Insurance Coordinator Resume Samples

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S Wintheiser

Shayne

Wintheiser

9015 Murray Parkways

Los Angeles

+1 (555) 420 5491

9015 Murray Parkways

Los Angeles

Phone

p +1 (555) 420 5491

Experience Experience

Dallas, TX

Student Health Insurance Coordinator

Dallas, TX

Kuhic-Feil

Dallas, TX

Student Health Insurance Coordinator

Maintains a manual of policies and procedures pertaining to the University’s student health insurance program
Assist with the enrollment / waiver process. This assistance may extend to researching eligibility issues
Understand and educate students regarding current plan design, policies and procedures
Assist in resolution of any insured / and / or provider billing issues
Act as a day to day liaison between all entities by providing walk in and telephonic customer service support to all University customers
Performs other duties as assigned. The omission of duties does not preclude the supervisor from assigning duties that are logically related to the position
Assist with the enrollment/waiver process. This assistance may extend to researching eligibility issues

Phoenix, AZ

Insurance Coordinator

Phoenix, AZ

Lesch-Purdy

Phoenix, AZ

Insurance Coordinator

Assists with Performance Improvement activities
Perform all other duties as assigned by the Insurance Department Manager
Assist and provide guidance to students, residents, faculty, and staff regarding efficient and compliant CDT coding
Assist with special projects as requested
Liaising with both product providers and underwriting teams
Assist Insurance Supervisor with other duties/projects as requested
Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered.Report information systems security problems

present

Houston, TX

Risk Management Insurance Coordinator

Houston, TX

Gerlach-Romaguera

present

Houston, TX

Risk Management Insurance Coordinator

present

2) Assist Risk Management Analyst with management of insurance claims (15%)
Work with Director to develop annual insurance strategy and budgets
1) Assist with the management of the University's commercial and self-insurance programs (50%)
5) Provide general risk management advice and other projects (10%)
4) Assist Director with insurance budget management and premium payments (10%)
Perform annual insurance recharge
Assist in evaluating insurance allocation procedures

Education Education

Bachelor’s Degree in Risk Management

Virginia Commonwealth University

Bachelor’s Degree in Risk Management

Skills Skills

Ability and willingness to move with purpose and a strong sense of urgency
Excellent interpersonal skills
Ability to use various department specific computer programs such as: Service Desktop, FileNet, InfoLease, and Business Objects
Accuracy and attention to detail
Ability to organize and prioritize a variety of tasks/projects
Experience working in a call center environment that utilizes customer service quality standards
Ability to work within strict time frames and resolute deadlines
Excellent communication skills, both verbal and written
Ability to preserve confidentiality of information
Excellent computer skills

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15 Insurance Coordinator resume templates

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Insurance Coordinator Resume Examples & Samples

Receive and forward all incoming Insurance mail and faxes to the according Specialist
Experience: Customer Service preferably in Auto Finance
Education: High School Diploma or equivalent
Communication skills: Excellent communication, problem solving and negotiation skills required
Flexible: Ability to operate efficiently in an unstructured, ambiguous and constantly changing environment. Willingness to work overtime as needed to attain desired results
Proficiency in Microsoft Word and Excel required
Ability to organize multiple projects, exercise good judgment, maintain a high level of confidentiality, exhibit a professional demeanor and possess a mature presence

Insurance Coordinator Resume Examples & Samples

Coordinate & implement end to end processes for insurance applications and associated policy requirements including; all pre- and post-application requirements, ad-hoc requests and general product queries
Liaising with both product providers and underwriting teams
Ensure accuracy & compliance of advice and associated documents
Assist with insurance product training for support staff and internal teams
Ensure client records and policy information is up to date in CRM
Establish and maintain relationships with advisers, their support staff and their clients
Comprehensive and clearly demonstrated working knowledge of insurance products, the insurance advice process and implementation
Excel at developing adviser & client relationships, have a passion for administration and be a reliable and enthusiastic team member
Proactive, with the ability to problem solve and have the ability to not only work within a team but also autonomously
Strong communication skills, both verbal and written is essential
A high attention to detail with the ability to work through a multitude of tasks in a timely manner is essential
Knowledge of Coin and Xplan would be desirable, but not essential

