Medical Claims Processor CV Sample

Hard working and self-motivated Medical Claims processor available to offer professionalism and thoroughness to an insurance or medical company in need.

• Proficient in all computer programmes and systems relevant to medical claims
• Exceptional customer service skills, even in argumentative situations
• Great communication abilities with medical groups, insurances companies, customers, etc.
• In-depth knowledge of medical terminology useful in reading medical reports and determining coverage
• Intelligent in mathematics and accounting and how they apply to medical claims
• Efficient in time management

February 2004 to present Trenton Insurance Group, Aspen, CO Medical Claims Processor

• Determine the amount of coverage a customer should receive according the procedure done and the coverage on the account
• Stay in constant contact with medical facilities providing service to determine accuracy of claims being made
• Meet with customers to discuss results of claims, explaining the process and outcome
• Research current and new medical processing laws and regulations at both the state and federal level
• Train new Medical Claims Processors in all aspects of the job

March 2001 to February 2004 Fulton Group, London, England Medical Claims Processor

• Filed medical claims made by customers by entering and organising data and inputting all information into the computer system
• Determined the amount of coverage and sent payments to medical facilities or reimbursements to customers
• Made phone calls to confirm the accuracy of medical claims