Insurance coordinator vs claims coordinator

The differences between insurance coordinators and claims coordinators can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 2-4 years to become an insurance coordinator, 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 $32,788 average annual salary of an insurance coordinator.

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

Insurance coordinator vs claims coordinator overview

	Insurance Coordinator	Claims Coordinator
Yearly salary	$32,788	$38,620
Hourly rate	$15.76	$18.57
Growth rate	-3%	-6%
Number of jobs	108,509	27,332
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 36%	Bachelor's Degree, 48%
Average age	44	44
Years of experience	4	6

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.

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.

Insurance coordinator vs claims coordinator salary

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

	Insurance Coordinator	Claims Coordinator
Average salary	$32,788	$38,620
Salary range	Between $25,000 And $41,000	Between $31,000 And $47,000
Highest paying City	Oakland, CA	Federal Way, WA
Highest paying state	New Hampshire	New Jersey
Best paying company	University of California, Berkeley	Xcel Energy
Best paying industry	Pharmaceutical	Finance

Differences between insurance coordinator and claims coordinator education

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

	Insurance Coordinator	Claims Coordinator
Most common degree	Bachelor's Degree, 36%	Bachelor's Degree, 48%
Most common major	Business	Business
Most common college	-	-

Insurance coordinator vs claims coordinator demographics

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

	Insurance Coordinator	Claims Coordinator
Average age	44	44
Gender ratio	Male, 9.9% Female, 90.1%	Male, 24.6% Female, 75.4%
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, 11.2% Unknown, 4.4% Hispanic or Latino, 17.0% Asian, 5.3% White, 61.6% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	10%

Differences between insurance coordinator and claims coordinator duties and responsibilities

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.

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.

Insurance coordinator vs claims coordinator skills

Common insurance coordinator skills

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

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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Insurance Coordinator
Insurance Coordinator vs Claims Coordinator

Updated January 8, 2025

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