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Claims correspondence clerk skills for your resume and career

Updated January 8, 2025
1 min read
Below we've compiled a list of the most critical claims correspondence clerk skills. We ranked the top skills for claims correspondence clerks based on the percentage of resumes they appeared on. For example, 30.8% of claims correspondence clerk resumes contained customer service as a skill. Continue reading to find out what skills a claims correspondence clerk needs to be successful in the workplace.

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.

Here's how claims correspondence clerks use customer service:
  • 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.

Here's how claims correspondence clerks use 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

Here's how claims correspondence clerks use 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

Here's how claims correspondence clerks use 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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What skills help Claims Correspondence Clerks find jobs?

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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

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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