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Become An Insurance Coordinator

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Working As An Insurance Coordinator

  • Interacting With Computers
  • Getting Information
  • Documenting/Recording Information
  • Organizing, Planning, and Prioritizing Work
  • Processing Information
  • Deal with People

  • Mostly Sitting

  • Repetitive

  • $50,237

    Average Salary

What Does An Insurance Coordinator Do At Fresenius Medical Care North America

* Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options:
* Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA).
* Ensures patients have followed through with the application process.
* Obtains premium statements and signatures from patients.
* Discusses situation and options if employment status changes or other situations change.
* Completes and follows up with paperwork when claims are disputed for non-payment.
* Collects necessary documents to completed initial and annual indigent waivers.
* Discusses insurance options when insurance contracts are terminated.
* Responsibilities involving Medicare and Medicaid include but are not limited to:
* Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility.
* Discussing the Medicare application with eligible patients and assisting with the application process.
* Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements.
* Completing the annual open enrollment and Medicare reinstatement papers with the patients.
* Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends.
* Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts
* Works with patients to evaluate personal financial information and make determination for indigent program.
* Completes initial Indigent waiver applications.
* Tracks and completes annual indigent waiver applications.
* Monitors all patients’ insurance information to ensure that it is updated and accurate for the Accounts Receivable Department.
* Addresses any identified anomalies or discrepancies, researches and answers questions as needed.
* Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius.
* Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked.
* Researches and corrects any discrepancies identified.
* Provides QA team members with monthly information regarding the details of the patients’ primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes
* Completes monthly audit exam to stay current on internal policies.
* May present on insurance and financial assistance options to patients as necessary.
* Assist with various projects as assigned by direct supervisor.
* Other duties as assigned.
* Additional responsibilities may include focus on one or more departments or locations.
* See applicable addendum for department or location specific functions

What Does An Insurance Coordinator Do At UPMC

* Assist in generating price quotes.
* Assist in price negotiation with case managers.
* Assist in researching reimbursement issues.
* Assist in training of new employees.
* Cooperate with other staff members when planning and organizing reimbursement activities.
* Coordinate completion of Financial Assistance forms, payment agreements and waivers.
* Create new hospital and physician codes as needed.
* Enter and update patient demographics into the computer system.
* Generate financial responsibility letter.
* Give high priority to client satisfaction and customer needs.
* Obtain prior authorizations as required.
* Prioritize activities needed to be done.
* Review benefits and financial responsibility with patient or family member.
* Track, monitor, and secure clinical documentation, AOB's etc. based upon insurance carrier requirements.
* Verify patients' insurance benefits for therapies prior to discharge from the hospital.
* Work effectively and maintain expected productivity

What Does An Insurance Coordinator Do At Robert Half

* Obtain and follow up on insurance authorizations
* Maintain authorizations reporting to track status of requests
* Respond to internal/external inquiries relating to authorizations
* Enter current authorizations into the Practice Management System
* Verification of eligibility and benefits
* Manage provider credentialing functions such as application submissions, CAQH maintenance, and follow up to payers and manage internal communication regarding the status.
* Submit requested medical documentation to insurance companies
* Troubleshoot authorization related issues in the Practice Management System
* Other duties as assigned (e.g., quarterly reporting)
* OfficeTeam is the world's leader in professional staffing for office support jobs, focusing exclusively on the temporary and temporary-to-full-time placement of professionals in the administrative field.
* We are faster at finding you work because of the depth of our client network.
* Specifically, our professional staffing managers connect with thousands of hiring managers in North America every week to find your office support job opportunities.
* We evaluate all of our OfficeTeam temporaries' skills and match them with the needs of top employers in their area.
* Apply for this job now or contact us today at 888
* for additional information.
* All applicants applying for U
* S. job openings must be authorized to work in the United States.
* All applicants applying for Canadian job openings must be authorized to work in Canada.
* OfficeTeam.
* A Robert Half Company.
* An Equal Opportunity Employer M/F/Disability/Veterans.
* By clicking 'Apply Now' you are agreeing to Robert Half Terms of Use.
* Req ID:
* Functional Role:
* Administrative
* Medical
* Country:
* USA
* State:
* IL
* City:
* NORTHBROOK
* Postal Code:
* Compensation:* $12.66 to $14
* per hour

What Does An Insurance Coordinator Do At Navigant

This role can be based in any of the following locations

What Does An Insurance Coordinator Do At Fresenius Medical Care North America

* Facilitates the execution of the Insurance Coordinator program providing for insurance preservation of dialysis patients by supervising the activities of the Insurance Coordinators (IC) ensuring each individual’s work meets the established performance standards and customer service levels with regard to patient insurance education and enrollment.
* Contributes to and ensures problem resolution by addressing and investigating escalated issues and complex problems.
* Provides guidance, direction, training, and support to Insurance Coordinators to ensure they are meeting the needs of the patients they serve and that they demonstrate insurance awareness of the issues in the Areas in which they work including eligibility and enrollment acting as a resource and subject matter expert as needed to ensure the proper and timely execution of the Insurance Coordinator program requirements.
* Reviews and audits Insurance Coordinator’s data base reports to ensure compliance and productivity.
* Reviews monthly reports submitted by IC’s to ensure the patients are receiving the education, proper insurance enrollment, and assistance needed to secure optimal insurance coverage, AKF assistance, and/or Indigent waiver approval as necessary.
* Coordinates and provides monthly Insurance Coordinator data base reports for the region communicating the results and escalates concerns to the IC Manager for review as necessary
* Ensures accuracy of reports by comparing reports with the effective insurance reports.
* Works with IC’s regarding any missing information or discrepancies between reports.
* Provides counseling and additional training to IC as necessary
* Ensures accurate tracking and monitoring of Coordination of Benefit period and ensures that the Medicare applications are processed 90 days prior to the 30-month coordination period ending as required.
* Monitors patients within the 6-month window of their 65 th birthday, resulting in possible additional insurance enrollment and optimal insurance coverage for patients
* Provides IC Manager and Division management with documentation and follow-up for all patients categorized on status reports
* Monitors the accuracy and completion of progress notes providing guidance to IC as necessary.
* Compiles monthly reports from insurance Coordinator team for compilation in Division monthly reports
* Provides IC Director with monthly reports in the absence of the IC Manager.
* Communicates to IC team Company updates as well as any new regulatory/legislative updates.
* Provides day to day guidance, training and assistance to assigned Insurance Coordinators as part of continued career development and advancement within the organization.
* Closely monitors - providing support and guidance to - new Insurance Coordinators after initial training.
* Addresses identified performance issues with Insurance Coordinators and provide a plan of action and additional training to ensure the Insurance Coordinators are meeting the expectations of the position.
* If consistent performance issues are identified, implements developmental Action Plans as appropriate.
* Provides informal feedback on an ongoing basis and formal feedback in the form of the annual performance evaluation.
* Provides input regarding the hiring, firing and disciplinary actions pertaining to the assigned Insurance Coordinators.
* Assists with preparation of monthly reports for financial analysts.
* Participates in Regional AR calls, area management meetings, and RVP meetings as appropriate.
* Provides information at CQI monthly meetings when requested.
* Participates in Clinic Acquisition calls to ensure smooth transition of existing patients’ insurance needs while onboarding into FKC’s billing system
* Analyzes reports from billing systems to ensure accuracy of data.
* Researches and assists with resolution of identified discrepancies and accounts with outstanding claims to maximize revenue and minimize bad debt.
* Analyzes trends and variances and researches significance.
* Reports discrepancies for quick and accurate resolution.
* Works with the Insurance Specialist (IS) team to reconcile IC and Regional Insurance Coordinators’ American Kidney Foundation spreadsheets/reports to ensure timely submission of requests and payments.
* Investigates and resolves discrepancies to ensure timely processing of Health Insurance Premium Program (HIPP) grant requests.
* Provides the necessary follow up with the appropriate agencies and personnel as required.
* Develops strong working relationships with Directors of Operations, Regional Vice Presidents, MSW Leads and Billing Management.
* May intervene on the behalf of the Insurance Coordinators to escalate issues to Operations or other FKC Management teams.
* Provides education to Operations and clinical staff and area/regional management as to the IC role and responsibilities as needed.
* Identifies areas of opportunity and contributes to process improvement with the Insurance Coordinator Manager to enhance the overall program effectiveness and efficiency.
* Other duties as assigned
* Additional responsibilities may include focus on one or more departments or locations.
* See applicable addendum for department or location specific functions

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How To Become An Insurance Coordinator

High school graduates who have experience using computer software applications, such as word processing and spreadsheets, usually qualify for entry-level positions. Although most secretaries learn their job in several weeks, many legal and medical secretaries require additional training to learn industry-specific terminology. Executive secretaries usually need several years of related work experience.

Education

High school graduates can take courses in word processing and office procedures at technical schools or community colleges. Some temporary placement agencies also provide training in word processing, spreadsheet, and database software.

Some medical and legal secretaries learn industry-specific terminology and practices by attending courses offered at community colleges or technical schools. For executive secretary positions, employers increasingly prefer to hire those who have taken some college courses or have a bachelor’s degree.

Training

Secretaries and administrative assistants typically learn their skills through short-term on-the-job training, usually lasting a few weeks. During this time they learn about administrative procedures, including how to prepare documents. Medical and legal secretaries’ training may last several months as they learn industry-specific terminology and practices.

Work Experience in a Related Occupation

Executive secretaries can gain experience by working in administrative positions that have less challenging responsibilities. Many secretaries and administrative assistants advance to higher level administrative positions.

Licenses, Certifications, and Registrations

Although not required, certification can demonstrate competency to employers.

The International Association of Administrative Professionals offers the Certified Administrative Professional (CAP) certification. Candidates must have a minimum of 2 to 4 years of administrative work experience, depending on their level of education, and pass an examination.

Legal secretaries have several certification options. For example, those with 1 year of general office experience, or who have completed an approved training course, can acquire the Accredited Legal Professional (ALP) certification through a testing process administered by NALS (previously known as National Association of Legal Secretaries). NALS also offers the Professional Legal Secretary (PLS) certification, considered to be an advanced certification for legal support professionals.

The Certified Legal Secretary Specialist (CLSS) certification is conferred by Legal Secretaries International in areas such as intellectual property, criminal law, civil litigation, probate, and business law. Candidates typically need to have 5 years of legal experience and pass an examination to become certified.

Advancement

Secretaries and administrative assistants generally advance to other administrative positions with more responsibilities, such as office supervisor, office manager, or executive secretary.

With additional training, many legal secretaries become paralegals or legal assistants.

Important Qualities

Integrity. Many secretaries and administrative assistants are trusted to handle sensitive information. For example, medical secretaries collect patient data that is required, by law, to be kept confidential in order to protect patient privacy.

Interpersonal skills. Secretaries and administrative assistants interact with clients, customers, or staff. They should communicate effectively and be courteous when interacting with others to create a positive work environment and client experience.

Organizational skills. Secretaries and administrative assistants keep files, folders, and schedules in proper order so an office can run efficiently.

Writing skills. Secretaries and administrative assistants write memos and emails when communicating with managers, employees, and customers. Therefore, they must have good grammar, ensure accuracy, and maintain a professional tone.

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Top Skills for An Insurance Coordinator

InsuranceCompaniesFinancialArrangementsCustomerServiceTreatmentPlansInsuranceBenefitsMedicalClaimsInsuranceVerificationMedicaidPatientInsuranceInsuranceCoverageFrontDeskInsuranceInformationMedicalRecordsInsurancePaymentsPatientAccountsCPTPatientInformationHealthInsuranceInsuranceEligibilityPatientAppointments

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Top Insurance Coordinator Skills

  1. Insurance Companies
  2. Financial Arrangements
  3. Customer Service
You can check out examples of real life uses of top skills on resumes here:
  • Worked the accounts receivable report by following up with insurance companies and patients.
  • Consulted financial arrangements and followed up on unscheduled treatment plans (02/04-06/07)
  • Provide patients with procedure estimates working closely with customer service and scheduling departments within the health system and physicians' offices.
  • Work on treatment plans for patients to maximize their insurance benefits.
  • Scheduled appointments, verified massage insurance benefits, billed insurance for sessions, and trained fellow employees.

Top Insurance Coordinator Employers

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Insurance Coordinator Videos

Careers in Insurance : Career Counseling

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