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How long does it take to become a Claim Processor?

By Zippia Team - Mar. 2, 2022

It takes 5 years of professional experience to become a claim processor. That is the time it takes to learn specific claim processor skills, but does not account for time spent in formal education. If you include the normal education requirements to complete a college degree, then it takes 8 to 10 years years to become a claim processor.

There are certain skills that you need to obtain in order to become a successful claim processor. Some of the most common skills are listed below. Along with each skill, we provide an actual example of how someone included the skill on their resume:

  1. Customer Service -- Provided customer service to claimants by greeting and interviewing individuals to determine if they met the qualifications and eligibility for funding.

  2. Medical Records -- Evaluated medical records and plan documents to assess eligibility Assisted in other departments as assigned Developed and sustained excellent client relationships

  3. Insurance Companies -- Processed claims using Abacus software version 3.0 and contacted various insurance companies for processing information and performed various administrative duties.

  4. Data Entry -- Conducted accurate review, processing medical claims, performing compliant data entry, adhering to established procedures and productivity requirements.

  5. Communication -- Demonstrated superior written communication by sending correspondence and emails to clients and staff answering questions regarding claims and providing supporting information.

Common Educational Background For A Claim Processor

The education needed to be a Claim Processor is normally a Bachelor's Degree. Claim Processors usually study Business, Health Care Administration or Accounting. 43.0% of Claim Processors hold a Bachelor's Degree and 23.0% hold a Associate Degree. We found these by analyzing 33987 Claim Processor resumes to investigate the topic of Claim Processor education more precisely.

The most common colleges for students to pursue their goal of becoming a Claim Processor are University of Phoenix and DeVry University. We also broke down what colleges provide the best overall education for a Claim Processor. Students have a great path to earning their Claim Processor qualifications at the following schools:

  1. Stanford University
  2. University of Pennsylvania
  3. Northwestern University

If you're interested in getting a college degree in an affordable college for Claim Processors - Baruch College of the City University of New York is an excellent option for you. If your SAT or ACT score aren't as high as you'd like, you can look at D'Youville College, as the admission requirements aren't too selective. On the other end of that spectrum are the Stanford University, Northwestern University and University of Pennsylvania.

For those who would rather stay in your pajamas during the day, we prepared some online courses that can help in Claim Processor education paths.

Common Certifications For A Claim Processor

The Certified Billing and Coding Specialist (CBCS) certification is most common among Claim Processors. This certification is awarded by the National Healthcareer Association. This certification is great to have as it shows an improvement in your competency to perform your role. You can earn this certification at the beginning of your career, as it often doesn't require a minimum education level and work experience. To become a certified Claim Processor with Certified Billing and Coding Specialist (CBCS), You need to pass the exam. This certificate requires more than two years of work experience. Renew certification every 2 year.

How long does it take to become a Claim Processor?

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