Registered Life Insurance Coordinator Resume Examples & Samples

Insurance license (L, H, VL)
Series 6 or 7, and 63 (or ability to obtain within 120 days) required in order to participate in supp comp program)
1 plus years of life insurance background

Insurance Coordinator Resume Examples & Samples

Prepare/Mail Gap and Warranty cancellation request on applicable accounts
Assist with collecting Gap and Warranty cancellations by contacting the appropriate Administrator and or Dealership
Run weekly early payoff report to cancel necessary GAP and LAHA contracts
Process and track all incoming Insurance, Gap & Warranty checks
Contact Insurance Companies for title instructions upon receipt of Insurance proceeds as needed
Identify and forward all incoming Insurance correspondences to appropriate Insurance Specialist
Answer inbound Insurance calls for the Department
Strong verbal/written communication skills including negotiation and organizational skills with the ability to multi-task and react quickly in a fast paced environment are needed to be successful in role
Ability to work well on a team and focus on results; exhibit adaptability and flexibility

Insurance Coordinator Resume Examples & Samples

Gather and document a detailed and comprehensive understanding of the various insurance plans and benefits for the different payor classes (State Medicaid, Commercial insurance and Medicare Part D plans) and being able to effectively communicate the therapy(s) and coverage requirements to the Patient and Payor sources
Possess professional telecommunication skills to effectively articulate benefit information, clinical and financial needs, and/or challenges to patients, referral sources, insurance carrier representatives and internal teams in order to facilitate the referral process and obtain complete information required to initiate a patient's start of care
Apply prior and current knowledge of insurance carrier requirements and authorization practices to capture and communicate appropriate clinical and financial data required to obtain approval/authorization of service, professionally documenting the detailed outcome of this process in CPR+
Provide Supervisor/Manager with feedback and suggestions for improving the process, bringing immediate attention to any areas preventing achievement of goals and objectives
Communicate frequently with Customer Service Coordinators (CSC) and Case Management in order to efficiently and effectively bring a patient from referral through start of care
Ensure timely follow-up and accurate notation of progress made on follow-up of all required paperwork in a concise manner
Maintains accurate records and keeps current all Progress Notes to streamline reporting functions and ensure adequate information is available in support of positive cash flow and collection efforts
Assists with Performance Improvement activities
Performs all other duties assigned by their respective Supervisor
Knowledge of pain management administration and the criteria requirements imposed by the various insurance plans
Demonstrated computer hardware, peripheral, CPR+ and Microsoft Excel and Word skills
Detail oriented, highly organized, and personable
Have strong communication and customer service skills
Be empathetic, a good listener and be able to 'diffuse' a situation if a customer is upset
Problem solver, be resourceful, and possess the ability to professional articulate finding and recommendations
Strong organizational and process skills
Strong computer skills and the ability to utilize various software packages (once trained)
Ability to execute directives toward established goals
Ability to work well with all staff levels
Ability to meet deadlines and work well under pressure while maintaining attention to details and a positive outlook
Takes initiative, persists at tasks and pursues completion of objectives
Grasps new concepts, approaches and systems
Hands on learner who can pick up new systems and also learn in a side by side work environment
Ability to deal with ambiguity- most situations are unique and require the person to research the provider site for answers
Shares information with others to help them perform their jobs & seeks information from others
Persuades people from various levels, positions or backgrounds by using a variety of interpersonal techniques and approaches (Insurance providers cannot pay claims without full documentation. Our reps need to come at the problem from multiple angles to find a way to get the claim/referral processed
Switches to different strategy when an initially selected one is unsuccessful
Practices attentive and active listening
Expresses oneself clearly in conversation and interaction with others
Identifies information needed to clarify a situation and seeks that information from appropriate sources
Builds trust and credibility by demonstrating consistency between words and actions
Takes significant action to develop skills needed for effectiveness in current or future job
3- 5 years recent experience in a related field such as intake and customer service of high tech home infusion therapies, durable medical equipment or health insurance background required

Insurance Coordinator Resume Examples & Samples

Process and track all Insurance, Gap & Warranty Mail
Identity and forward all voicemail, faxes and e-mail Insurance correspondences to appropriate Insurance Specialist
Assist the Gap Specialist in pulling documents

