Insurance Coordinator

Fresenius Medical Care AG; Galesburg (IL); On-site; USD 45,000 - 68,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with company match

Paid time off

Parental leave

Job summary

Fresenius Medical Care is seeking a patient insurance liaison in Galesburg, IL to educate dialysis patients on available insurance options and coordinate enrollment. You will help navigate Medicare, Medicaid, state programs, and COBRA while ensuring accurate documentation and coordination with revenue cycle teams.

The role requires 2–5 years in healthcare insurance, strong communication skills, and a customer-focused approach.

Qualifications

• Bachelor’s degree preferred, Social Work or healthcare focus.
• High school diploma with 5+ years related experience acceptable.
• 2–5 years in healthcare insurance or similar field.
• Excellent written and verbal communication skills.
• Strong customer service focus and attention to detail.
• Proficient with PCs and Microsoft Office; valid driver’s license.

Responsibilities

• Meets regularly with dialysis patients to educate and coordinate insurance options.
• Educates on Medicare, Medicaid, COBRA, and state renal programs.
• Assists with application processes and evidence collection.
• Reviews monthly reports to verify insurance information in billing systems.
• Researches discrepancies and communicates with QA and Revenue Cycle teams.
• May travel locally to clinics; valid driver’s license required.

Skills

Excellent written and verbal skills

Strong organizational skills

Time management

Customer service mindset

Independent work

MS Office proficiency

Education

Bachelor's degree preferred

Tools

Microsoft Office

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

The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies.

Rate: $44,600-$68,000

Non-Bonus Eligible Positions: include language below.

Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.

Bonus Eligible Positions – include language below.

Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.

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

EOE, disability/veterans