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medical claims processor: Resume Samples & Writing Guide
Employment history
Senior Medical Claims Processor, JPMorgan Chase New York, New York
December 2023 – Present
- Process medical claims according to established procedures
- Ensure compliance with government regulations and insurance policies
- Update and maintain claim records
Medical Claims Processor, JPMorgan Chase New York, New York
July 2022 – November 2023
- Manage correspondence related to claims
- Respond to inquiries from providers and insurance companies
- Review medical claims for accuracy and completeness
Junior Medical Claims Processor, Bank of America Charlotte, North Carolina
January 2021 – June 2022
- Update and maintain claim records
- Review medical claims for accuracy and completeness
- Ensure compliance with government regulations and insurance policies
Education
University of Maryland, College Park, Maryland
MD in Human Resources Management, December, 2020
University of Maryland, College Park, Maryland
Bachelor of Science in Business Administration, December, 2016
Skills
Training
Collaboration
Social Media
Innovation
Insurance Verification
Medical Terminology
Record Keeping
Filing
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Professional Summary
Highly organized and efficient Medical Claims Processor with extensive experience in the administrative and clerical field. Skilled in accurately processing claims and ensuring compliance with relevant regulations.
Employment history
Lead Medical Claims Processor, JPMorgan Chase New York, New York
July 2011 – Present
- Prepare and submit reports to management
- Generate and distribute claim reports
- Follow up on outstanding claims
Medical Claims Processor, Amazon Seattle, Washington
July 2010 – June 2011
- Review medical claims for accuracy and completeness
- Monitor and report on claim trends
- Process medical claims according to established procedures
Jr. Medical Claims Processor, Bank of America Charlotte, North Carolina
December 2009 – June 2010
- Process medical claims according to established procedures
- Analyze claim data to identify potential areas of improvement
- Manage correspondence related to claims
Education
Cornell University, Ithaca, New York
Bachelor of Arts in Medical Office Administration, October, 2009
Skills
Negotiation
Mentoring
Business Acumen
Attention to Detail
Reimbursement
Customer Service
Data Analysis
Time Management
Employment history
Chief Medical Claims Processor, Amazon Seattle, Washington
May 2015 – Present
- Reconcile payments and ensure accurate reimbursement
- Ensure compliance with government regulations and insurance policies
- Generate and distribute claim reports
Medical Claims Processor, Microsoft Redmond, Washington
May 2014 – April 2015
- Reconcile payments and ensure accurate reimbursement
- Ensure compliance with government regulations and insurance policies
- Generate and distribute claim reports
Junior Medical Claims Processor, UnitedHealth Group Minnetonka, Minnesota
May 2013 – April 2014
- Generate and distribute claim reports
- Follow up on outstanding claims
- Manage correspondence related to claims
Education
University of Illinois, Urbana, Illinois
Master of Science in Medical Office Administration, March, 2013
University of Illinois, Urbana, Illinois
Bachelor of Science in Human Resources Management, March, 2009
Skills
Public Speaking
Project Management
Organization
Professionalism
Filing
Data Entry
Healthcare Regulations
Auditing.
Professional Summary
Dynamic and detail-oriented Medical Claims Processor with extensive experience in administrative and clerical roles. Skilled in claims processing, customer service, and data entry with a focus on accuracy and efficiency.
Employment history
Senior Medical Claims Processor, Microsoft Redmond, Washington
February 2011 – Present
- Reconcile payments and ensure accurate reimbursement
- Follow up on outstanding claims
- Generate and distribute claim reports
Medical Claims Processor, Google Mountain View, California
August 2010 – January 2011
- Update and maintain claim records
- Assist in training new staff members
- Monitor and report on claim trends
Jr. Medical Claims Processor, Microsoft Redmond, Washington
February 2009 – July 2010
- Monitor and report on claim trends
- Respond to inquiries from providers and insurance companies
- Review medical claims for accuracy and completeness
Education
University of Wisconsin, Madison, Wisconsin
Bachelor of Arts in Business Administration, January, 2009
Skills
Troubleshooting
Time Management
Analytical
Project Management
Billing
Data Analysis
Auditing.
