Patient care coordinator vs insurance coordinator

The differences between patient care coordinators 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 a patient care coordinator and an insurance coordinator. Additionally, a patient care coordinator has an average salary of $34,884, which is higher than the $32,788 average annual salary of an insurance coordinator.

The top three skills for a patient care coordinator include patients, customer service and home health. The most important skills for an insurance coordinator are patients, customer service, and insurance verification.

Patient care coordinator vs insurance coordinator overview

	Patient Care Coordinator	Insurance Coordinator
Yearly salary	$34,884	$32,788
Hourly rate	$16.77	$15.76
Growth rate	-4%	-3%
Number of jobs	139,431	108,509
Job satisfaction	4	-
Most common degree	Bachelor's Degree, 40%	Bachelor's Degree, 36%
Average age	40	44
Years of experience	4	4

What does a patient care coordinator do?

A patient care coordinator or care coordinator is a trained health professional who manages patients' health care, such as the elderly or disabled. Patient care coordinators educate patients about their health conditions and develop a plan to address their personal health care needs. To comply with health care laws and regulations, care coordinators must attend training and courses so that they are updated with the new developments in health care. They are also required to take up licensure examination and should have experience in care coordination or clinical practices.

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.

Patient care coordinator vs insurance coordinator salary

Patient care coordinators and insurance coordinators have different pay scales, as shown below.

	Patient Care Coordinator	Insurance Coordinator
Average salary	$34,884	$32,788
Salary range	Between $23,000 And $52,000	Between $25,000 And $41,000
Highest paying City	Seattle, WA	Oakland, CA
Highest paying state	Washington	New Hampshire
Best paying company	Homestead Hospice	University of California, Berkeley
Best paying industry	Health Care	Pharmaceutical

Differences between patient care coordinator and insurance coordinator education

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

	Patient Care Coordinator	Insurance Coordinator
Most common degree	Bachelor's Degree, 40%	Bachelor's Degree, 36%
Most common major	Nursing	Business
Most common college	University of Pennsylvania	-

Patient care coordinator vs insurance coordinator demographics

Here are the differences between patient care coordinators' and insurance coordinators' demographics:

	Patient Care Coordinator	Insurance Coordinator
Average age	40	44
Gender ratio	Male, 11.7% Female, 88.3%	Male, 9.9% Female, 90.1%
Race ratio	Black or African American, 10.8% Unknown, 5.2% Hispanic or Latino, 24.0% Asian, 6.3% White, 53.0% American Indian and Alaska Native, 0.7%	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 patient care coordinator and insurance coordinator duties and responsibilities

Patient care coordinator example responsibilities.

Communicate with insurance companies on a continuous basis to ensure hospital reimbursement and attain authorization for home and rehabilitation services.
Manage caseload by providing care coordination to individuals with a primary intellectual/developmental disability diagnosis all of whom receive community-base waiver services.
Check in, check out patients, and do EKG's.
Gain knowledge relate to bundle payments for orthopedic patients and the rules and regulations set forth by CMS.
Respond to telephone inquiries, providing quality service to customers, PSR's and insurance representatives inquiring about patient accounts.
Prepare patients prior to MRI exam, obtain safety check lists and assist with the daily operations of the MRI department.

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.

Patient care coordinator vs insurance coordinator skills

Common patient care coordinator skills

Patients, 32%
Customer Service, 13%
Home Health, 6%
Data Entry, 3%
Patient Appointments, 3%
Direct Patient Care, 3%

Common insurance coordinator skills

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

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Office and Administrative Industry
Patient Care Coordinator
Patient Care Coordinator vs Insurance Coordinator

Updated January 8, 2025

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