Experience required for RN seeking job in health insurance field

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Does anyone know what type of experience RN's need to obtain a job in a health insurance company? Would a masters degree help?

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Specializes in ICU/UM.

What sort of insurance job do you want? Case manager, utilization review, payment integrity?

I had six years of inpatient before I went to UR. After two years of that, I’m now doing code auditing. Got the first UR job without even a BSN.

The field is full of companies so the smaller ones can be a good place to start. You doesn’t have to start at a big place like Humana or Aetna. Temping can also help you get in ( check healthcare staffing agencies in your area).

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Thank you for your information. I am interested in coding for a hospital or insurance company. Would a masters degree in leadership or education help?

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Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
4 minutes ago, Waz said:

Thank you for your information. I am interested in coding for a hospital or insurance company. Would a masters degree in leadership or education help?

From what I have seen in those job postings, no. They are usually looking for clinical experience, case management experience, or a combination of those.

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Specializes in Vents, Telemetry, Home Care, Home infusion.

MAsters is not needed for coding or insurance UR/case management, many job postings i've seen are looking for minimum 2 yrs inpatient along with strong assessment/communication skills.

Coding education + certificate often available at a community college --example: Dccc Medical Coding - Medical Coding and Billing Classes

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