Customer Service
Employment history
Senior Medical Claims Processor, CVS Health Woonsocket, Rhode Island
August 2015 – Present
- Review medical claims for accuracy and completeness
- Update and maintain claim records
- Assist in training new staff members
Associate Medical Claims Processor, Google Mountain View, California
August 2014 – July 2015
- Resolve discrepancies between claims and medical records
- Review medical claims for accuracy and completeness
- Support other administrative tasks as needed
Jr. Medical Claims Processor, Apple Cupertino, California
February 2014 – July 2014
- Prepare and submit reports to management
- Respond to inquiries from providers and insurance companies
- Support other administrative tasks as needed
Education
University of Maryland, College Park, Maryland
Customer Service, December, 2013
Skills
Written Communication
Accounting
Interpersonal
Critical Thinking
Microsoft Office
Filing
Data Entry
HIPAA Compliance
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medical claims processor Job Descriptions; Explained
If you're applying for an medical claims processor position, it's important to tailor your resume to the specific job requirements in order to differentiate yourself from other candidates. Including accurate and relevant information that directly aligns with the job description can greatly increase your chances of securing an interview with potential employers.
When crafting your resume, be sure to use action verbs and a clear, concise format to highlight your relevant skills and experience. Remember, the job description is your first opportunity to make an impression on recruiters, so pay close attention to the details and make sure you're presenting yourself in the best possible light.
1
medical claims processor
- Enter referrals and prior approvals into authorization system
- Process medical claims
- Mastered interpersonal and oral/written communication skills
- interpret contracts accurately, and make sound judgments based on the interpretations
- High attention to detail and confidentiality
- Resolved claim questions for clients
- Administrative duties as assigned.
2
medical claims processor/mental health customer service operator
- Responsbile for taking a high volume of calls from members as well as mental health providers.
- Sending back incorrectly processed claims to be reprocessed. Documenting each call.
- Giving general information about claim’s processing. Sending tracers, eligibility status and benefit quotes.
- As a Data entry clerk I processed about 200 to 250 medical claim’s per day. I researched member and provider information.
- Handeling confident medical claims. I also received numerous “perfect attendance” awards.
medical claims processor Job Skills
For an medical claims processor position, your job skills are a key factor in demonstrating your value to the company and showing recruiters that you're the ight fit for the role. It's important to be specific when highlighting your skills and ensure that they are directly aligned with the job requirements, as this can greatly improve your chances of being hired. By showcasing your relevant skills and experience, you can make a compelling case for why you're the best candidate for the job.
How to include technical skills in your resume:
Technical skills are a set of specialized abilities and knowledge required to perform a particular job effectively. Some examples of technical skills are data analysis, project management, software proficiency, and programming languages, to name a few.
Add the technical skills that will get hired in your career field with our simple-to-use resume builder. Select your desired resume template, once you reach the skills section of the builder, manually write in the skill or simply click on "Add more skills". This will automatically generate the best skills for your career field, choose your skill level, and hit "Save & Next."
- Data Entry
- Medical Terminology
- Medical Coding
- Healthcare Regulations
- Filing
- Reimbursement
- Insurance Verification
- Microsoft Office
- Data Analysis
- Scheduling
- Customer Service
- HIPAA Compliance
- Typing
- Billing
- Documentation
- Records Management
- Problem Solving
- Record Keeping
- Time Management
- Auditing.
How to include soft skills in your resume:
Soft skills are non-technical skills that relate to how you work and that can be used in any job. Including soft skills such as time management, creative thinking, teamwork, and conflict resolution demonstrate your problem-solving abilities and show that you navigate challenges and changes in the workplace efficiently.
Add competitive soft skills to make your resume stand-out to recruiters! Simply select your preferred resume template in the skills section, enter the skills manually or use the "Add more skills" option. Our resume builder will generate the most relevant soft skills for your career path. Choose your proficiency level for each skill, and then click "Save & Next" to proceed to the next section.
- Communication
- Interpersonal
- Leadership
- Time Management
- Problem Solving
- Decision Making
- Critical Thinking
- Creativity
- Adaptability
- Teamwork
- Organization
- Planning
- Public Speaking
- Negotiation
- Conflict Resolution
- Research
- Analytical
- Attention to Detail
- Self-Motivation
- Stress Management
- Collaboration
- Coaching
- Mentoring
- Listening
- Networking
- Strategic Thinking
- Negotiation
- Emotional Intelligence
- Adaptability
- Flexibility
- Reliability
- Professionalism
- Computer Literacy
- Technical
- Data Analysis
- Project Management
- Customer Service
- Presentation
- Written Communication
- Social Media
- Troubleshooting
- Quality Assurance
- Collaboration
- Supervisory
- Risk Management
- Database Management
- Training
- Innovation
- Documentation
- Accounting
- Financial Management
- Visualization
- Reporting
- Business Acumen
- Process Improvement
- Documentation
- Relationship Management.