Risk & Insurance Coordinator Resume Examples & Samples

3-5 years of experience in ERM and BCM programs, guarantees and insurance risk management
Bachelor’s degree in engineering or related field or equivalent work experience
Excellent leadership and people management skills
Excellent knowledge of business processes
Ability to drive change
Superior English verbal and written communication skills
Strong collaborator, decision maker with an ability to influence management at all levels within the organization
Demonstrated customer focus with the ability to build effective working relationships with all stakeholders
Insurance Programs and Procedures
Corporate Risk Management
NFPA Standards
ISO Standards and good practices
Occupational Safety & Health Administration programs and standards
Business Continuity Management methodologies and standards
ERP SAP knowledge (desirable)

Bilingual Insurance Coordinator Resume Examples & Samples

Contact insurance companies as required to obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections
Effectively research and resolve prescription processing rejections to ensure patients receive medications within established patient standards
Prioritize orders that have been rejected for insurance reasons, working each order timely and accurately to ensure patient service standards are met
Work closely with other pharmacy teammates to ensure all orders are received and processed timely and accurately
Contact patients as necessary to obtain information required for accurate claim adjudication
Clearly and concisely document all actions taken on each order to ensure all other pharmacy teammates know the current status of each order
Maintain accurate and current information as required in DaVita Rx spreadsheets for tracking and quality assurance purposes
Answer and respond to calls regarding insurance related issues in courteous, professional manner
Consistent, regular, punctual attendance as scheduled is an essential responsibility of this position
Other duties as assigned including but not limited to
High School diploma or equivalent required
Minimum 2 years' experience in electronic prescription claims billing, preferably in a retail or mail order pharmacy required
Certified Pharmacy Technician (CPT) preferred
Demonstrated knowledge of Medicare Part D, Medicaid and commercial payers
Demonstrated ability to work with high volume production teams with an emphasis on quality
Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Excel, Outlook
Prior experience using RxExpress highly desirable

Insurance Coordinator Resume Examples & Samples

Review incoming third-party insurance information, such as agency routings, agency terminations, and prescription plan updates; make the required changes to plan parameters within the Rite Aid Dispensing System (RADS), Stratus system, and/or Third Party Billing System; perform preliminary testing on plan changes to ensure accurate pharmacist alert messages and claims processing
Communicate insurance information, new prescription programs, and changes to existing programs to corporate and field associates via RADS broadcasts, SYSM, or other methods to facilitate third-party prescription processing
Coordinate the transition of data from old to new insurance programs, including customer moves and associated system maintenance
Research and resolve prescription-processing issues received from stores or the Third Party Support department
Validate non-authorized prescriptions dispensed by non-pharmacist IDs for the purpose of performing system tests and quality assurance checks and reverse transactions upon the completion of testing
Set up third party agencies, including data collection, translators, and error messages, in various systems
Research and resolve claim processing issues that cannot be resolved by store associates or the Third Party Support Desk
Interact with the Information Services (IS) department as directed for support and identification of Point of Sale (POS) issues at the store level
Assist the Third Party Support Desk with handling incoming calls as needed
Rotate on-call duties with Insurance Coordinators
Oversee the setup and maintenance of Local Area Clients
Assist with mapping third party data for data conversions
Committed to providing customer service that makes both internal and external customers feel welcome, important, and appreciated
Ability to preserve confidentiality of information
Ability and willingness to move with purpose and a strong sense of urgency
Ability to organize and prioritize a variety of tasks/projects
Familiarity with industry/technical terms and processes
Ability to work within strict time frames and resolute deadlines

Risk & Insurance Coordinator Resume Examples & Samples

Administer the US corporate bond program
Associate or Bachelor’s degree preferred
3+ years performing similar tasks
Proficient knowledge of Microsoft Office software
Basic knowledge of corporate insurance
Experience providing administrative support

Insurance Coordinator Resume Examples & Samples

2 years administrative and customer service experience
High level proficiency with Microsoft office
Customer focused, extremely patient, organized and the ability to set priorities
Energetic and self-motivating
Team player who is able to work within tight deadlines

