Insurance claims processor vs insurance coordinator

The differences between insurance claims processors and insurance coordinators can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both an insurance claims processor and an insurance coordinator. Additionally, an insurance claims processor has an average salary of $37,151, which is higher than the $32,788 average annual salary of an insurance coordinator.

The top three skills for an insurance claims processor include data entry, customer service and medicaid. The most important skills for an insurance coordinator are patients, customer service, and insurance verification.

Insurance claims processor vs insurance coordinator overview

	Insurance Claims Processor	Insurance Coordinator
Yearly salary	$37,151	$32,788
Hourly rate	$17.86	$15.76
Growth rate	-3%	-3%
Number of jobs	48,777	108,509
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 30%	Bachelor's Degree, 36%
Average age	44	44
Years of experience	4	4

What does an insurance claims processor do?

A claims processor usually works in health or property insurance claims. They are responsible for processing and evaluating the claim forms, monitoring and verifying information, and closely communicating with the company's clients, beneficiaries, and agents. Also, they handle queries and comments, calculate possible claims, and process of various payments. They also need to ensure all insurance company guidelines and policies are adhered to in order to avoid discrepancies, issues, and other problems regarding a client's claims.

What does an insurance coordinator do?

An insurance coordinator is responsible for evaluating and validating insurance information to verify claims and process the necessary claims resolutions for parties. Insurance coordinators submit claims statements timely to the insurance officers for review, coordinate with the clients for inquiries and updates, and reach out to medical institutions for accurate filing of payments. An insurance coordinator must have excellent communication and analytical skills to assess reports, resolve claims discrepancies, and escalate high-level complaints to the officers for immediate action.

Insurance claims processor vs insurance coordinator salary

Insurance claims processors and insurance coordinators have different pay scales, as shown below.

	Insurance Claims Processor	Insurance Coordinator
Average salary	$37,151	$32,788
Salary range	Between $30,000 And $45,000	Between $25,000 And $41,000
Highest paying City	Eden Prairie, MN	Oakland, CA
Highest paying state	Connecticut	New Hampshire
Best paying company	Accenture	University of California, Berkeley
Best paying industry	Insurance	Pharmaceutical

Differences between insurance claims processor and insurance coordinator education

There are a few differences between an insurance claims processor and an insurance coordinator in terms of educational background:

	Insurance Claims Processor	Insurance Coordinator
Most common degree	Bachelor's Degree, 30%	Bachelor's Degree, 36%
Most common major	Business	Business
Most common college	-	-

Insurance claims processor vs insurance coordinator demographics

Here are the differences between insurance claims processors' and insurance coordinators' demographics:

	Insurance Claims Processor	Insurance Coordinator
Average age	44	44
Gender ratio	Male, 20.3% Female, 79.7%	Male, 9.9% Female, 90.1%
Race ratio	Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%	Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	11%

Differences between insurance claims processor and insurance coordinator duties and responsibilities

Insurance claims processor example responsibilities.

Manage cases by aggressively directing the litigation process.
Maintain confidentiality in accordance with HIPAA laws.
Process ICD-9 codes, diagnostic and procedure codes.
Handle confidential information according to HIPPA and JAACHO standards.
Follow and comply with HIPPA rules and regulations to ensure patient privacy.
Process medical and dental claims using appropriate CPT, ICD-9, and ADA coding.

Insurance coordinator example responsibilities.

Verify patient dental insurance coverage and limitations with major private and business dental insurance providers as well as Medicaid and Medicare.
File to record patient demographics in numerous EMR systems and paper charts if applicable.
Prepare providers and staff for ICD-10 transition.
Post and reconcile all daily insurance, patient payments and transactions within the EMR system.
Experience in registration in healthcare, business office and physician billing, with reimbursement and collections.
Process all Medicare claims, explaining HMO changes to patients in detail and accurately documenting all benefits.

Insurance claims processor vs insurance coordinator skills

Common insurance claims processor skills

Data Entry, 18%
Customer Service, 11%
Medicaid, 8%
Medical Terminology, 6%
Insurance Coverage, 5%
ICD-9, 4%

Common insurance coordinator skills

Patients, 26%
Customer Service, 11%
Insurance Verification, 7%
Insurance Eligibility, 4%
Medicaid, 3%
Medical Terminology, 3%

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Insurance Claims Processor
Insurance Claims Processor vs Insurance Coordinator

Updated January 8, 2025

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