How to Improve Your medical claims processor Resume
Navigating resume pitfalls can mean the difference between landing an interview or not. Missing job descriptions or unexplained work history gaps can cause recruiters to hesitate. Let's not even talk about the impact of bad grammar, and forgetting your contact info could leave your potential employer hanging. Aim to be comprehensive, concise, and accurate.
Cal Martin
738 Meadow Lane, Chickasha, OK 73018Employment history
Chief Medical Claims Processor, Walmart Bentonville, Arkansas
January 2010 – May 2022
- Process medical claims according to established procedures
- Generate and distribute claim reports
- Follow up on outstanding claims
Medical Claims Processor, JPMorgan Chase New York, New York
January 2009 – December 2009
- Process medical claims according to established procedures
- Analyze claim data to identify potential areas of improvement
- Follow up on outstanding claims
Junior Medical Claims Processor, Apple Cupertino, California
August 2007 – January 2009
- Assist in training new staff members
- Review medical claims for accuracy and completeness
- Monitor and report on claim trends
Education
University of Florida, Gainesville, Florida
Bachelor of Science in Office Administration, June, 2007
Skills
Relationship Management.
Self-Motivation
Collaboration
Research
Filing
Billing
Healthcare Regulations
Documentation
Provide your Contact Information and Address Year Gaps
Always explain any gaps in your work history to your advantage.
Key Insights- Employers want to know what you've accomplished, so make sure to explain any gaps using a professional summary.
- Adding extra details and context to explain why you have a gap in your work history shows employers you are a good fit for the position.
How to Optimize Your medical claims processor Resume
Keep an eye out for these resume traps. Neglecting to detail your job roles or explain gaps in your career can lead to unnecessary doubts. Grammar blunders can reflect negatively on you, and without contact information, how can employers reach you? Be meticulous and complete.
Employment history
Senior Medical Claims Processor, Amazon Seattle, Washington
April 2015 – Present
- Prepeare and submit report's to managment
- Analyse claim data to identify potential area's of improvement
- Assist in trainning new staff member's
Associate Medical Claims Processor, General Electric Boston, Massachusetts
April 2014 – March 2015
- Updates and maintain claim record's
- Generate's and distribute claim report's
- Reviews medical claims for accuracies and completenesses
Junior Medical Claims Processor, JPMorgan Chase New York, New York
September 2013 – March 2014
- "I went to the store to buy some groceries
- I went too the store too buy some groceries.
Education
University of Illinois, Urbana, Illinois
Executive Administrative Assistant, July, 2013
Skills
Business Acumen
Public Speaking
Collaboration
Research
Reimbursement
Filing
Data Entry
Records Management
Include Job Descriptions and Avoid Bad Grammar
Avoid sending a wrong first impression by proofreading your resume.
Key Insights- Spelling and typos are the most common mistakes recruiters see in resumes and by simply avoiding them you can move ahead on the hiring process.
- Before submitting your resume, double check to avoid typos.
medical claims processor Cover Letter Example
A cover letter can be a valuable addition to your job application when applying for an medical claims processor position. Cover letters provide a concise summary of your qualifications, skills, and experience, also it also gives you an opportunity to explain why you're the best fit for the job. Crafting a cover letter that showcases your relevant experience and enthusiasm for the Accounts Payable role can significantly improve your chances of securing an interview.
Senior Medical Claims Processor
Amazon
Seattle, Washington
Amazon
Seattle, Washington
Esteemed Amazon Hiring Team
I am writing to express my interest in the Senior Medical Claims Processor position at Amazon. As a Medical Claims Processor with 2 years of experience in Administrative & Clerical myself, I believe I have the necessary skills and expertise to excel in this role.
As someone who has always been curious and eager to learn, I have pursued my education and gained experience in areas like Scheduling to develop my skills in my work. This experience has given me the opportunity to lead major projects and provide my input in diverse areas, which have helped me gain a deeper understanding of the industry. I am excited to bring my passion and expertise to the role at this company and work towards achieving your organization's goals.
Thank you for considering my application for the Senior Medical Claims Processor position. With my skills and the amazing team at this organization, I am assured that I can contribute to your organization's success and make a meaningful impact. Looking forward to a future where we can work together.
Looking forward to hearing from you,
Brad Walker
720-671-9145
[email protected]
Brad Walker
Showcase your most significant accomplishments and qualifications with this cover letter.
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Build your Resume in 15 minutes
Give yourself the best chance of standing out from the competition!
Create an awesome resume that meets the expectations of potential employers with our selection of professional, field-tested resume templates.
Create an awesome resume that meets the expectations of potential employers with our selection of professional, field-tested resume templates.