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Experience required for RN seeking job in health insurance field

Nurses   (508 Views | 4 Replies)
by Waz Waz (New) New Nurse

30 Profile Views; 2 Posts

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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SierraMoon has 8 years experience as a ADN, BSN, RN and specializes in ICU/UM.

215 Posts; 4,049 Profile Views

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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2 Posts; 30 Profile Views

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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Pixie.RN has 12 years experience as a MSN, RN, EMT-P and specializes in EMS, ED, Trauma, CNE, CEN, CPEN, TCRN.

8 Followers; 32 Articles; 13,353 Posts; 130,368 Profile Views

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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NRSKarenRN has 40 years experience as a BSN, RN and specializes in Vents, Telemetry, Home Care, Home infusion.

5 Followers; 10 Articles; 14,785 Posts; 163,625 Profile Views

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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