insurance coordinator resume example with 13+ years of experience

(555) 432-1000,
, , 100 Montgomery St. 10th Floor
Professional Summary

Experienced Insurance Coordinator and Credentialing Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 13.5 years of experience in Optometry and willingness to take on any challenge.

  • Medicare and Medicaid knowledge
  • Insurance claims and denial processes
  • Payment planning
  • ICD-10 Coding
  • Problem-solving
  • Insurance Verification
  • Strategic thinking skills
  • Customer service and assistance
  • Accounts Receivable
  • Medical billing and coding
  • Claims
  • Understanding of medical terms
  • Documentation abilities
  • Insurance coverage verification
  • Excellent administrative abilities
  • Great mathematical skills
  • Patient contact
  • Data integrity
  • Account management
  • Organization and Time Management
  • Data Entry Software
  • Appointment Scheduling
  • Critical Thinking
  • Detail-Oriented
  • Administrative Tasks
  • Equipment Troubleshooting and Maintenance
  • Taking Client Histories
  • Customer Service
  • Medical Recordkeeping
  • Problem Solving
  • Time Management
  • Supply Ordering
  • Verbal and Written Communication
  • Medical Charting
  • Invoice Preparation
  • Office Management
  • Claim Forms
  • HIPAA Compliance
  • Office Coordination
  • Insurance Forms
  • Adaptable and Flexible
  • Data Entry
  • CPT Coding
  • Patient Eligibility Requirements
  • Inventory Management
  • Insurance Authorizations
  • Payment Scheduling and Collection
  • Employee Scheduling
  • Flexible Schedule
  • Medical Coding
  • Applicant Qualification
  • New Hire Onboarding
  • Employee Orientation
  • Employee Hiring
  • Employment Recordkeeping
  • Procedure Compliance
  • Policy and Procedure Writing
  • Employee Relations
  • Termination Documentation
  • In-Person and Telephone Interviewing
  • Eligibility Determinations
  • Employee and Applicant Assessment
  • Willingness to Learn
  • Information Protection
  • Training Development and Execution
  • Remote Conferencing and Communication
  • Documentation and Recordkeeping
  • Conflict Resolution
  • Customer Relationship Management
  • Time Tracking and Payroll Administration
Robert B. Glenn Winston Salem, Expected in 05/2005 High School Diploma : - GPA :
Work History
Lehigh Valley Hospital & Health - Insurance Coordinator
Quakertown, PA, 12/2014 - Current
  • Filed and tracked insurance claims and communicated claims status to patients.
  • Prepared insurance claims for submission to clearinghouses or insurance companies.
  • Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.
  • Obtained prior authorization and precertification for outpatient procedures.
  • Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
  • Maintained compliance with local, state, and federal regulations governing insurance, Medicare and Medicaid requirements.
  • Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
  • Verified insurance and communicated coverage to staff and patients.
  • Managed all members of insurance team
Gw Medical Faculty Associates - Credentialing Specialist
Arlington, VA, 12/2014 - Current
  • Received and evaluated applications to look for missing and inaccurate information.
  • Conducted primary source verifications such as background checks and board certifications.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Enrolled providers and Medicaid, Medicare and private insurance plans.
  • Advocated for staff members, helping to identify and resolve conflicts.
  • Handled applications for all doctors at 6 locations for each insurance company
  • Maintained many doctors CAQH profiles
  • Received and evaluated applications to look for missing and inaccurate information
  • Obtained NPI numbers for providers and facilities and updated existing profiles
  • Enrolled providers and Medicaid, Medicare and private insurance plans
  • Improved office efficiency by effectively managing internal communications and correspondence
Sumitomo Mitsui Banking Corporation - Office Manager
Los Angeles, CA, 06/2008 - 12/2014
  • Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
  • Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives.
  • Maintained computer and physical filing systems.
  • Established and developed strong administrative team by delivering ongoing coaching and motivation and fostering career advancement.
  • Coached new hires on company processes while managing employees to achieve maximum production.
  • Prepared meeting materials and took clear notes to distribute to staff.
  • Evaluated employee records and productivity to complete employee evaluations.
  • Oversaw office inventory.
  • Monitored and evaluated personnel performance to complete annual reviews, recommend advancement or address productivity concerns.
  • Trained Employees in all areas so everyone was cross trained.

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • Robert B. Glenn

Job Titles Held:

  • Insurance Coordinator
  • Credentialing Specialist
  • Office Manager


  • High School Diploma

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: