Insurance Coordinator

Jobtailor; Missouri; On-site; USD 42,000 - 68,000; Full time

Job summary

Jobtailor is seeking a dedicated Insurance Coordinator to work with dialysis patients across assigned clinics. You will educate on Medicare, Medicaid, and related programs, coordinate insurance options, and ensure timely applications are completed and followed up.

Travel to multiple clinics is required; strong communication and organizational skills are essential. A Bachelor’s degree in a healthcare-related field is preferred.

Qualifications

• Bachelor’s degree required; healthcare focus preferred.
• Experience with Medicare, Social Security, and Medicaid is a plus.
• Strong written and verbal communication skills.

Responsibilities

• Educate patients on Medicare, Medicaid, and related programs.
• Coordinate insurance options and assist with applications.
• Meet with patients at clinics and track enrollment status.

Skills

Medicare Knowledge

Patient Education

Insurance Coordination

Customer Service

Organizational Skills

Education

Bachelor's Degree

Tools

Microsoft Office

Billing Systems

Job description

• Explore, recommend, and coordinate insurance and potential financial assistance options for kidney dialysis patients


• Meet regularly with dialysis patients at clinics in the assigned region to educate and coordinate insurance options


• Educate patients on Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA


• Ensure patients follow through with insurance application processes


• Obtain premium statements and patient signatures


• Complete and follow up on disputed claims paperwork


• Complete initial and annual indigent waiver applications


• Determine Medicare eligibility and assist eligible patients with Medicare applications


• Liaise between patients and local agents for Medicare terminations and reinstatements


• Complete annual open enrollment and Medicare reinstatement papers


• Track 30-month coordination periods for patients on employer Group Health Plans


• Monitor and verify Medicaid status and determine spend-down amounts


• Evaluate personal financial information and determine eligibility for indigent programs


• Monitor and update patient insurance information for the Accounts Receivable Department


• Research and resolve insurance information anomalies and discrepancies


• Meet with patients receiving direct insurance payments to ensure payment for dialysis treatments owed to Fresenius


• Prepare, analyze, and review monthly caseload progress reports


• Audit billing-system patient reports and correct discrepancies


• Provide QA team members with monthly insurance-status and action-plan information


• Complete monthly audit exams to remain current on internal policies


• Present insurance and financial assistance options to patients as needed


• Assist with assigned projects and other duties

Requirements

• 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


• 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


• Extensive local travel to clinics in a specified geographic area

Core Competencies

Demonstrates expertise in coordinating insurance and financial assistance options for kidney dialysis patients, with a strong focus on Medicare, Medicaid, and patient education. Proficient in managing patient interactions and ensuring compliance with insurance application processes.

Highest-signal resume keywords

• Medicare Knowledge


• Patient Education


• Insurance Coordination


• Customer Service


• Organizational Skills

Hard Skills

• Medicare Application Assistance


• Indigent Waiver Applications


• Claims Dispute Resolution


• Financial Eligibility Evaluation


• Insurance Information Monitoring

Soft Skills

• Excellent Communication Skills


• Strong Customer Service Philosophy


• Time Management


• Ability to Work Independently

Certifications & Qualifications

• Bachelor's Degree

Industry Keywords

• Healthcare Industry


• Medicaid


• Social Security


• Patient Interaction


• Insurance Anomalies

Tools & Technologies

• Microsoft Office Applications


• Billing Systems