Insurance Coordinator

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Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. 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.

• Educate patients on alternative insurance options (e.g., Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA).
• Ensure patients complete the application process and obtain necessary premium statements and signatures.
• Discuss changes in employment status or other circumstances that may affect coverage.
• Complete and follow up on paperwork for disputed claims and non-payment.
• Collect documents for initial and annual indigent waivers.
• Discuss insurance options when contracts terminate.

• Determine Medicare eligibility and verify with local Social Security offices.
• Assist patients through the Medicare application process.
• Act as liaison between patients and local agents for terminations and reinstatements.
• Complete annual open enrollment and Medicare reinstatement papers.
• Track the 30‑month coordinator period for patients on employer Group Health Plans.
• Monitor Medicaid status monthly and determine spend‑down amounts.
• Evaluate personal financial information to determine indigent program eligibility.
• Complete initial and annual indigent waiver applications.
• Update and verify all patients' insurance information for Accounts Receivable.
• Research and resolve any discrepancies or anomalies.
• Meet with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius.
• Prepare, analyze, and review monthly reports to track work progress on caseloads; audit bills for correct insurance information.
• Provide QA team members with monthly information regarding patients’ primary and secondary insurance status and documentation.
• Complete monthly audit exams to stay current on internal policies.
• Present on insurance and financial assistance options to patients as necessary.
• Assist with various projects as assigned by direct supervisor.
• Other duties as assigned.

Workday involves desk work and personal computer use, interaction with patients and facility staff, and local travel to clinics in a specified geographic area. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. A valid Driver's License is required.

Bachelor's Degree required;
Social Work or other healthcare focus preferred.

• 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.

EOE, disability/veterans