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Medical Claims Processor Resume Samples
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0-5 years of experience
Handled heavy flow of daily paperwork and data entry, processing over 75 claims per day.
- Effectively communicated with and support sales, marketing and administrative teams.
- Investigated and resolved customer inquiries and concerns in a timely and empathetic manner.
- Managed a wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently.
- Learned, referenced and applied product processing information.
0-5 years of experience
Processed automobile medical payment claims
- Communicated and negotiated effectively with customers and vendors
- Solved problems and conducted research
- Created and maintained business relationships with medical providers
- Worked as a team within the claims department and other groups
- Supported Allstate’s commitment to the highest ethical standards
10+ years of experience
Handled high inbound call volume, 80/120 calls per day on average, on a consistent while displaying team work as needed to accomplish daily tasks.
- Performed medical billing and adjustments for claims.
- Assisted members, physicians and hospitals with queries and concerns on accounts.
- Navigated through various databases and programs for updating and maintenance daily.
- Daily follow-up on claims and correspondence.
- Provided information to members on various benefit insurance packages offered.
- Provided ICD-9 and diagnostic codes for claims and medical procedures.
- Maintained, correlated and prepared medical records and files of members.
0-5 years of experience
Entered patient daily census report in Vision program for supervisor to review.
- Contacted Department of Social Services and secondary insurances to verify patient eligibility.
- Answered multi-line phone and directed calls to appropriate staff.
- Faxed and scanned patient charts to supervisor for sign offs.
- Completed patient registration, collected co-pays and entered charges in the Vision program.
0-5 years of experience
Entering and processing of claims with right adjudication in accordance to insurance policy terms and conditions.
- Completion of assigned batches.
- Maintain communication with providers for claim clarification.
- Kept constant communication with IT for network issues.
- Cross trained to work in different departments (process different states).
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Medical Claims Processor
Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
