Insurance Coordinator

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

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 completed initial and annual indigent waivers.
• Discusses insurance options when insurance contracts are terminated.

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.
• Completing the annual open enrollment and Medicare reinstatement papers with the patients.
• Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends.