Charlotte McKinney

• Explores, recommends, and coordinates insurance and potential financial assistance options available to over 600+ kidney dialysis patients in specified geographic area while maximizing revenue for Fresenius
• Contact insurance carriers to discuss policies and individual patient benefits
• Follow up with delinquent accounts to obtain funds and reduce aging balances
• Answer phone and in-person questions regarding billing, scheduling, and treatment
• Adheres to FMCNA Compliance Program, including following all regulatory and company policy requirements
• Meets regularly with dialysis patients at clinic(s) in assigned region to educate and coordinate insurance options
• Educates on availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs, and COBRA)
• Ensures patients have followed through with application process
• Obtains premium statements and signatures from patients
• Discuss situation and options if employment status changes or other situations arise
• Completes and follows up with paperwork when claims are disputed for non-payment
• Determine Medicare eligibility by meeting with patients and contacting local Social Security offices to verify eligibility
• Act as liaison between patient and local agents for Medicare terminations and re-in statements
• Researchers and corrects any discrepancies identified
• Provides QA team members with monthly information regarding details of patient's primary and secondary insurance status as well as documentation regarding plans of action currently in place monthly as required by QA processes
• Completes monthly audit exam to stay current on internal policies
• Assist with various projects as assigned by direct supervisor
• Work flexible hours across night, weekend and holiday shifts

• Received and processed new patient referrals for Social Security, Medicaid, CVC applications, and Charity Programs on daily and timely basis
• Conducted thorough eligibility screening for Social Security and Medicaid, and other agencies and initiated appropriate application
• Directly assist patients in obtaining benefits to which are entitled
• Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
• Increased customer satisfaction by resolving issues
• Ensured activities on all accounts were processed logically and expeditiously; This entails phone calls to patients, Social Security Administration, Medicaid Agency, and any other Governmental or third-party agencies
• Assessed customer issues, prioritized customer concerns, and determined best course of action for customer and company, escalating to management as necessary
• Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork