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Insurance coordinator skills for your resume and career

Updated January 8, 2025

4 min read

Quoted experts

Li Zhang Ph.D.,

Li Zhang Ph.D.

Below we've compiled a list of the most critical insurance coordinator skills. We ranked the top skills for insurance coordinators based on the percentage of resumes they appeared on. For example, 25.6% of insurance coordinator resumes contained patients as a skill. Continue reading to find out what skills an insurance coordinator needs to be successful in the workplace.

15 insurance coordinator skills for your resume and career

1. Patients

Here's how insurance coordinators use patients:

Assisted Office Manager with the daily administrative operations such as scheduling appointments and answering patients inquires.
Provided information and assisted patients with Medicaid eligibility referrals in a timely and complete manner.

2. Customer Service

Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.

Here's how insurance coordinators use customer service:

Provided quality customer service to insurance customers, including addressing all of their questions and concerns regarding their medical benefits.
Deliver outstanding customer service to a high volume of new patients daily while facilitating in-person detailed conversations regarding medical benefits.

3. Insurance Verification

Here's how insurance coordinators use insurance verification:

Obtain accurate data collection and entry, per appropriate and required demographics, financial, insurance verification and medical information.
Determine the financial status of patients and their eligibility for health services by insurance verification.

4. Insurance Eligibility

Here's how insurance coordinators use insurance eligibility:

Verify patient insurance eligibility and benefits online and via telephone and notify patients of their financial responsibility prior to surgery.
Manage accounts receivable, coordinate patient insurance benefits, verify insurance eligibility, provide treatment estimates, maintain doctor scheduling.

5. Medicaid

Here's how insurance coordinators use medicaid:

Run Weekly and Monthly Reports Verify Insurance via HIQA/Medicare/GHP For Medicaid and Commercial Insurance
Verified private insurance and New Mexico Medicaid for eligibility and treatment history.

6. Medical Terminology

Here's how insurance coordinators use medical terminology:

Perform excellent knowledge of insurance payers and medical terminology.
Type correspondence dictated by physicians using medical terminology.

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7. Health Insurance

Here's how insurance coordinators use health insurance:

Obtained and tracked authorization/re-certification for behavioral and psychological services for new and existing clients whose health insurance requires authorization for services.
Obtain prior-authorizations for outpatient procedures from multiple health insurance companies and address denials by communicating with referring physicians and patients.

8. Insurance Coverage

Here's how insurance coordinators use insurance coverage:

Verify insurance coverage and benefits on all referrals, obtain initial authorization, match demographics with agency records and insurance records.
Answered questions about accidental death and dismemberment insurance Mailed out insurance policies Verified insurance coverage Processed insurance payments

9. Medical Billing

Here's how insurance coordinators use medical billing:

Maintained and established medical billing procedures, and communicated appropriate data to billing agent.
Benefit verification, Medical Billing & Coding claim submission for Major Medical insurance, 3rd Party Auto, and Workers Compensation.

10. Insurance Benefits

Here's how insurance coordinators use insurance benefits:

Handled predetermination of benefits and counseled patients on their insurance benefits as it related to office surgical and hospital procedures.
Confirmed and verified insurance benefits, deductibles and co-pays with appropriate payers using on-line verification systems and telephone inquiries.

11. Patient Insurance

Here's how insurance coordinators use patient insurance:

Complete support of patient insurance management including patient information, guarantor, benefits, coverage and communication of co-pay.
Verified and loaded existing patient insurance changes and communicates changes to Drug Authorization Coordinator and Error Corrections Team.

12. Data Entry

Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.

Here's how insurance coordinators use data entry:

Audit all daily activity regarding data entry, clinical postings/record keeping insuring accuracy, made appropriate corrections, staff training.
Performed data entry and ensured accuracy of all information entered.

13. Patient Accounts

Patient accounts are a part of a hospital information system that is used for storing financial data, keeping a record of healthcare costs, and providing information regarding patient billing. It deals with the financial aspects of the healthcare setting.

Here's how insurance coordinators use patient accounts:

Provide counsel to patient account representatives seeking advice regarding traditional insurance and understanding explanation of benefits.
Review patient accounts and worked to establishing a more efficient office/patient communication system.

14. Diagnosis Codes

Here's how insurance coordinators use diagnosis codes:

Retrieve authorizations for procedures from insurance companies by providing pertinent medical diagnosis codes, CPT codes, and medical records.
Experience addressing coding errors such as Revenue codes, Diagnosis Codes, and HCPC Codes to avoid payment delays.

15. Front Desk

Here's how insurance coordinators use front desk:

Communicated medical information with referring doctors/front Desk throughout MD/DC/VA.
Front desk medical receptionist and insurance coordinator.

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What skills help Insurance Coordinators find jobs?

Tell us what job you are looking for, we’ll show you what skills employers want.

What skills stand out on insurance coordinator resumes?

Li Zhang Ph.D.

Professor, St. Cloud State University

There aren't many universities/colleges that offer a degree in insurance. Having some insurance education, such as a degree, or a certificate, or just taking a few insurance classes, will be sure to make applicants stand out. For those with no insurance background, demonstrating strong transferable skills from previously studied areas to the insurance industry (such as communication skills, analytical skills), strong commitment, ethical and professional attitude will make the applicants very competitive.

What soft skills should all insurance coordinators possess?

Li Zhang Ph.D.

Professor, St. Cloud State University

I'd say communication skills. Many positions in insurance need to interact with others. The ability to listen carefully and responding effectively, conveying thoughts/ideas fluently is very important. Also, communicating throng writing is also important (it could range from simply completing the paperwork accurately to preparing annual reports for supervisors)

What hard/technical skills are most important for insurance coordinators?

Li Zhang Ph.D.

Professor, St. Cloud State University

It would be analytical skills and numerical skills, no matter if it's in underwriting, claims, actuarial, investment, sales, or other positions. For example, a successful salesperson should be able to efficiently analyze the client's information, assess the client's need, recommend the appropriate products, and convey product advantages and disadvantages clearly. Also, competent employees should be comfortable with working with numbers/graphs to communicate with clients or coworkers.

Do you want to know more?

List of insurance coordinator skills to add to your resume

The most important skills for an insurance coordinator resume and required skills for an insurance coordinator to have include:

Patients
Customer Service
Insurance Verification
Insurance Eligibility
Medicaid
Medical Terminology
Health Insurance
Insurance Coverage
Medical Billing
Insurance Benefits
Patient Insurance
Data Entry
Patient Accounts
Diagnosis Codes
Front Desk
Patient Care
Financial Arrangements

EMR
CPT
Computer System
HIPAA
Insurance Carriers
Insurance Forms
Medical Insurance
Insurance Payments
Medical Claims
Patient Appointments
Patient Demographics
Dental Insurance
Insurance Policies
Insurance Billing
EOB
Insurance Authorizations
ICD-9

MRI
Billing Issues
Patient Payments
Hippa
Patient Charts
Insurance Issues
Patient Benefits
Payment Arrangements
HMO
Fee Schedules
Unpaid Claims
Appointment Scheduling
Patient Billing
Surgical Procedures
Accounts Receivables

Updated January 8, 2025

Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

Updated January 8, 2025

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