What does a billing and insurance coordinator do?

A billing and insurance coordinator is responsible for coordinating with employees from different departments of an organization for billing and insurance processing purposes. Billing and insurance coordinators sort mail for distribution to appropriate personnel, performing administrative and clerical duties as needed, managing and releasing of invoices under the manager's supervision, and responding to employees' inquiries and concerns. A billing and insurance coordinator must be highly analytical, as well as have excellent knowledge of the insurance disciplines and processes to assist the employees with their payments and benefits.
Billing and insurance coordinator responsibilities
Here are examples of responsibilities from real billing and insurance coordinator resumes:
- Develop a database to maintain/update all manage care, Medicare and Medicaid fee schedules for accessibility by physicians and administrators.
- Look up for ICD-9 codes charges on a daily basic to verify that physicians post charges.
- Enter new and verify insurance information, putting in ICD-9 codes, correcting location and too late to bill.
- Instruct and supervise support staff in accurate CPT and ICD9 coding for the oncology department of a large medical clinic.
- Research and resubmitted reject claims with correct diagnosis, CPT codes and erroneous demographics for deny charges to insurances for reprocessing.
- Maintain strict patient confidentiality and adhere to HIPAA guidelines/regulations.
- Research claims for appropriate information while following HIPPA regulations.
- Understand and adhere to all HIPAA regulations regarding patient confidentiality and record-keeping.
- Insure office practices are in compliance with HIPPA by securing patient information electronically and physically
- Work closely with utilization review on denials for authorization issues and ensure timeliness of appeals.
- Sort insurance provider payroll, coding and indexing of medical documents input into computer database.
- Process referrals for new patients, renew authorizations for current patients and handle monthly eligibility for all patients.
- Follow up with agencies regarding missing Medicaid and Medicare information; send out weekly reports to facility administrators.
- Complete refunds and adjustments to insurances and patients while providing necessary back-up information to maintain permanent accurate account history.
- Work all incoming insurance/patient billing correspondence, appeals, reviews, and actively work accounts to resolution within timely filing parameters.
Billing and insurance coordinator skills and personality traits
We calculated that 16% of Billing And Insurance Coordinators are proficient in Patients, Customer Service, and Data Entry. They’re also known for soft skills such as Communication skills, Math skills, and Organizational skills.
We break down the percentage of Billing And Insurance Coordinators that have these skills listed on their resume here:
- Patients, 16%
Processed referrals for new patients, renewed authorizations for current patients and handled monthly eligibility for all patients.
- Customer Service, 12%
Managed and organized billing data system, responsible for input of delivery information and driver payments, provided prompt customer service
- Data Entry, 7%
Operate various office equipment* Verify invoices and revise any errors* Perform data entry* Assisted in timekeeping* Other bookkeeping tasks
- Billing System, 4%
Invoice processing* Managing agreements in the company billing system* Managing and updating client information* Dispute and query management for clients
- Billing Issues, 4%
Communicate and collaborate effectively with various levels of management in creating solutions for difficult billing issues that may arise.
- Medical Billing, 3%
Submitted accurate and timely dental/medical billing to Medicaid and various commercial insurances.
Most billing and insurance coordinators use their skills in "patients," "customer service," and "data entry" to do their jobs. You can find more detail on essential billing and insurance coordinator responsibilities here:
Communication skills. One of the key soft skills for a billing and insurance coordinator to have is communication skills. You can see how this relates to what billing and insurance coordinators do because "financial clerks should be able to explain policies and procedures to colleagues and customers." Additionally, a billing and insurance coordinator resume shows how billing and insurance coordinators use communication skills: "provide quarterly financial reports to the accountant responsible for all communication with insurance companies written or verbal. "
Math skills. Many billing and insurance coordinator duties rely on math skills. "the job duties of financial clerks includes calculating charges and updating financial records.," so a billing and insurance coordinator will need this skill often in their role. This resume example is just one of many ways billing and insurance coordinator responsibilities rely on math skills: "maintained patient account information and compiled statistics for reporting and tracking purposes. "
Organizational skills. This is an important skill for billing and insurance coordinators to perform their duties. For an example of how billing and insurance coordinator responsibilities depend on this skill, consider that "financial clerks must be able to arrange files so they can find them quickly and efficiently." This excerpt from a resume also shows how vital it is to everyday roles and responsibilities of a billing and insurance coordinator: "utilized organizational skills in developing a system to effectively improve billing procedures and reducederrors. ".
See the full list of billing and insurance coordinator skills
The three companies that hire the most billing and insurance coordinators are:
- Alston & Bird
11 billing and insurance coordinators jobs
- Women's Care8 billing and insurance coordinators jobs
- Mount Sinai Health System6 billing and insurance coordinators jobs
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Billing and insurance coordinator vs. Account representative
Account representatives are employees who manage client accounts and act as the main contact of the clients they are handling. They maintain existing accounts by updating client details regularly. They also check up on clients to see if they are still satisfied with the products or services of the company. They also create new accounts by welcoming new clients and assisting them in their needs. Account representatives manage client inquiries and process client requests. They also address complaints and ensure that any challenges are mitigated and that clients remain with the company.
There are some key differences in the responsibilities of each position. For example, billing and insurance coordinator responsibilities require skills like "work ethic," "strong work ethic," "billing process," and "financial reports." Meanwhile a typical account representative has skills in areas such as "customer satisfaction," "medical terminology," "financial assistance," and "telephone calls." This difference in skills reveals the differences in what each career does.
Account representatives earn the highest salaries when working in the finance industry, with an average yearly salary of $38,433. On the other hand, billing and insurance coordinators are paid more in the professional industry with an average salary of $58,069.The education levels that account representatives earn slightly differ from billing and insurance coordinators. In particular, account representatives are 0.0% less likely to graduate with a Master's Degree than a billing and insurance coordinator. Additionally, they're 0.1% less likely to earn a Doctoral Degree.Billing and insurance coordinator vs. Accounts receivable specialist
Accounts receivable specialists are members of the organization's finance or accounting department. They are responsible for managing the collection of payments for the company. They prepare official receipts and coordinate with account payable specialists from other companies with pending payables. They ensure that clients pay on time, and they also follow up on payments when necessary. They are responsible for checking whether the clients have already paid in full. Accounts receivable specialists are in charge of updating accounting records as well to ensure that client records are up to date.
In addition to the difference in salary, there are some other key differences worth noting. For example, billing and insurance coordinator responsibilities are more likely to require skills like "work ethic," "strong work ethic," "customer accounts," and "billing process." Meanwhile, an accounts receivable specialist has duties that require skills in areas such as "credit card payments," "reconciliations," "collection calls," and "general ledger." These differences highlight just how different the day-to-day in each role looks.
Accounts receivable specialists earn a lower average salary than billing and insurance coordinators. But accounts receivable specialists earn the highest pay in the technology industry, with an average salary of $43,571. Additionally, billing and insurance coordinators earn the highest salaries in the professional with average pay of $58,069 annually.accounts receivable specialists earn similar levels of education than billing and insurance coordinators in general. They're 0.1% more likely to graduate with a Master's Degree and 0.1% less likely to earn a Doctoral Degree.Billing and insurance coordinator vs. Account specialist
An account specialist is responsible for reaching out to customers or potential clients through calls, emails, and other forms of correspondence to secure sales and strengthen business relations. An account specialist may also perform other tasks such as arranging appointment schedules with clients, providing price quotes and responding to further inquiries, process orders, generating sales leads, and handling complaints and resolving issues. Furthermore, an account specialist may also be involved in developing strategies, finding new opportunities, producing and completing necessary documents, and preparing reports, all in adherence to the company's policies and regulations.
The required skills of the two careers differ considerably. For example, billing and insurance coordinators are more likely to have skills like "billing system," "work ethic," "strong work ethic," and "billing process." But a account specialist is more likely to have skills like "account management," "powerpoint," "catheter," and "customer satisfaction."
Account specialists earn the highest salary when working in the finance industry, where they receive an average salary of $47,336. Comparatively, billing and insurance coordinators have the highest earning potential in the professional industry, with an average salary of $58,069.account specialists typically earn similar educational levels compared to billing and insurance coordinators. Specifically, they're 1.0% more likely to graduate with a Master's Degree, and 0.0% more likely to earn a Doctoral Degree.Billing and insurance coordinator vs. Customer service and billing
A customer service and billing worker primarily assists customers when it comes to billing matters. They answer calls or correspondence from customers to identify their needs, respond to inquiries, discuss product or service specifications, manage billing arrangements, provide price quotes, and offer other services. They may also arrange appointments, process refunds, and solve issues and concerns, ensuring efficiency and client satisfaction. Additionally, customer service and billing maintains records of all transactions and reports to managers regularly.
Even though a few skill sets overlap between billing and insurance coordinators and customer service and billings, there are some differences that are important to note. For one, a billing and insurance coordinator might have more use for skills like "customer service," "work ethic," "strong work ethic," and "billing process." Meanwhile, some responsibilities of customer service and billings require skills like "strong customer service," "inbound calls," "credit card payments," and "outbound calls. "
The utilities industry tends to pay the highest salaries for customer service and billings, with average annual pay of $38,268. Comparatively, the highest billing and insurance coordinator annual salary comes from the professional industry.customer service and billings reach similar levels of education compared to billing and insurance coordinators, in general. The difference is that they're 1.2% more likely to earn a Master's Degree, and 0.3% less likely to graduate with a Doctoral Degree.Types of billing and insurance coordinator
Updated January 8, 2025











