Wound Care Verification/Authorization Specialist verifying patient eligibility for health care services at InfuSystem. Collaborating with healthcare providers for necessary authorizations and documentation support in a hybrid work environment.
About the role
- Insurance Coordinator at Fresenius Medical Care supporting dialysis patients. Educating on insurance options and coordinating financial assistance while complying with regulatory requirements.
Responsibilities
- 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.
- Ensures patients have followed through with the application process.
- Completes and follows up with paperwork when claims are disputed for non-payment.
- Monitors and verifies the Medicaid status of each patient on a monthly basis and determining the spend down amounts.
- Prepares, analyzes and reviews monthly reports to track work progress on caseloads.
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.
- 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.
Benefits
- Must have reliable transportation as this person will be expected to travel across local clinics.
- Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
- Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors.
Job title
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