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Insurance Coordinator Resume Samples
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0-5 years of experience
Responsible for account collections of insurance claims and personal collections with a ninety eight percent collection rate.
- Provided clients critical information in a compelling fashion enabling to quickly bring outstanding accounts up to date
- Implemented audits of client accounts to ensure our accuracy rate remained above 95%. Adjusted accounts if needed.
- Maintained our system to ensure all insurance fee schedules are current and up to date.
- Distributed training agendas to staff nationwide, maintained an aggressive training schedule for team members either face to face or via webinars.
- Provided regional training for all Practice Administrators as well as employees to continually improve their skill sets on the latest technologies, software and practices in the market place today.
0-5 years of experience
Accountable for accounts receivables, insurance verification, claims, including CDT coding
- Researched and solved claim and billing issues
- Interfaced with insurance carriers and other healthcare providers
- Assisted patients with eligibility and benefit coverage questions
0-5 years of experience
Obtained proper notifications and authorizations to ensure coverage of patients procedures
- Acquired specific CPT and ICD-9 codes to ensure proper treatment and billing of all detailed procedures
- Maintained transaction report for client billing
- Trained employees on various hospital procedures
0-5 years of experience
Collaborated with multiple departments and managers to determine behavioral health benefits for clients.
- Liaison for client and insurance company including claims processing, analyzing insurance receivables and reports.
- Worked with department staff to research, identify and provide solutions to client and insurance company inquiries.
- Facilitated meetings with CFO of insurance billing company to resolve issues, outstanding receivables and collections.
- Ensured HIPAA compliance for email documentation.
- Prepared administrative and functional reports for CFO.
- Provided administrative support to senior-level staff.
10+ years of experience
Oversaw the Insurance Group and monitored property, liability and title insurance.
- Assisted Portfolio Management department with all insurance-related investor requests and reports.
- Provided expertise on risk mitigation via coverage guidelines and limits
- Corresponded with General Partners to ensure compliance with requirements
- Managed data entry of proprietary database
- Ensured documents met required standards
- Coordinated meetings and trainings
0-5 years of experience
- Audited, billed and collected dental insurance for numerous offices in multiple markets of the south central region on a daily basis
- Generated, updated and maintained patient profiles for both current and new clients
- Trained new employees with patience and guidance; ensured on the job training was current and correct
- Prepared claims with required documentation and distribute accordingly in a timely manner to expedite payment
- Practiced professional telephone etiquette and customer service while making claim inquires and quickly resolving any patient complaints and concerns
- Demonstrated strong attention to detail and ability to multitask within the fast-paced, high-pressure work environment
- Consistently maintained market accounts above quota, receiving monthly cash bonus awards for keeping collections above 95 percent
- Exceptional employee performance evaluation scores
0-5 years of experience
Coordinates the medication distribution process by reviewing clinical information, processing electronic claims, obtaining prior authorization, and tracking previous shipments to patients.
- Communicates with pharmacy benefit managers to determine patient coverage for the requested medication, and to help navigate through complex reimbursement issues.
- Serves as a lead insurance coordinator for a medication used to treat RSV in infants.
- Developed and implemented a training manual to assist with the education and development of new and current associates.
- Assisted with development of a reporting tool used to track next available refills for patients.
0-5 years of experience
In charge of handling insurance losses, worked with Xactimate completing estimates
- Trained new employees on Xactimate program
- Maintaining relationships with insurance agents, and customers
- Worked with realtors to complete remodels for Fannie Mae foreclosures
- Coordinated the scheduling of the materials with the installers the customers and the insurance adjusters
- Recruited installers and the necessary back ground checks and reference checks
- Certified in Lead-Safe Renovator in Wisconsin
0-5 years of experience
Received referrals from intake and insurance companies and verified home health benefits
- Negotiated service rates with insurance case managers as needed
- Communicated pertinent information to insurance case managers to receive approval for home health visits
- Completed insurance verification forms and sent to the appropriate nursing office and billing department
- Obtained clinical updates on patients from the nursing offices and notified insurance company of the patients progress
10+ years of experience
Performed many essential duties including: answering multi phone system, communicating with other facilities regarding patient transfers and records.
- Provided input regarding process changes to further the goals of [company name].
- Successfully trained other staff members on processes such as patient discharge, cashier functions, insurance verification and obtaining insurance authorizations.
- Interacted with clinical staff, patients, co-workers, and other departments in a positive and professional manner.
