Job Description
The Patient Insurance Coordinator assists patients with managing health insurance coverage and identifying available financial assistance programs. This role serves as the primary point of contact for patients and healthcare facilities regarding insurance benefits, coverage options, coordination of benefits, and financial support. The coordinator educates ESRD (End-Stage Renal Disease) patients on insurance options, helps them navigate enrollment processes, and acts as a liaison between patients, clinical and administrative teams, and the billing office.
Job Responsibilities
- Assist patients in understanding and managing their health insurance coverage.
- Educate ESRD patients on available insurance options, benefits, and levels of coverage.
- Help patients explore and apply for appropriate insurance and financial assistance programs.
- Serve as the primary contact for patient insurance-related questions and concerns.
- Provide guidance on:
- Insurance benefits
- Coordination of benefits
- Coverage eligibility and levels
- Appeals and grievance processes
- Act as a liaison between patients, clinical teams, administrative staff, and the billing office.
- Support patients in navigating commercial insurance, Medicare, Medicaid, and other government benefit programs.
- Ensure patients are informed about all coverage options available to them.
- Maintain compliance with HIPAA regulations regarding patient medical and financial information.
- Travel to dialysis centers throughout New York City's five boroughs and surrounding metropolitan areas as needed.
Numbers & Facts
| Location | New York, NY |
| Job Type | Full-time |
| Salary | $55,000–$60,000 Per Year |
| Company Size | 201 - 500 |
| Website | https://rogosin.org |
Qualifications
- Associate’s degree and at least three (3) years of work experience in case management and/or medical billing, collections, and appeals/grievance options and processes, extensive knowledge of commercial, Medicare and NYS Medicaid processes, government medical benefits and billing.
- Clinical or other face-to-face experience with patients preferred.
- Proficient in managed care and insurance coverage, knowledge of Social Security (including SSDI), Medicare, Commercial Insurers, Coordination of Benefits, New York Medicaid (including Emergency Medicaid), Prescription Drug Plans, the Health Insurance Marketplace/Exchange, and Essential Plans.
- Full knowledge of HIPAA Compliance Rules related to patient medical and financial information.
- Knowledge of clinical terminology and medical systems background or familiarity preferred.
- Excellent interpersonal skills required, and must be computer literate, with excellent follow-through, strong written and verbal communication skills.
- Must be able to adapt to flexible work schedule to accommodate patients’ needs.
- Travel to our dialysis centers within the NYC’s five borough is required .
- Familiarity with ESRD and dialysis an advantage, with prior experience working in an outpatient clinic a plus.
Benefits
Paid Time-Off, Life Insurance, Paid Sick Days, Tuition Reimbursement, Medical, Dental, Vision
Skills
- Billingunmatched
- End-Stage Renal Failureunmatched
- Insuranceunmatched
- Kidney Diseaseunmatched
- Organizational Skillsunmatched
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