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Appeals and generalist clerk skills for your resume and career
14 appeals and generalist clerk skills for your resume and career
1. Appeals
- Process Medicare Insurance Appeals* Research appeal information and medical reports to affirm Medicare Payments* Data Entry
- Worked with Utilization Management Coordinator to create appeals on needed accounts.
2. Data Entry
Data entry means entering data into a company's system with the help of a keyboard. A person responsible for entering data may also be asked to verify the authenticity of the data being entered. A person doing data entry must pay great attention to tiny details.
- Coordinate with various teams in Denver and Texas via e-mail and teleconference for updates and progress reports on data entry assignment.
- Provided a wide variety of clerical services from typing, filing, and data entry for the Compliance/Disputes department.
3. Medicaid
- Typed doctor's denial and approval appeal letters for Medicaid patients.
- Worked from on-line database in communicating with pharmacies, hospitals, and medical providers in validation of Medicaid services and eligibility.
4. Patient Charts
- Retrieved and re-filed patient charts in proper sequence to maintain organization and up-to-date paperwork information.
- Sorted or classified information according to guidelines, and alphabetized patient charts.
5. Cm/Ecf
- Opened conventionally files cases in CM/ECF.
- Analyzed and submitted pleadings and motions for filing in CM/ECF national database Experienced in customer service and case management
6. Local Rules
- Applied the order in conformity with the Bankruptcy Code and local rules.
- Reviewed incoming court documents for conformity with federal and local rules.
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CPT is a medical term that stands for Current Procedural Terminology. Whenever a procedure like surgery or diagnosis occurs or some other medical service is rendered to a patient, it is reported to the concerned physician, insurance company, or organization. The aforementioned practice is widely referred to as CPT.
- Researched and appealed denials with correct coding (ICD-9, CPT, modifiers, etc.)
- Researched ICD 9 and ICD 10, HCPCS, CPT coding for corrections.Front Desk Support
8. Computer System
- Input of all court filings into computer system.
- Experience in operating computer system and relevant software for entry, performing initial and ending scrubs of Organizational/ Installation property.
9. HIPAA
- Retrieved patient medical history and examined files while maintaining confidentiality and compliance with all HIPAA regulations.
- Created Invoices for medical record requests and prepared medical records accordingly following HIPAA Protocol.
10. Subpoenas
Subpoenas are formal and legal documents issued mostly by a court or some other government agency that demands the presence of the person the document is addressed to, to show up at court. Subpoenas are issued to individuals whom the court wants to appear either as a witness in a particular case in order to testify or to provide any evidence such as an object or a document.
- Retrieved court subpoenas from law enforcement agencies and hand-delivered to Judges.
- Prepare subpoenas for document production, deposition and trial appearance/testimony.
11. Health Insurance
- Update database when there is a change in Health insurance.
12. Circuit Court
- Transferred record to the Fifth Circuit Court of Appeal.
13. Direct Calls
Direct calls are connections established with a previous customer or client, most likely a subscriber.
- Greet and direct customers, Making appointments, Direct Calls, File paper, Record messages, Make copies, Fax paperwork
- Locate and correct data entry error, or report them to supervisors Answer phones, direct calls, and take messages.
14. Management System
A management system is a set of policies, processes, and procedures taken by an organization or a business to ensure it can fulfill its tasks and achieve its objectives. A management system makes sure that the company excels financially and improves the user experience. The management system also takes care of the worker's and employees' needs and manages their workload and oversees their performance. Apart from interior matters of the company, a management system also deals with exterior matters like legislations, tax matters, and law issues.
- Reviewed conventionally filed cases for prior or prohibited filing and images cases and proceedings in the electronic case management system.
- Prepare and enter documents into case management system.
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List of appeals and generalist clerk skills to add to your resume

The most important skills for an appeals and generalist clerk resume and required skills for an appeals and generalist clerk to have include:
- Appeals
- Data Entry
- Medicaid
- Patient Charts
- Cm/Ecf
- Local Rules
- CPT
- Computer System
- HIPAA
- Subpoenas
- Health Insurance
- Circuit Court
- Direct Calls
- Management System
Updated January 8, 2025