Insurance verification representative vs insurance coordinator

The differences between insurance verification representatives 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 verification representative and an insurance coordinator. Additionally, an insurance coordinator has an average salary of $32,788, which is higher than the $32,706 average annual salary of an insurance verification representative.

The top three skills for an insurance verification representative include patients, insurance verification and customer service. The most important skills for an insurance coordinator are patients, customer service, and insurance verification.

Insurance verification representative vs insurance coordinator overview

	Insurance Verification Representative	Insurance Coordinator
Yearly salary	$32,706	$32,788
Hourly rate	$15.72	$15.76
Growth rate	-4%	-3%
Number of jobs	150,260	108,509
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 28%	Bachelor's Degree, 36%
Average age	40	44
Years of experience	4	4

What does an insurance verification representative do?

An insurance verification representative is responsible for ensuring the coverage of a patient's healthcare benefits by required procedures. Your duties will typically include updating patient information, verifying insurance coverage of patients, and arranging payment for medical services that are not covered under insurance. In addition, you will be checking eligibility and benefits for healthcare providers and explaining Medicare and CMS guidelines as needed. As an insurance verification representative, you are also expected to advise and discuss various financing options that best fit a patient's budget.

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 verification representative vs insurance coordinator salary

Insurance verification representatives and insurance coordinators have different pay scales, as shown below.

	Insurance Verification Representative	Insurance Coordinator
Average salary	$32,706	$32,788
Salary range	Between $28,000 And $37,000	Between $25,000 And $41,000
Highest paying City	Charleston, WV	Oakland, CA
Highest paying state	Massachusetts	New Hampshire
Best paying company	Student Conservation Association	University of California, Berkeley
Best paying industry	Health Care	Pharmaceutical

Differences between insurance verification representative and insurance coordinator education

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

	Insurance Verification Representative	Insurance Coordinator
Most common degree	Bachelor's Degree, 28%	Bachelor's Degree, 36%
Most common major	Business	Business
Most common college	Stanford University	-

Insurance verification representative vs insurance coordinator demographics

Here are the differences between insurance verification representatives' and insurance coordinators' demographics:

	Insurance Verification Representative	Insurance Coordinator
Average age	40	44
Gender ratio	Male, 15.1% Female, 84.9%	Male, 9.9% Female, 90.1%
Race ratio	Black or African American, 12.6% Unknown, 4.8% Hispanic or Latino, 22.0% Asian, 6.3% White, 53.8% American Indian and Alaska Native, 0.6%	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	7%	11%

Differences between insurance verification representative and insurance coordinator duties and responsibilities

Insurance verification representative example responsibilities.

Coach, evaluate and performance manage MSRs to ensure timely and accurate service to clients.
Practice confidentiality while handling patients' medical information with use of the HIPAA law.
Verify Medicare, Medicaid, other government agencies and private insurance for new patients to determine their individualize eligibility and benefits.
Verify HMO referrals and treatment plans are authorize.
Have knowledge in difference between HMO and PPO insurance.
Comply with HIPPA due to the nature of client information.

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 verification representative vs insurance coordinator skills

Common insurance verification representative skills

Patients, 21%
Insurance Verification, 14%
Customer Service, 11%
Medical Terminology, 6%
Insurance Benefits, 4%
Insurance Eligibility, 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 Verification Representative
Insurance Verification Representative vs Insurance Coordinator

Updated January 8, 2025

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