Temporary Insurance Coordinator Closing Date Resume Examples & Samples

Handle incoming insurance reporting documents submitted by retail offices and corresponding approved forms from insurance vendors
Scan, duplicate, index and collate insurance forms to prepare for processing by insurance analysts
Responsible for mailings and correspondence sent directly to each insured, with corresponding copies to retail sites/files
Utilize multiple insurance company websites to obtain general information, access company data, and to print company forms
Responsible for entering and maintaining insurance data in Farm Credit Services of America’s insurance database and in insurance company software
Analyze, process, and edit forms for less complex insurance policies
Provide input and develop processes and procedures related to the handling of customer insurance coverage forms received from the insurance company
Work with internal and insurance company technical staff to assist with identifying and troubleshooting problems with systems related to indexing and handling of company forms
Develop and maintain good working relationships with marketplace retail office teams and insurance analysts to maintain and improve customer service performance and processes
Monitor, sort, distribute and/or handle incoming mail, shared insurance channel and shared insurance team in-box; coordinating and placing catering orders and flower deliveries
Assist the Director-Insurance Processing n the administration and operation of the insurance programs as assigned
Performs other related duties as assigned

Medical Insurance Coordinator Resume Examples & Samples

Insurance contract negotiation
Insurance contract set-up with both patients and insurance companies
Negotiating patient payment arrangements

Student Health Insurance Coordinator Resume Examples & Samples

Collaborates with the University Bursar, Registrar, IT Services and Web Services departments to ensure smooth processes throughout the insurance plan year
Facilitates the enhancement and implementation of the annual online USHIP student enrollment and waiver process
Coordinates the administrative aspects of a competitive bid process for USHIP and the optional insurance plans
Maintains the University Student Health Insurance Administration Tool, which tracks students’ annual enrollment and waivers into / out of USHIP
Interface effectively with all the University customers (students and/or their dependents, Administrators, and Student Health Center staff,) while clearly presenting UnitedHealthcare StudentResources’ position on all topics
Act as a day to day liaison between all entities by providing walk in and telephonic customer service support to all University customers
Assist in resolution of any insured / and / or provider billing issues
Understand and educate students regarding current plan design, policies and procedures
Coordinate and attend on-campus service related functions/meetings, including Orientations, Health Fairs and In-Service Information Sessions as needed
Effectively interface with all internal UHCSR departments toward the common goal of providing exceptional customer service to the University students and Administration (including but not limited to Claims, Customer Service, Legal and Sales / Service Departments) to ensure that the Company’s short and long term goals are met
Learn and demonstrate knowledge of all phases of claims processing, including enrollment management, the appeal process, the pre-determination process, and contract interpretation of plan benefits and policy provisions
Assist with the enrollment/waiver process. This assistance may extend to researching eligibility issues
Assist in the development and distribution of pertinent communications material to the Client and to UHCSR
Any other duties required by the University to assist with the Insurance Plan
Be able to successfully function on an individual basis while contributing to a team environment
Be able to appropriately prioritize workload
Be able to take and change direction as dictated by the University
Be able to resolve routine problems
Work with supervisor to resolve more complex problems

