Insurance Coordinator Resume Samples - Page 2

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Insurance Coordinators ensure that all of the involved parties to a claim submit the correct information and that the information is then distributed in a timely fashion. Example resumes of Insurance Coordinators offer such skills as overseeing and training team members to keep them current on the department's changing practices, and submitting claims, letters of appeals and letters of medical necessity when needed to ensure the payment of claims. Insurance Coordinator resumes list, at a minimum, a high school diploma or its equivalent as an educational requirement, with some resumes displaying Bachelor's degrees in the fields of Accountancy or Finance.

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11

Insurance Coordinator

  • 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.
Candidate Info
5
years in
workforce
7
months
at this job
BS
Interdisciplinary Studies
12

Insurance Coordinator

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.
Candidate Info
17
years in
workforce
1
year
at this job
AAS
Community Health And Science
Accounting
13

Insurance Coordinator

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
Candidate Info
20
years in
workforce
5
years
at this job
BS
Elementary Education
14

Insurance Coordinator

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
Candidate Info
9
years in
workforce
4
years
at this job
AA
Business Administration
BA
Physical Geography
15

Insurance Coordinator

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
Candidate Info
36
years in
workforce
4
years
at this job
AS
Business
16

Insurance Coordinator

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.
Candidate Info
7
years in
workforce
6
months
at this job
AS
Business
Medical
17

Insurance Coordinator

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
Candidate Info
10
years in
workforce
10
years
at this job
BA
Bachelor of Arts
18

Medical Office Specialist/insurance Coordinator

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
Candidate Info
11
years in
workforce
2
years
at this job
AA
Liberal Arts
BA
Psychology
19

Insurance Coordinator

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.
Candidate Info
7
years in
workforce
6
months
at this job
Medical Biller / Coder
20

Insurance Coordinator

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.
Candidate Info
9
years in
workforce
3
years
at this job
HS
High School Diploma

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