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Claims correspondence clerk skills for your resume and career
4 claims correspondence clerk skills for your resume and career
1. Customer Service
Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.
- Provided customer service to subscribers on claims.
- Check refrigeration equipment for proper performance regularly; customer service by answering question, taking customer orders for catering
2. CPT
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.
- Examine ICD-9 and CPT codes on incoming claims for verification on procedures and diagnosis.
- Attend CPT, ICD-9, Coding, Medical Terminology training.
3. Appeals
- Open and sort provider disputes/appeals in appropriate category and route to appropriate department, work Appeals and Grievances queue.
- Entered Appeals and Grievances data into the data processing tracking system.
4. Medical Claims
- Process incoming medical claims from providers*Responded and acted upon verbal and written requests with thorough follow-up leading to resolution.
- Reviewed medical claims from different hospitals to determine if services were necessary and payable following Medicare guidelines.
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List of claims correspondence clerk skills to add to your resume
The most important skills for a claims correspondence clerk resume and required skills for a claims correspondence clerk to have include:
- Customer Service
- CPT
- Appeals
- Medical Claims
Updated January 8, 2025