Insurance Coordinator Resume Samples

As an Insurance Coordinator, the professional will ensure that the involved parties submit the correct information on their claim documents. A well-drafted Insurance Coordinator Resume makes a mention of the following duties and tasks – overseeing and training the team members, keeping the team updated about the current happenings and changing practices, submitting claims, and letters of appeal; distributing training agendas to all regions; solving billing and payment issues of clients, interfacing with insurance carriers, assisting patients with benefit coverage issues and eligibility criteria; and maintaining a detailed transaction report.

Most of the resumes highlight the following job assets – confident negotiation skills, accuracy and attention to details; a detailed knowledge about various types of insurance policies, marketing skills, and the ability to guide the whole team of insurance agents. The occupation is open to both University graduates and school leavers.

 

Insurance Coordinator Resume

Headline : Policy and program development 8+ years of billing experience in dental Patient evaluation and intervention Ability to manage priorities and meet deadlines Patient and family focused Chart preparation and filling CPR Certification.

Skills : Office Package: Microsoft Word, Microsoft Excel, Microsoft Access, PowerPoint, Etc. Dental Operating Systems: QSI, Dental Vision, Eagle Soft, Dentrix.

Description :

    1. Greet and check in patients in a friendly manner Collecting co payments Verify insurance benefits for all patients.
    2. Process insurance and pre-treatment estimates and call patients when received.Retrieve missing insurance information.
    3. Knowledge of insurance plans, questions and submitting and resubmitting to insurance carriers and posting insurance checks (paper and electronic).
    4. Posting insurance checks to patient account on daily base.
    5. Submitting monthly statement to patients with outstanding balances.
    6. Responding to patient billing or financial inquiries, directing to appropriate departments, as necessary.
    7. Updating fee schedule & credentialing new doctors.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Business


Finance/Insurance Coordinator Resume

Headline : My objective is to obtain the position as Prevention Education Coordinator with Shenandoah Women's Center, a position that I believe will allow me to exercise my passion for prevention and education when it comes to the community-wide issues of sexual assault, sexual harassment, domestic violence, and bullying.

Skills : Ability to work well with people Dedicated passion.

Description :

    1. Managed front desk for busy pediatric office.
    2. Verified patients insurance prior to appointment.
    3. Investigated past due invoices and minimized number of unpaid accounts.
    4. Recorded and filed patient data and maintained accurate medical records.
    5. Directed patient flow during practice hours, minimizing patient wait time.
    6. Acted as liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
    7. Responded to staff and client inquiries and handled complaints.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Planning


Insurance Coordinator/Treatment Coordinator Resume

Summary : Looking for a new creative opportunity. Highly motivated team player committed to achieving employers objectives. Diversified experience in real estate yet excited for a change in industries. Professional, customer focused, organized, detail-oriented, exceeds with time constraints, hard working, loyal, dedicated and driven.

Skills : Data Entry, Microsoft Office, 10 Key, 63 WPM, A/P. A/R.

Description :

    1. Obtain and process prior authorizations through established protocols, policies and procedures.
    2. Effectively communicate via phone, email, or in writing with physicians, nursing homes, and pharmacies regarding approvals and denials.
    3. Answer questions, requests and resolve issues from providers, pharmacists and staff.
    4. Address various issues related to prescription drug benefits, prescription formularies, prescription claims processing and prior authorizations.
    5. Resolve routine nursing home and pharmacy concerns and questions from various sources, and, where appropriate, suggest a plan of action to resolve coverage issues.
    6. Provide administrative support to the pharmacy team and management.
    7. Gather and compile data for weekly and monthly reports pertaining to claims approvals, denials, and pending claims.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Diploma

Insurance Coordinator/Administrative Assistant Resume

Objective : Looking to step it up to the next level as an Insurance Coordinator in order to fulfill a dream of being an integral part of a management team.

Skills : Dental Assisting.

Description :

    1. Contact insurance companies as required to obtain and enter into the prescription processing system accurate benefit information, which positively impacts the adjudication process and minimize rejections.
    2. Research and resolve prescription adjudication rejections, ensuring patients receive their medications within established patient standards.
    3. Contact patients as necessary to obtain information required for accurate claim adjudication.
    4. Document all actions taken on each order utilizing the prescription processing system note card application clearly and concisely, ensuring all DaVita Rx teammates know the current status of each order.
    5. Answer calls received in the insurance phone queues promptly and professionally, within established standards.
    6. Interact daily with DaVita Rx teammates to ensure all pharmacy orders are received and processed timely and accurately.
    7. Understand and follow DaVita Rx teammate policies and procedures.
    8. Maintain strict confidentiality of patient information.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Pharmacy Program

Admissions Behavioral Insurance Coordinator Resume

Objective : Results driven Administrative Assistant with a passion for detail. Ability to provide administrative support for complex and time sensitive projects as well as routine duties. Able to adapt to working under pressure and performing tasks with minimal supervision.

Skills : Book Keeping, bilingual, multitasking, and artistic/graphic.

Description :

    1. Answer all incoming Insurance phone calls Process member requests via telephone and email.
    2. Resolve billing, pharmacy and medical issues for members.
    3. Attend and assist with association events.
    4. Relieve front office secretary for days off.
    5. Answer five line phones, greet and assist visitors, sort incoming mail.
    6. Process address and phone number updates in internal data base and insurance systems.
    7. Assist walk-in visitors with insurances questions and requests.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Diploma In General

Student Health Insurance Coordinator Resume

Summary : To secure a position in a medical office setting that I can be an asset to the practice in providing assistance in the revenue cycle, helping both patients in obtaining maximum insurance plan benefits and ensuring cash flow to the healthcare provider. Seeking an opportunity where I can apply my experience and efficiently contribute to the company's growth.

Skills : ICD10, ICD9, CPT, Medical Coding.

Description :

    1. Determine patient financial responsibility prior to scheduled radiology exams.
    2. Contact insurance to obtain patients eligibility status.
    3. Research and correct denied claims for billing office.
    4. Prepare insurance worksheets for scheduled patients for front desk.
    5. Educate and provide assistance with referring physician offices on how to obtain authorization for patients.
    6. Verify and ensure that insurance information and authorizations are current, accurate, and not approaching expiration.
    7. Maintain strict confidentiality related to medical records and other data.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Medical Billing And Coding

Dental Insurance Coordinator Resume

Summary : I have been an administrative assistant for 15 years specializing in accounts receivable and payroll. In the past I served in a volunteer capacity as a Girl Scout Leader, a Crime Watch Captain and sat on an Elementary School Board. I have arranged meetings between established clients and management, trained prospective employees and I have assisted in the care of handicapped, mentally ill and hospice patients.

Skills : Excellent typist, extensive knowledge of medical computer software, 35 years experience in medical insurance billing and collecting.

Description :

    1. Coordinate and network between patients, physicians and insurance companies.
    2. Manage filing and tracking insurance authorizations and inform patients of their status.
    3. Handle patient's queries regarding unpaid balances.
    4. Circulate documentation as needed for reviewing.
    5. Prepare insurance forms and associate correspondences.
    6. Verify and ensure that insurance information and authorizations provided are current, accurate and not approaching expiration.
    7. Maintained strict confidentiality related to medical records and other data.
    8. Manage coordination of all the aspects of insurance programs.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Diploma

Contract/Insurance Coordinator Resume

Summary : Dynamic insurance professional bringing 12 years in the field of insurance with an emphasis on medical coding, auto and home insurance. Can easily adapt to any situation or job due to my aptitude to learn quickly. Seeking employment from a company that can help me expand my knowledge.

Skills : Microsoft Office, Office Equipment, Insurance, Customer Service, Clerical, Excel, Data Entry, Verbal Communication.

Description :

    1. Reviewed medical records for accuracy and completion as required by insurance companies.
    2. Professionally scribed multiple patient records for employers office and local hospital.
    3. Successfully produced authorizations for procedures and tests.
    4. Scheduled patients for a variety of appointments as prescribed by the doctor.
    5. Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities.
    6. Presented excellent customer service for patients in doctor's care.
    7. Executed excellent English communication skills, as well as some Spanish in communicating to patients.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
Spanish & Beginning Spanish

Insurance Coordinator/Receptionist Resume

Objective : Subject Matter Expert Premier-Aperek system, including implementation of General Ledger, Fixed Assets, Accounts Payable, Materials Management modules, etc. Enterprising, hard-working and technically skilled analyst known for healthcare data analysis and leading seamless implementations that delivers next-generation technical solutions. Career spans nine years of experience in gathering, analyzing and defining business and functional requirements.

Skills : Microsoft Office.

Description :

    1. Communicated with National, state, and local insurance companies to process medical claims.
    2. Federal and state forms filed electronically via data entry software.
    3. Ensured that patients' insurance was filed in timely manner.
    4. Maintained AS400 system with client demographics, charges, and insurance information.
    5. Collaborated as a team member to design new software to expedite faster claim filing to ensure greater customer satisfaction.
    6. Appointed member on Task Force Committee by Director.
    7. Followed up on payment for Medicare and Medicaid patients and posted monies received to individual accounts.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Master's In Healthcare Administration

Senior Insurance Coordinator Resume

Objective : Proactive, versatile leader with valuable experience providing steadfast administrative support, customer service and general accounting assistance in diverse environments requiring strong organizational, technical and interpersonal skills. Accurate and detail-oriented with extensive clerical knowledge and mathematical ability. Brilliantly flexible and capable of performing detail-oriented work with frequent interruptions.

Skills : Microsoft Office, Microsoft Excel, Customer Service, Sales.

Description :

    1. Educated patients on overall health and wellness and present treatment plan for dental work.
    2. Verified dental coverage and processed payments from insurance companies.
    3. Coordinated with specialty dentists when referrals were necessary.
    4. Responsible for running monthly account receivable reports.
    5. Turned over delinquent accounts to collection.
    6. Processed patient refunds and served as point of contact for billing questions and issues.
    7. Acted as co-team leader of ten person office.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Executive
Education
Education
Diploma

Funding/Insurance Coordinator Resume

Headline : Qualified individual with seven years of office managing skills, and motivated to accomplish goals. Highly capable of implementing new ideas and approaches to the company. Skilled in making quick and good decisions and exceptional interpersonal and communication skills. Capable of managing multiple tasks, and able to work under pressure to meet important deadlines.