0-5 years of experience
- Corresponded with both dental and medical insurance after review of patient’s treatment plans to calculate out of pocket expenses.
- Communicated with the responsible party of a patient to explain coverage limits and out of pocket expenses prior to schedule of surgery.
- Coordinated claims processing, patient billing, and collections process.
- Posted collections, treatment plans, and completed surgeries daily and maintained patient’s account notes as well as ledgers.
- Researched and resolved insurance billing issues.
- Provided financial reports daily and monthly to office manager and team.
- Consistently exceeded monthly office collection goals and improved collections each month from previous year.
0-5 years of experience
Processed and verified all incoming referrals to meet scheduling deadlines and compliance with insurance regulations.
- Set up initial billing structure for invoices, making initial contact with insurance companies to obtain insurance coverage information for services requested on incoming referrals.
- Acquired insurance authorizations for procedures ordered by the attending physician.
- Accurately entered patient information into billing software.
- Acted as a liaison between the clinical department and patient account representives in resolving billing and reimbursement accuracy.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Confirmed patient information and verified insurance.
- Consistently informed patients of their financial responsibilities prior to services being rendered.
- Remained up-to-date with all insurance requirements with heaviest work loads occurring at the beginning of a new year when insurance policies renew, including; the details of patient financial responsibilities, fee-for-service and managed care plans.
- Efficiently performed insurance verification and pre-certification and pre-authorization functions.
0-5 years of experience
Responsible for insurance and patient billing, entering treatment plans into the computer system, scheduling and confirmation of patient appointments
- Cross-trained to assist for dental procedures; developing and duplication of x-rays, sterilization of instruments and treatment rooms, equipment maintenance, ordering of supplies, training of new employees.
- Scheduled and assisted the doctor on In-Home Care visits for elderly patients in various settings.
- Composed monthly written reports, memos and correspondences
0-5 years of experience
Became proficient in understanding dental terminology and procedures while determining the correct corresponding insurance codes
- Networked between patients, doctors and insurance companies to assure positive outcomes regarding billing
- Responsible for determining the reasoning for insurance denials and providing timely feedback to resolve possible issues
- Assisted Office Manager with the daily administrative operations such as scheduling appointments and answering patient inquiries
- Communicated with patients by diagnosing possible causes for dental discomfort and coordinating necessary appointments with the doctors
0-5 years of experience
Significantly reduced accounts receivables
- Credentialed with 30+ insurance companies and maintained credentialing
- Implemented insurance coding for optimal benefits
- Provided insurance companies with requested documentation
- Contacted insurance companies regarding unprocessed claims
- Calculated and explained insurance benefits and co-pays to patients
- Resolved account disputes by patients
- Resolved insurance disputes
- Provided patients with after-care instructions and directions for prescriptions
0-5 years of experience
Responsible for delivering correspondence to insurance companies and agents regarding insurance claims.
- Performed accurate and time sensitive data entry queries.
- Ensured patients insurance was active and checked patient’s eligibility for hospital services.
- Contacted insurance companies or agents for insurance information for each patient that was admitted.
6-10 years of experience
Verified 120 customer’s benefits eligibility a day ensuring 100% policy compliance
- Verified customer’s dental history to ensure they are following current treatment plan
- Verified customer’s medical history to ensure they comply with company’s quality control guidelines
- Compiled student list for schools in Arizona and California to expedite customer service once on sight
- Compiled reports of various data to present daily progress reports to management
- Created records for upcoming customers totaling approximately 40 people a day
- Called parents on a daily basis to schedule appointment for their children
- Utilized various systems such as Dental Vision to verify if customers were existing or initial customers
- Improved speed and efficiency of filing system, ensuring critical files tracking, reduced duplication, and increased cooperation between section and others
- Gathered customer’s private insurance information and transferred information to the insurance coordination department to coordinate appropriate payment
- Application Software: MS Office Suite
0-5 years of experience
Responsible for greeting patients as first point of contact.
- Obtained the knowledge to verify insurance on a larger scale
- Verified insurance, collected co-payments, and assigned PCP’s accordingly
- Answered all calls regarding scheduling, referrals, prescription refills, and messages for physicians
- Assisted with applying uninsured patients for state insurance (FPBP) (PCAP)
- Worked with teens and other patients in need of confidential visits
- Retained knowledge of all State and Government laws, privacy practices and consents with the healthcare field
0-5 years of experience
Charged with assessing and correcting university’s significant backlog of aged / untouched accounts, and bringing four years’ worth of accounts up to date after extensive period of mismanagement.
- Managed comprehensive project to credential all Medicare providers and clinics and update NPI numbers that had been left to expire.
- Successfully submitted all pending primary and secondary claims in order to bring in reimbursements before claims surpassed filing limits.
- Completed extensive research on each clinic’s Medicare eligibility procedures, and communicated information to patients via pre-filled-out ABN forms.
- Educated OB-GYN physician on new Medicare guidelines / requirements for patients’ initial visit and provider documentation needed for successful reimbursements.
0-5 years of experience
Posted and verified insurance payments/refunds to and from our 150 dental offices.
- Strong computer and data entry skills. Type 50 wpm.
- Proficient in Excel, Microsoft word, Outlook and other company software to manage accounting data.
- Fast alphanumeric and 10 key typing speeds.
- Scanned/processed mail and distributed to employees for daily posting.
- Prepared daily deposits for accounting.
- Updated patient and benefit information into practice management software.
0-5 years of experience
- Responsible for identifying insurance coverage gaps on leased equipment
- Created, organized, and maintained client documents and files
- Followed up with numerous carriers pertaining to lapse of coverage
0-5 years of experience
Coordinated the transition of data from old to new insurance programs.
- Prepared insurance forms and associated correspondences.
- Verified and ensured that insurance information and authorizations provided are current, accurate and not approaching expiration.
- Scheduled and coordinated appointments, tests and procedures.
0-5 years of experience
Post all insurance payments to individual accounts.
- Handle incoming calls to cancel appointments, reschedule appointments, and check out patients.
- Managed all payments on accounts.
- Managed all claim denials, and correcting any issues that needed to be fixed.
- Good communication skills with patients.
- Educated using Eaglesoft software and Revenue Well.
- Processing the End-of-the-Day report, and balancing all financial numbers.
6-10 years of experience
Managed all aspects of surgical coordination from patient consultation to insurance pre-certification, scheduling surgery, and claim tracking.
- Assisted with patient check-in and check-out including posting charges and daily reports.
- Knowledgeable in multiple skin laser systems and skin products, including Obagi, Skin Medica and Revision Skin Care.
- Experienced with multiple camera systems including Vectra 3D.
- Experienced in surgical circulating and sterile technique for office procedures.
- Clinical coordinator for Breast Implant Follow-Up Study.
- Clinical research liaison for Acellular Dermal Matrices Study.
0-5 years of experience
- Oversaw two Finance and Insurance Mangers and their client base, sales, performance and compliance
- Responsible for knowledge of all extended warranty programs, after sell programs, availability to such vehicle, as well as sale and cost points
- Maintained Buy Rate and Up-sell charges to balance F&I profit and loss per office
- Coordinated and certified signer for in house vehicle registration and tax system
0-5 years of experience
- Greeted up to 100 visitors, ascertain purpose of visit, and directed them to appropriate staff.
- Operated office equipment such as voice mail messaging systems, copiers and scanners.
- Completed insurance and other claim forms for various companies including Medicaid.
- Interviewed/ translated for up to 10 Spanish speaking patients to complete documents, case histories, and forms such as intake and insurance forms.
- Transmitted correspondence and medical records by mail, e-mail, or fax.
- Maintained up to 1000 new and existing medical records and filed as needed.
- Completed cash transactions using cash register, debit/credit card machines and balanced ATM and vault in banking institution.
0-5 years of experience
- Performed secretarial duties, utilizing knowledge of medical terminology and hospital, clinic and laboratory procedures.
- Executed daily operations of insurance verification and authorizations.
- Wrote, designed and produced my own work forms.
- Compiled and recorded medical charts, reports and correspondence, using computer.
- Was instrumental in credentialing for a new Dr.
- Answered telephone and scheduled appointments.
- Greeted and directed visitors.
- Successfully handled all tasks given to me.
- Structured and maintained a time saving and efficient system to complete all tasks.
0-5 years of experience
Assisted in verifying therapy benefit coverage for patients.
- Obtained appropriate authorizations/re-authorizations for services required.
- Completed fees and services on new admissions & therapy on ongoing patients.
- Effectively communicated benefit details and patient information to all departments.
