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Medical Claims Processor

Writing a great medical claims processor resume is important because it is one of the first things a potential employer will see when they are considering you for a position. It is your opportunity to make a good first impression and sell yourself as the best candidate for the job.

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If you're looking for inspiration when it comes to drafting your own medical claims processor resume, look no further than the samples below. These resumes will help you highlight your experience and qualifications in the most effective way possible, giving you the best chance of landing the medical claims processor job you're after.

Resume samples

Mirta Mennell

mirta.mennell@gmail.com | (678) 611-6897 | Bennington, VT

Summary

I have over 3 years of experience as a medical claims processor. In my role, I was responsible for reviewing and processing insurance claims. I have a keen eye for detail and take pride in ensuring that all paperwork is completed accurately and in a timely manner. My strong organizational skills allow me to keep track of multiple files at once, while my excellent communication abilities ensure that clients understand the status of their claim every step of the way.

Experience

Medical Claims Processor at Delta Dental, VTMay 2022 - Present

  • Reduced the number of outstanding claims by 10%.
  • Processed an average of 500 claims per day.
  • Resolved 98% of all inquiries within 1 business day.
  • Received positive feedback from customers on surveys for processing speed and accuracy.
  • Trained 2 new medical claim processors.

Medical Claims Processor Trainee at Blue Cross Blue Shield of Vermont, VTJul 2019 - Apr 2022

  • Processed an average of 500 medical claims per day.
  • Trained new employees on claim processing procedures and software.
  • Resolved customer inquiries and processed adjustments as needed.
  • Identified errors on claims and took appropriate action to correct them.
  • Generated reports detailing the status of pending claims.
  • Entered data into the system accurately and in a timely manner.

Education

High School Diploma at Champlain Valley Union High School, Hinesburg, VTSep 2015 - May 2019

Some skills I've learned are time management, organization, and how to study effectively.

Skills

  • Medical Terminology
  • Coding
  • Data Entry
  • Claims Processing
  • Customer Service
  • 10-Key

Cherita Driggins

cherita.driggins@gmail.com | (243) 213-2885 | Birmingham, AL

Summary

A medical claims processor with over three years of experience. I have a keen eye for detail and work diligently to ensure that all claims are processed accurately and in a timely manner. I have excellent communication skills, which come in handy when working with insurance companies to resolve any issues that may arise. I am also adept at using various claim processing software programs.

Experience

Medical Claims Processor at Blue Cross Blue Shield of Alabama, ALMay 2022 - Present

  • Reduced claim processing time by 10%.
  • Increased accuracy of claims processed to 98%.
  • Developed new system for handling rejected claims that increased approval rate by 15%.
  • Trained 4 new employees in proper claim processing procedures.
  • Negotiated with insurance companies on behalf of clients to get higher reimbursement rates.
  • Assisted in developing company policy regarding denials and appeals.

Medical Claims Processor Trainee at United Healthcare, ALAug 2019 - Apr 2022

  • Trained new medical claims processors in company procedures and software.
  • Created an Excel spreadsheet to track daily claim submissions, which increased productivity by 15%.
  • Resolved 100+ customer inquiries regarding claim status per week.
  • Entered data for 1,000+ medical claims per day with a 98% accuracy rate.
  • Generated monthly reports on trends in denials and appeals that led to process improvements.
  • Successfully completed certification from the American Medical Billing Association.

Education

High School Diploma at Hoover High School, ALSep 2014 - May 2019

I've learned how to read, write, and do math.

Skills

  • Medical Terminology
  • Coding
  • Data Entry
  • Claims Processing
  • Customer Service
  • 10-Key
  • Typing

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