Skills : Microsoft Office.

Description :

    1. Recruited and trained new employees and monitored their progress in their position, and educated each one about office policies and procedures.
    2. Collaborated with each employee to create a work schedule that provided equal amount of hours spread throughout the week, plus authorized for time off.
    3. Resolved conflicts among employees and assisted in building strong teamwork relationships among all office employees.
    4. Coordinated meetings with front staff employees to discuss what necessary changes should be made in order to provide excellent customer service to all families.
    5. Managed patient financial accounts in regards to posting insurance payments, verified insurance coverage, and generating monthly statements.
    6. Responsible to investigate and resolve disagreements between insurance companies and patients.
    7. Obtained approved pre-estimates for orthodontic treatment from insurance companies and negotiated as well as budgeted patients orthodontic financial contracts.
    8. Presented delinquent accounts to our collection agency in order to obtain outstanding balance of more than six months.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
M.A In Human Resource Management

Patient And Insurance Coordinator Resume

Objective : Veterinary Technician student passionate about providing the highest level of care for animals. Skilled in creating long-lasting relationships with owners as well as pets. Versed in balancing administrative tasks and customer service.

Skills : Communicate Clearly And Effectively Proficiency With.

Description :

    1. Examine claims forms and other records to determine insurance coverage.
    2. Review insurance policy to determine coverage.
    3. Prepare insurance claim forms or related documents and review them for completeness.
    4. Educate patient on types of dental insurance and benefits Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations.
    5. Answer telephones and direct calls to appropriate staff.
    6. Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
    7. Receive and route messages or documents, such as laboratory results, to appropriate staff.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Certification In Veterinary Assistant

Insurance Coordinator/Accounting Resume

Headline : Seeking the opportunity to utilize my skills and abilities in the business industry to enhance the efficiency and success of your company.

Skills : Types 70+ Wpm Microsoft Office EDI Interpretation CRM Constant Contact Database Manipulation Extensive Internet Research And Competitive Intelligence Experience, Kronos.

Description :

    1. Obtains, prepares and coordinates all new business production and health insurance quotes by utilizing carrier portals, in-house systems and/or other standard insurance methodologies.
    2. Initiates new insurance groups, processes enrollments, renewals, terminations and reinstatements for all insurance and member groups.
    3. Collaborates with insurance carriers to resolve complaints, discrepancies and other issues.
    4. Processes monthly commission statements from carriers in order to reconcile commission and discrepancy reports.
    5. Processes and coordinates the enrollment of all new business council members by working directly with the Membership & Business Development department.
    6. Coordinates business council event management by registering attendees, invoicing, applying payments and producing statistical information on a per event basis.
    7. Performs administrative tasks in regard to office management.
Years of Experience
Experience
5-7 Years
Experience Level
Level
Executive
Education
Education
Bachelor's In Psychology

Financial/Insurance Coordinator Resume

Summary : Insurance Specialist with 27 years experience in processing Medical, Dental and Disability claims. 10 years in precertification, billing, follow up and collections. Ability to handle client and/or customer problems.

Skills : Insurance Coordinator.

Description :

    1. Oversee insurance eligibility and obtain authorizations from insurance companies and third party payers.
    2. Compiled list of guidelines for insurance companies to be used by co-workers and sales representatives.
    3. Successfully negotiated discount from non-contract insurance companies Billed Medicare, Medicaid and insurance companies.
    4. Submitted required documents for adjudication of claim.
    5. Researched aging reports and collection of outstanding balances of insurance companies, third party payers and self pays.
    6. Submitted appeals to Medicare, Medicaid and insurance companies for adjudication.
    7. Oversee training of precertification, benefits and collections and continue support to off shore team.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Diploma

Insurance Coordinator Resume

Objective : To acquire a position within an organization that will allow me to utilize and enhance my skills and contribute to the growth of the company.

Skills : Emr, ICD-9, ICD-10, Microsoft Office, Meditech, McKesson.

Description :

    1. Verified customers managed care, Medicaid, and Medicare insurance plans via phone, internet, and/or fax.
    2. Obtained authorizations for equipment being ordered.
    3. Verified ICD-9 codes and CPT billing codes to insure payment will be processed for claim under customer's insurance plan.
    4. Estimated the patient's financial responsibility after verifying their benefits.
    5. Updated and re-billed all unpaid claims to insurance plan via computer system or mail.
    6. Created Excel spreadsheets to record and track Medicare and Medicaid members eligibility.
    7. Performed monthly re-certification for expiring authorizations to ensure patient demographics, insurance information, verification and eligibility are current.
Years of Experience
Experience
2-5 Years
Experience Level
Level
Junior
Education
Education
Diploma