Insurance Coordinator (225-625)

An Insurance Coordinator plays a pivotal role in managing and organizing the insurance operations within an organization or healthcare facility. This position involves the oversight of insurance claim processing, maintaining records, and ensuring compliance with regulations and policies. An Insurance Coordinator acts as a liaison between patients, the organization, and insurance companies to facilitate efficient communication and problem-solving. The role requires a strong understanding of various insurance plans and a keen attention to detail to ensure accuracy in billing and reimbursement procedures. The ideal candidate must have excellent communication skills, a proactive approach to problem-solving, and the ability to work effectively in a fast-paced office environment.

Responsibilities

• Coordinate and manage all insurance claims processes for the organization.
• Maintain and update accurate records of insurance claims and transactions.
• Communicate with insurance companies to resolve billing and reimbursement issues.
• Ensure compliance with all state and federal regulations related to insurance billing.
• Review and verify insurance claims for accuracy before submission.
• Assist patients or clients with understanding and navigating their insurance plans.
• Develop and maintain strong relationships with insurance company representatives.
• Prepare and submit detailed reports on the status of insurance claims.
• Work closely with the billing department to ensure timely processing of claims.
• Stay updated on changes in insurance policies, procedures, and regulations.
• Train and support staff in insurance-related protocols and procedures.
• Identify process improvements to enhance service efficiency in insurance handling.

Requirements

• Bachelor’s degree in health administration, business, or a related field.
• Proven experience in insurance coordination or a related administrative role.
• Strong understanding of insurance policies, billing procedures, and regulations.
• Excellent communication and problem-solving skills to manage complex situations.
• Ability to manage multiple tasks efficiently while meeting deadlines.
• Proficiency in using office software and claim management systems.
• Detail-oriented mindset with a high degree of accuracy and reliability.
• Ability to work independently and collaboratively within a team environment.
• Strong organizational skills to handle extensive documentation and record-keeping.
• Experience in a healthcare or insurance setting is highly advantageous.