялары, өндіріс, логистика және консалтинг салаларындағы мамандарды біріктіреді. Компания ынтымақтастыққа, сенімділікке, бастамашылдыққа, жоғары нәтижеге және инклюзивті жұмыс ортасына мән береді.
Insurance Coordinator, Vestal (Onsite) — Fresenius Medical Care
Guide kidney dialysis patients through insurance coverage and financial assistance options, including Medicare and Medicaid. Keep clinic coverage records accurate and review billing information for errors and updates.
Сипаттама
- Assess and coordinate insurance coverage and possible financial assistance for kidney dialysis patients.
- Explain Medicare, Medicaid, Medicare Supplement plans, State Renal programs, COBRA, and other coverage options to patients.
- Help patients complete and follow through on insurance applications.
- Collect premium statements and patient signatures.
- Complete and track paperwork for disputed claims and indigent waivers.
- Check Medicare eligibility and help eligible patients apply.
- Coordinate with patients and local Medicare agents on coverage terminations and reinstatements.
- Review coverage choices during annual open enrollment and Medicare reinstatement periods.
- Track the 30-month coordination period for patients covered by employer group health plans.
- Verify Medicaid status and calculate spend-down amounts.
- Review financial details to determine eligibility for indigent programs.
- Keep patient insurance records accurate and up to date for Revenue Cycle Management.
- Investigate and resolve insurance inconsistencies and discrepancies.
- Meet with patients who receive insurance payments directly to explain their responsibilities.
- Prepare, analyze, and review monthly caseload and patient billing reports.
- Check billing systems for accurate insurance details and identify coverage changes that may have been missed.
- Send QA team members monthly insurance status updates and action plan documentation.
- Complete monthly audit reviews to stay current with internal policies.
- Explain insurance and financial assistance options to patients as needed.
- Follow the Code of Business Conduct, company policies, and applicable laws and regulations.
- Support supervisor-assigned projects and carry out other assigned duties.
Талаптар
- A bachelor’s degree is preferred, ideally in social work or a healthcare-related field.
- High school diploma and at least five years of experience in a similar role or in insurance.
- Two to five years of related experience; healthcare experience is preferred.
- Familiarity with Medicare, Social Security, and Medicaid systems is a plus.
- Prior experience interacting with patients is a plus.
- Excellent written and verbal communication skills.
- Strong commitment to customer service.
- Strong organizational and time management abilities.
- Ability to work independently.
- Proficiency with PCs and Microsoft Office applications.
- Valid driver’s license.
- Ability to travel extensively between clinics within an assigned local area.
Артықшылықтар
- Equal opportunity employer.
- Drug-free workplace.
- Reasonable accommodations may be provided to enable people with disabilities to perform essential job functions.