Bariatric Insurance Coordinator Resume Examples & Samples

People: Focus on serving the community through collaboration and respect
Self Management: Accountability, professionalism and commitment to growth and development
Organization: A commitment to quality, service and exceptional performance
Perform duties under moderate supervision with intermediate to advanced proficiency in administrative skills
May perform more complex or specialized functions (i.e. surgical scheduling) at highest competency level
Utilize knowledge of HMO’s, managed care and other third party insurers, and troubleshoots insurance issues as appropriate
Provide cross coverage as needed
Assist with special projects as directed
Other duties, as assigned
Provides consultation to patients regarding insurance coverage for bariatric surgery. Works with patients and insurance companies to verify eligibility. Triages questions that come in from patients. Addresses patient’s questions and concerns. Prepares letters of medical necessity for seven or more surgeon’s practices at Brigham and Women’s Hospital (BWH), Brigham and Women’s Faulkner Hospital (BWFH), and Brigham and Women’s Surgical Associates at South Shore Hospital. Responsible for gathering supporting documentation needed for approval (e.g. psychologist notes, dietitian notes, etc.)
Oversees prior authorizations for bariatric patients. Ensures all patients have pre-authorization numbers before their surgery date. Resolves issues related to the authorization process
Uses hospital systems for eligibility checks, verification of PCPs, and confirmation of deductibles and any other out of pocket expense (i.e. EPIC). May perform more complex or specialized functions (i.e. surgical scheduling, NEHEN, EPIC) at highest competency level
Works closely with practice assistants to ensure appropriate and accurate patient information is given to them and surgery approval is provided in a timely fashion
Establishes and maintains close connections with insurance companies. Maintains adequate and current knowledge of insurance requirements and policies for bariatric surgery. Develop understanding of patient eligibility requirements for each insurance company for bariatrics
Responsible for insurance information presented at all new patient information sessions held at Brigham and Women’s Hospital, Brigham and Women’s Faulkner Hospital, Mass General/Brigham and Women’s Health Center at Foxborough, South Shore Hospital, and any other satellite locations. Serves as informational resource for bariatric staff and bariatric patients. Utilizes knowledge of HMO’s, managed care and other third party insurers, and troubleshoots insurance issues as appropriate
Responsible for the collection of all program fee payments for the center. Collects and monitors program fee from all bariatric patients. Administers invoices and tracks daily patient payments, deposits, as well as develops and executes payment plans for patients, and collects financial information from patients qualifying for reduced fees
Provide cross coverage for center personnel as needed. Acts as a resource for patients for general program information. This may include, but is not limited to phone triage for the bariatric center and weight management center phone line, monitoring the centers’ e-mail inboxes, and registering new patients for bariatric information sessions via telephone and center email, coordinating conference room scheduling, managing information session patient educational materials and supplies, confirming patient registration and directions, tracking attendance, and following up with patients as needed. Provide tracking for patient referrals
Perform project coordination and assist Bariatric Program Manager to coordinate the following
Minimum one year applicable work experience required
Some additional training in office systems or other post high school education preferred

Dental Insurance Coordinator Resume Examples & Samples

Processing insurance payments and refunds
MUST have intermediate to advanced Excel experience
Familiarity with Microsoft applications
Prior dental insurance experience is required

Student Health Insurance Coordinator Resume Examples & Samples

Works with students to ensure they have proper health insurance as required by the university. This includes reviewing documentation provided by international students on F-1 and J-1 visas to determine eligibility for and, when appropriate, grants exemptions from automatic enrollment in the University’s health insurance plan
Identifies and recommends changes for annual policy, such as benefits, premiums, brochure designs, marketing techniques etc., and implements these improvements. Coordinates the bidding and contracting process as they pertain to the University’s student health insurance plan
Stays current on active and pending legislation related to healthcare that may impact the Student Health Insurance Plan and advises Associate Dean of the Colonial Health Center and the University’s insurance carrier accordingly
Coordinates efforts to evaluate the Student Health Insurance program by collecting and monitoring student satisfaction and participating in the quality monitoring and improvement process. Manages, monitors, and (when indicated) reconciles general expense and revenue accounts for the University’s student insurance program
Maintains a manual of policies and procedures pertaining to the University’s student health insurance program
Participates in orientation sessions for students and parents
Performs other duties as assigned. The omission of duties does not preclude the supervisor from assigning duties that are logically related to the position
Knowledge related to health insurance plan documentation and health plan administration
Previous experience with strategic communications and marketing of health plan information
Previous experience in a University student health environment or other outpatient medical facility
Previous experience working with international students or similar populations
Superior customer service skills
Articulate and well-spoken; able to effectively communicate with key internal administrators (including Deans and Program Directors, among others), students and parents
Knowledge of higher education institutions and administration

Insurance Coordinator Resume Examples & Samples

Legal and/or insurance background
First experience in General Insurance (excluding Life Insurance)
Responsiveness (regular interactions with internal Clients)
Fluent in French and in English
Proficiency in Excel

Regulatory & Insurance Coordinator Resume Examples & Samples

The Regulatory & Insurance Coordinator facilitates the regulatory and insurance program
Regulatory
Keep current on relevant regulatory information
Manage/assist on government agency inquiries
Create Inventory/Product Master Data in IFS, which includes a regulatory review
Create and/or change (Safety Data Sheets).SDS and Label template for products
Assist the (National Association of Chemical Distributors) NACD Coordinator with maintenance of distribution policies.and procedures
Assist with CHEMTREC - main 24 hour contact for transportation spills
Insurance
Facilitate Insurance claims
Assist and review SOVs ongoing and for renewals
Compare existing and proposed liability policies for differences and advantages
Assist with the allocation of invoices