0-5 years of experience
- Directed the merging of two dental offices, bringing two management and clinical teams together
- Responsible for accounts receivable, accounts payable, and daily deposits
- Offered & arranged payment plans as needed for patients
- Insurance verification, e-claim processing, including digital x-ray attachments and perio charting
- Allocated monthly billing to patients
- Coordinated coverage for hygienists and assistants
- Distributed patient cases to labs and documented cases received
- Scheduled and confirmed patient appointments, responded to patient questions and concerns, assisted with heavy call volume.
- Extensive experience using Dentrix G-5
0-5 years of experience
Processed the monthly billing, additions, salary changes and terminations for 175+ customers
- Managed cash deposits for accounts receivable
- Processed Credit Memo’s and Debit Memo’s
- Screened Short Term and Long Term Disability Claims to be submitted to TPA
- Responsible for submission of Evidence of Insurability (EOI’s)
- Responded to any incoming calls from the customer’s
0-5 years of experience
Created, implemented, and maintained fee schedules and coverage books
- Provided excellent customer service while greeting patients, answering phones, scheduling appointments, collecting co-payments and balances, going over treatment plans, discussing and setting up payment arrangements
- Managed and maintained insurance verification for approximately 600 patients per month
- Successfully entered all insurance payments from various insurance companies into the system
- Reviewed and corresponded to emails daily
- Maintained past due and unsubmitted insurance reports
- Generated and mailed out monthly billing statements
- Successfully collected up to date demographic information entered and scanned into patient’s chart
- Reviewed and maintained doctor’s schedule daily
- Successfully managed cash and reconciled checks through Deposit Now, as well as making bank deposits
- Responsible for daily opening of the office
0-5 years of experience
Verified Bariatric Surgeries, General Surgeries, Nutritional Counseling Benefits
- Gathered clinical information to pre-certify patients surgery
- Obtained co-payment, deductibles, out-of- pocket, lifetime and annual maximum
- Worked closely with the billing manager to ensure accurate and timely filing for bill submission
- Compliant with HIPAA rule and regulation
- Knowledge of Explanation of Benefits
0-5 years of experience
Oversee patient insurance matters for a specialty practice with one dentist and four support personnel:
- Stepped into a position that had been vacant for six weeks, worked through a records backlog to bring insurance data current within two months of hire, and expedited refunds overdue to patients
- Confer with all patients to review charts at check-out, determine out-of-pocket costs vs. covered
- Serve as liaison between the practice, patients, and insurance companies to confirm dental coverage,
- Assured compliance with practice policies and applicable regulatory requirements, including HIPAA
0-5 years of experience
Timely verification of medical insurance benefits
- Calling private insurance companies, Medicare, and Medicaid to obtain benefit information.
- Determining insurance compatibility with health-care provider programs.
- Coordinating with patients regarding their insurance benefits and medical providers programs.
- Re-verifying existing patient insurance coverage.
- Determining if an insurance benefit plan considers selected procedures appropriate based on patient needs, by obtaining authorizations.
- Contacting patients to inform them on how much their procedure will cost them based on their insurance’s deductibles, out-of-pockets, co insurances, and co payments.
0-5 years of experience
Oversee all collections efforts in a fast paced department administering multiple lender accounts
- Primary contact for lenders and branch representatives at multi-national banks
- Manage customer service relations with domestic and international clientele processing accounts, resolving client issues and processing credit memos.
- Maintain collections portfolio applying payments, reconciling records and keeping accurate accounting of each transaction
- Liaison to insurance companies managing escrow accounts and making disbursements
10+ years of experience
More than 10 years experience using Intergy computer application.
- Collected past due medical insurance accounts on Aging Report daily.
- Forwarded denied claims to Appeals Department for payment.
- Verified and audited 75-100 claims for accuracy to be submitted to EDI processing daily.
- Input patient information into company’s database using Intergy software.
- Filed insurance claims electronically daily.
- Gathered information and records for financial review.
- Responded to patient’s questions and concerns to resolve insurance issues.
- Sent out medical insurance statements weekly.
0-5 years of experience
Reviewing and analyzing insurance commission statements to submit to the Accounting Department for processing
- Assisting in the build-out of an insurance database
- Inputting and maintaining Insurance database with new business, policies, and commission payouts for reporting
- Assisting with various administrative duties such as coordinating webinars, creating expense reports, completing check requests, and distributing advisor/client mail.
- Educating financial advisors/clients on the payouts for various products utilizing a compensation grid.
