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Home: 000-000-0000 | Cell: 000-000-0000
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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 programs 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
- 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
- Filed medical claims made by customers by entering and organizing 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
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