Commercial Insurance Coordinator Resume Examples & Samples

Support special case required between Commercial Insurance Department and another departments
Coordinate with Senior Management for any assigned tasks from SVP CBE and Commercial Insurance
Arrange Quarterly Meeting between Commercial Insurance Management team and Brokers
Involvement with events/activities arrangement such as AIG Academy, CAB, AIG Golf Invitational and others
Handle Schedule / Appointment / Travelling and Accommodation arrangement
Schedule for all meetings through appointments for Commercial Insurance Management Team
Handle for Air Travel / Accommodation / Roaming for Commercial Insurance Management Team
Prepare Travel Form and request e-mail approval to CEO
Support / Manage for Senior Vice President, Head of CBE and Commercial Insurance
Centralized person to receive / return all the required signing documents
Reminder the pending tasks as assigned
To complete all tasks in the time provided

Student Health Insurance Coordinator Resume Examples & Samples

Interface effectively with all the University customers (students and / or their dependents, Administrators, and Student Health Center staff,) while clearly presenting UnitedHealthcare StudentResources’ position on all topics
Coordinate and attend on-campus service related functions / meetings, including Orientations, Health Fairs and In - Service Information Sessions as needed
Learn and demonstrate knowledge of all phases of claims processing, including enrollment management, the appeal process, the pre - determination process, and contract interpretation of plan benefits and policy provisions
Assist with the enrollment / waiver process. This assistance may extend to researching eligibility issues
Excellent oral and written communication skills, including experience in speaking in a group setting

Insurance Coordinator Resume Examples & Samples

Review and analyze subcontractors certificates of insurance for compliance with Suffolk subcontract agreements and authorize access to job sites
Identify noncompliant insurance through certificate analysis and exercise discretion in determining need to elevate to Risk Management Specialist to obtain insurance waivers
Contractor Controlled Insurance Program administration, including but not limited to
Bachelor’s Degree, additional legal and/or insurance experience is preferred
Sound understanding of insurance and knowledge of coverage terms
Construction background preferred, but not necessary

Risk Management & Insurance Coordinator Resume Examples & Samples

Develops and maintains underwriting databases and reports for various property and liability insurance programs
Reviews indemnification and insurance provisions of contracts for compliance with University policies and identifies potential risk management issues
Manages property insurance claims from initial reporting to final resolution with department and insurer
Coordinates information collection, verification and testing from numerous sources as required for annual insurance placements
Prepares and analyzes data and reports related to insurance and claims
Initiates and pursues subrogation against others for damage recovery
Serves as primary resource for update and management of risk management information system and web based reporting systems
Prepares insurance allocation to general fund and auxiliaries
Interprets Risk Management and Insurance procedures and insurance coverage and advises MSU Faculty/Staff
This position requires, or will require prior to the completion of the probationary period: knowledge of basic personal computer terminology and operations, and the ability to use e-mail and the Internet

International Student Health Insurance Coordinator Resume Examples & Samples

Extensive customer service experience working in higher education student services OR in the health insurance industry
Experience with financial and student information systems at a university or college
Student insurance experience
Experience with web content management

Insurance Coordinator Resume Examples & Samples

Bachelor's Degree preferred or equivalent related experience
Property & Casualty insurance licensee or ability to obtain license within first three months of employment
Experience in Property & Casualty Insurance
Experience with Community Association Insurance a plus
Demonstrates working knowledge of Microsoft Office Suite, especially Excel, Outlook and Word
Ability to communicate effectively written and verbal
Monitoring Association insurance to ensure policies are in place and avoid lapses in coverage
Implementation of FirstService Financial insurance program
Consistent communication and gathering of information from brokers and agents
Review proposals and policies to complete coverage & premium comparisons
Maintaining databases for all Association insurance policy effective dates and coverage
Communicate in writing and verbally with insurance agents, community managers and associates, vendors, as well as other association accounting personnel as needed
Comply with all policies, procedures and regulations
Complete all necessary paperwork (both electronically and in hardcopy) to ensure accurate records are maintained
Assist with special projects as requested

