What Does an Insurance Coordinator Do?

In most cases, an insurance coordinator works with a diverse group of people. People in this position frequently work in medical or dental offices, as well as other organizations that use insurance. One of the most important responsibilities of an insurance coordinator is to ensure that all parties involved provide accurate information and that it is disseminated in a timely manner.

Because an insurance coordinator interacts with a variety of people and departments, communication is usually a required skill. He or she must be able to communicate effectively with insurance companies, insured clients, employees, and departments such as human resources, marketing, and operations. Coordinators are sometimes called upon to resolve problems and act as a liaison between insurance companies and patients.

Insurance coordinators may assist patients or clients with insurance information in addition to working with company employees. They should be available to answer questions and assist clients in completing required paperwork. They are sometimes in charge of resolving insurance payment disputes that patients may have.

Another aspect of the job entails managing and submitting claims for payment to insurance companies. If more money is owed after the insurance company’s payment is collected by the insurance coordinator, an additional invoice is sent to the patient. A doctor’s office coordinator, for example, will send a claim to an insurance company, which will then determine how much of the claim it will pay. The coordinator keeps track of how much the insurance company paid, and if it wasn’t enough, an invoice is created and sent to the patient for the balance.

Another responsibility of the insurance coordinator is to keep up to date on insurance-related regulations and laws. This can be accomplished through research or through continuing education opportunities such as workshops or classes. The coordinator is also in charge of ensuring that other employees in the company who work with insurance are familiar with the laws and regulations so that everyone is working with the same information when processing insurance claims.

Insurance coordinators should be familiar with the company’s insurance guidelines and procedures in addition to knowing the laws. If new procedures are created, the coordinator is often in charge of assisting with their implementation and ensuring that other employees are aware of and following the changes. To achieve these objectives, the coordinator frequently collaborates with an insurance manager.

Another aspect of an insurance coordinator’s job is keeping records. Data is usually entered into a computer database for easy referral and access, so computer skills are usually required. Because this position has such a diverse range of responsibilities, time management skills are also essential.