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Additional Insurance Resume Samples
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).