Insurance Coordinator Resume Examples & Samples

Obtain re-authorization for home health care services for existing patients as their authorization expires
Communicates with Clinical Manager for difficulties obtaining insurance authorization
Adhere to all company policies and procedures
Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems
One or more years of insurance authorization experience

Insurance Coordinator Resume Examples & Samples

Perform daily audit of all patient health records to ensure financial accuracy and the presence of complete treatment documentation; initiate process of necessary corrections and communicate errors to the appropriate student, faculty, or staff member; request additional information and/or documentation as needed
Prepare and generate insurance claims for hard copy submission or batch electronic claims for electronic submission
Respond to requests from insurance companies for additional information and/or required documentation for pending claims; work with appropriate personnel to facilitate resolution
Post and allocate insurance payments timely and accurately based on explanation of benefits
Initiate refund requests to insurance companies due to incorrect processing of claims. Accurately process all financial recoups in a timely manner with thorough documentation
Generate and review accounts receivables reports; analyze information to determine appropriate financial write offs and adjustments, validity of insurance denial reasons, and patient financial responsibility; determine collectable balances and resolve appropriately; identify, audit, and refer delinquent accounts for collections
Review documentation and claims for accuracy in order to facilitate timely reimbursement of claims to include but not limited to private and government insurance programs, patient contracts, and special grant projects
Communicate insurance and policy requirement and regulations, reference materials and CDT updates to appropriate personnel; collaborate with internal and external clinics to establish constructive methods and procedures
Assist and provide guidance to students, residents, faculty, and staff regarding efficient and compliant CDT coding
Support processing needs of special grant programs and special discounts offered annually during mock boards
Perform all other duties as assigned by the Insurance Department Manager
Advanced public and private dental/medical insurance billing policies and procedures
Basic accounting/billing procedures
Intermediate level dental and medical terminology and treatment planning
Electronic health records software
Basic knowledge of Microsoft Word, Excel and Outlook
Manage multiple job priorities and tasks efficiently, effectively and accurately while demonstrating close attention to detail
Maintain confidentiality of materials and information
Work performed is primarily general office/administrative with frequent use of computer keyboard, mouse, and telephone; requires sitting majority of the working day
Occasional reaching, bending, standing and walking

Insurance Coordinator Resume Examples & Samples

Experience with Microsoft Office programs, specifically Word, Excel and Outlook
Effective conflict resolution skills
Experience working in a call center environment that utilizes customer service quality standards
Associate's or Bachelor’s degree in a Business/Management discipline
* No relocation benefits are available for this position. ***

Risk Management Insurance Coordinator Resume Examples & Samples

1) Assist with the management of the University's commercial and self-insurance programs (50%)
Work with Director to develop annual insurance strategy and budgets
Gather exposure data and complete insurance applications annually
Review renewal proposals
Review insurance policies for accuracy
Request and track correction endorsements
Maintain updated schedule of insurance
Complete insurance policy summaries
Work with insurance brokers to coordinate certificates of insurance
Assist with internal communication and enrollment of units in University self-insurance programs
Lead campus tours with insurers
2) Assist Risk Management Analyst with management of insurance claims (15%)
Ensure processes in place for proper reporting of claims to insurance companies
Provide backup on property, general liability, auto, theft and travel insurance claims
Monitor workers compensation, medical malpractice and employment practices claims
Provide management dashboards on claims activity as needed
Maintain reports as needed
3) Review University contracts to ensure proper insurance provisions (15%)
Collaborate with departments and units to consult on contractual insurance requirements
Provide template insurance terms to procurement centers
Negotiate insurance and indemnification terms as necessary
Develop processes to ensure departments and units are properly evaluating and maintaining insurance certificates
4) Assist Director with insurance budget management and premium payments (10%)
Track insurance invoices and submit for approval to Director
Perform annual insurance recharge
Assist in evaluating insurance allocation procedures
5) Provide general risk management advice and other projects (10%)
Consult with units and departments on mitigating and managing their own risk
Build strong relationships and work collaboratively with campus stakeholders to identify unaddressed areas of risk
Participate on or provide support for University committees as needed
Support Director and other departments on projects as needed
Strong fundamentals in finance and a technical ability to understand complex, non-traditional insurance policies
Experience with healthcare or higher education insurance (preferred)
General understanding of contract and corporate law, loss prevention and claims management philosophies