Dialysis Insurance Navigator

Fresenius Medical Care; New York (NY); On-site; USD 59,000 - 90,000; Full time

Job summary

Fresenius Medical Care in New York, NY seeks an Insurance and Financial Counselor to educate patients on insurance options and assist with enrollment. The role centers on securing Medicare/Medicaid coverage and guiding patients through open enrollment, with a focus on accurate coordination for Revenue Cycle Management.

Responsibilities include eligibility verification, indigent waiver processing, and collaboration with local social services to ensure timely access to benefits and support for

Qualifications

• Bachelor’s Degree preferred, 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.
• 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.

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 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 contracts are terminated.
• Determines Medicare eligibility by meeting with patients and verifying with Social Security.
• Assists with Medicare applications and liaison with local agents for terminations.
• Educates and reviews insurance options during open enrollment and reinstatement periods.
• Monitors 30‑month coordination period for employer group plans to ensure Medicare in place.
• Monitors Medicaid status and spend down amounts monthly.
• Evaluates personal finances to determine indigent program qualification.
• Completes initial Indigent waiver applications.
• Monitors patient insurance data for Revenue Cycle Management accuracy.
• Addresses anomalies or discrepancies and answers questions as needed.
• Meets with patients receiving direct payments from insurers to explain responsibilities.
• Prepares and reviews monthly reports to track caseload progress and audit billing data.

Skills

Healthcare insurance familiarity

Medicare/Medicaid knowledge

Customer service

Communication skills

Billing systems familiarity

Education

Bachelor’s Degree preferred (Social Work or Healthcare focus)

Tools

Microsoft Office

Billing systems

Job description

Fresenius Medical Care in New York, NY seeks an Insurance and Financial Counselor to educate patients on insurance options and assist with enrollment. The role centers on securing Medicare/Medicaid coverage and guiding patients through open enrollment, with a focus on accurate coordination for Revenue Cycle Management.

Responsibilities include eligibility verification, indigent waiver processing, and collaboration with local social services to ensure timely access to benefits and support for