Nursing Education
Nursing Education Opportunities in Mississippi - 2006  <more..>
 
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Insurance Clerk

   

Medical insurance clerks, in conjunction with coding specialists and other billing professionals, work to ensure that all medical procedures are properly filed with the appropriate insurance agency. Insurance clerks obtain information from policyholders to verify the accuracy and completeness of information on claims forms, review related insurance documents provided by the patient, as well as review medical records to verify all relevant information. They are often called upon to read and review medical documentation provided by physicians and other health care providers in order to obtain detailed information regarding patients’ disease, injuries, surgical operations, and other procedures. Medical insurance clerks work extensively with private insurers, as well as federal agencies such as Medicare and Medicaid, so they must remain current with all of the rules and regulations that govern third party payment for medical services. This usually requires a great deal of continuing education and training to stay on top of these constantly changing guidelines. They also produce reports used to improve patient care, control cost, and conduct survey and research studies. Medical insurance clerks usually work under the supervision of a billing supervisor or the health information administrator.


Work Environment:

Medical insurance clerks work in hospitals, clinics, surgery centers, dental offices, long-term care facilities, insurance companies, home health care agencies, consulting firms, coding and billing services, and government agencies.

High School Preparation:

Students interested in pursuing a career as an insurance clerk should take high school courses in algebra, biology, English, office procedures, typing, data processing, computer skills, and health occupations/medical professions education.

College Requirements:

Medical insurance clerks should have a high school diploma or the equivalent. An associate’s degree in health information is recommended and is often two years in length. Training may be available on-the-job as well as through continuing education classes offered by state associations/organizations. There are currently no required certifications for medical insurance clerks, but individuals desiring to become a certified health information technician must pass examinations offered by the American Health Information Management Association (AHIMA).

For educational institutions in Mississippi
offering this course of study click here.

Career Outlook:

There is an outstanding future for medical insurance clerks because of the increased scrutiny over proper billing by third party payers. In an effort to control costs, complete and accurate records are becoming a necessity in order for hospitals and clinics to receive money from Medicare and Medicaid. Because this field is constantly changing due to new state and federal guidelines, insurance clerks that stay current with new laws governing insurance payments will enjoy the best job security. As in most other occupations, many openings will result from the need to replace employees who transfer to other companies, retire, or stop working for various other reasons.
 

 

Salary:

Average Annual Salary

$28,900

 

Salary Range

$19,700-$38,800

 

Professional Organizations:

 

American Health Information Management Association

919 North Michigan Avenue, Suite 1400

Chicago, IL

60611-1683

Phone: (312) 233-1100

Web: www.ahima.org

 

Mississippi Health Information Association

921 North Congress Street

Jackson, MS

39202-2554

Phone: (601) 956-4105
 

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