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Claims support specialist vs claims coordinator

The differences between claims support specialists and claims coordinators can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 6-12 months to become a claims support specialist, becoming a claims coordinator takes usually requires 4-6 years. Additionally, a claims coordinator has an average salary of $38,620, which is higher than the $37,033 average annual salary of a claims support specialist.

The top three skills for a claims support specialist include data entry, dictation and claims support. The most important skills for a claims coordinator are customer service, patients, and data entry.

Claims support specialist vs claims coordinator overview

Claims Support SpecialistClaims Coordinator
Yearly salary$37,033$38,620
Hourly rate$17.80$18.57
Growth rate-4%-6%
Number of jobs120,65027,332
Job satisfaction--
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 48%
Average age4044
Years of experience126

What does a claims support specialist do?

Claims support specialists are the ones who make sure that the right amount of reimbursement rates is paid based on their client's contracts. Their job includes processing medical record requests and reviewing the secondary and tertiary claims for legitimacy. Working with physician and billing office employees to find resolutions for outstanding claim issues is a part of their responsibilities as claim support specialists. They also make follow up calls about unprocessed or denied insurance claims. And having good communication skills and knowledge in healthcare receivables and collections will help them succeed.

What does a claims coordinator do?

Claims coordinators are professionals who are responsible for coordinating activities that are related to handling and processing insurance claims for an organization. These coordinators must serve as liaison officer between the organization, insurance provider, and policyholders to communicate the status and eligibility for coverage for all relevant claims. They need to ensure that billing requirements are met by reviewing insurance claims. Claims coordinators must also answer all the inquiries of their clients while making recommendations to resolve any claim issues.

Claims support specialist vs claims coordinator salary

Claims support specialists and claims coordinators have different pay scales, as shown below.

Claims Support SpecialistClaims Coordinator
Average salary$37,033$38,620
Salary rangeBetween $28,000 And $47,000Between $31,000 And $47,000
Highest paying CityRancho Cordova, CAFederal Way, WA
Highest paying stateMassachusettsNew Jersey
Best paying companyW. R. BerkleyXcel Energy
Best paying industryInsuranceFinance

Differences between claims support specialist and claims coordinator education

There are a few differences between a claims support specialist and a claims coordinator in terms of educational background:

Claims Support SpecialistClaims Coordinator
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 48%
Most common majorBusinessBusiness
Most common college--

Claims support specialist vs claims coordinator demographics

Here are the differences between claims support specialists' and claims coordinators' demographics:

Claims Support SpecialistClaims Coordinator
Average age4044
Gender ratioMale, 22.3% Female, 77.7%Male, 24.6% Female, 75.4%
Race ratioBlack or African American, 11.3% Unknown, 4.9% Hispanic or Latino, 18.3% Asian, 6.8% White, 58.1% American Indian and Alaska Native, 0.6%Black or African American, 11.2% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage7%10%

Differences between claims support specialist and claims coordinator duties and responsibilities

Claims support specialist example responsibilities.

  • Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
  • Key in DC Medicaid claims for processing.
  • Process various compensation benefits applications for veterans in compliance with organizational laws, federal laws, rules and regulations.
  • Review and process HMO facility and professional claims determining benefits due in accordance to plan/policy provisions.

Claims coordinator example responsibilities.

  • Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software.
  • Process and adjust Medicare claims, provide feedback to providers on proper CPT, ICD-9 coding for billing purposes.
  • Serve as point of contact for all legal issues relate to HIPAA.
  • Streamline audit procedures of TPA and maintain extremely high production rate which help in keeping staffing requirements lower.
  • Review and audit claims -Using correct CPT and DX codes -Denial reports -correct billing error, resubmitted claims for proper payment
  • Communicate with company management, injure workers/customers, medical providers and TPA, as necessary, regarding claim relate matters.
  • Show more

Claims support specialist vs claims coordinator skills

Common claims support specialist skills
  • Data Entry, 21%
  • Dictation, 10%
  • Claims Support, 9%
  • Loss Reports, 6%
  • Customer Service, 6%
  • Office Equipment, 5%
Common claims coordinator skills
  • Customer Service, 23%
  • Patients, 9%
  • Data Entry, 8%
  • Phone Calls, 6%
  • Insurance Claims, 5%
  • Quality Standards, 4%

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