- Assisting financial advisors in regards to the Insurance Department as needed
6-10 years of experience
- Worked closely with planners in financial planning regarding risk management, cost/benefit analysis, efficiency improvement, and investment management
- Provided highly responsive client service and built relationships
- Placed client trades for investment accounts in line with asset allocation
- Performed insurance policy audits and discussed replacement opportunities with clients
- Created illustrations and cover letters for life, disability, long-term care and annuities
- Created and processed reports, forms and applications for insurance and annuities
- Assisted with coordinating planner meetings and presentation material, performed general office duties, worked with wholesalers, set appointments and travel
0-5 years of experience
- Reviewed denials and remaining balances and determined next best action
- Identify and document ongoing payer issues
- Followed all HIPAA regulations
- Utilize online eligibility systems including EPIC, Passport, and One Health Port to determine correct eligibility
- Read and reviewed all insurance correspondence to ensure billing issue resolved
- Worked closely with fellow co works and also independently to resolve off sets and adjustments and revenue cycle coding and billing issues.
- Posts charges, payments and adjustments
- Review account for quality assurance posting and insurance errors.
- Updated and maintained Coordination of benefits.
0-5 years of experience
Insurance Coordinator
- Responsible for auditing claims for payment or denials from all insurance companies such as but not limited to Medicare and Medicaid and refile as needed.
- Manage all refunds and billing calls.
- Communicate with patients and insurance companies in order to satisfy patient’s account balances.
- Proficient with ICD9 and cpt coding, as well as Medicare and Medicaid billing practices.
10+ years of experience
Insurance Coordinator
- Responsible for the billing of all Medicaid claims resulting in the reimbursement of over 3 Million dollar for the year 2008
- Responsible for visits to Social Security to become representative payee for the Medicaid residents which resulted in a turn around time from 3 months to 15 days of receiving notification of the change in payee status
- Experience in Insurance verification and benefits
- Experience in filing claims with Insurance companies for Medicare co-insurance, Managed care and Workers Compensation
- Experience with Point Click Care software
- Experience with the Admission office for a long term care and rehab nursing facility
0-5 years of experience
Answered inbound and outbound calls
- Processed discount Co-Pay Cards and Grant funding
- Corrected insurance discrepancies
- Performed light collections
0-5 years of experience
- Verified medical benefits for office for orthopedic office visit
- Obtained pre-certifications & authorization for MRI, MRA, CT & ultrasounds
- Obtained pre-certification & authorization for surgical procedures(inpatient & outpatient)
- Obtained pre-certification & authorization for DME
- Proficient with medical terminology as well as ICD-9 and CPT codes
- Verified insurance eligibility and referrals.
- Heavy phone and patient contact
0-5 years of experience
Answered incoming phone calls
- Maintain and schedule appointment book as well as handle referrals
- Document patient treatment and transactions
- Filed insurance claims and followed up with Insurance companies about unpaid/late claims
- Handled patient accounts as well as billing
- Maintained A/R and made financial arrangements with patients prior to care
- Ordered administrative office supplies
0-5 years of experience
- Assisted with the doctor in minor surgeries and crowns with the Ceric Machine and without it.
- Assisted with hygiene in perio charting and making appointments for the patients
- Checked patients insurance to see what was covered and not covered and put the notes in the computer.
0-5 years of experience
Coordinated all patients’ insurances including research, data entry, claim submission, patient estimate letters, predeterminations, processing EOB statements, and investigation of any insurance claim denials, errors or requests
- Managed accounts receivable
- Assisted front office staff
- Paid office bills and patient refunds
0-5 years of experience
- Verifying all patients on the surgery schedule on a day to day basis.
- Calculating the amounts and notifying patients of their surgery fees due.
- Posting the account information into the system for each patient.
- Giving quotes over the phone for patients and doctor staffs that call in.
- Front desk and Medical Records duties.
0-5 years of experience
Scheduling and confirmation of patients
- Verification of insurance benefits via internet or telephone and submitting appeals for denied claims or treatment
- Managing accounts receivable
- Creating excel spreadsheets, company fliers, and social media pages
- Cleaning office and assisting RDA when necessary
- Converting files and/or radio graphs to PDF/JPEG formats and creation of patient consent forms and other paperwork
0-5 years of experience
- Sent out preauthorization’s
- Reviewed all claims and denials
- Assisted doctors, receptionist and patients
- Relieved Financial Coordinator when needed
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[Insurance Coordinator]
Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
