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Medical billing clerk skills for your resume and career

Updated January 8, 2025
4 min read
Medical billing clerk example skills
Below we've compiled a list of the most critical medical billing clerk skills. We ranked the top skills for medical billing clerks based on the percentage of resumes they appeared on. For example, 17.6% of medical billing clerk resumes contained patients as a skill. Continue reading to find out what skills a medical billing clerk needs to be successful in the workplace.

15 medical billing clerk skills for your resume and career

1. Patients

Here's how medical billing clerks use patients:
  • Checked Medicaid, Medicare and Prenatal Care Assessment Program patients for eligibility and transferred to appropriate insurance.
  • Maintain updated information to accurately enter patients insurance under the correct financial class.

2. Medical Billing

Here's how medical billing clerks use medical billing:
  • Promoted to medical billing support services after 2 years of reception responsibilities and general helper assistance.
  • Performed medical billing corrections and follow-up activities to ensure timely reimbursement for customers.

3. Healthcare

Healthcare is the maintenance or improvement of a person's health by the diagnosis and treatment of a person's injury, illness, or any other disease. Healthcare is a basic necessity of human life and is the responsibility of the country's government to ensure that each person gets healthcare. Providing healthcare is the job of certified health professionals that includes doctors, surgeons, nurses, and other physicians. Pharmaceutical companies, hospitals, dentistry, therapy, and health training all come under healthcare. Healthcare plays a vital role in the country's economy and its development.

Here's how medical billing clerks use healthcare:
  • Utilized healthcare websites to verify health coverage benefits on inpatient and outpatient therapy services.
  • Utilized Healthcare Common Procedure codes to verify company payment.

4. 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.

Here's how medical billing clerks use data entry:
  • Increased collections by accurate ICD-9/CPT Coding & data entry *Reconciled customer accounts for proper Physician billing to insurance companies
  • Instruct data entry clerk in medical insurance billing and the entry of information regarding billing following established protocols.

5. 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 medical billing clerks use customer service:
  • Answered incoming customer service lines and fielding to correct departments for scheduling medical transportation and billing questions.
  • Achieved excellent customer service and telephone skills while managing multiple tasks in a consistently well-organized manner.

6. Medicaid

Here's how medical billing clerks use medicaid:
  • Review Medicaid remittance advice for appropriate payments based on specific program requirements and maximum fee schedules.
  • Submitted claims to Medicare, Medicaid and other insurances with necessary documentation required for billing.

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7. Patient Accounts

Patient accounts are a part of a hospital information system that is used for storing financial data, keeping a record of healthcare costs, and providing information regarding patient billing. It deals with the financial aspects of the healthcare setting.

Here's how medical billing clerks use patient accounts:
  • Prepared and remitted patient accounts statement information to third party billing services.
  • Verified patient eligibility and insurance follow-up with insurers regarding patient account.

8. Medical Claims

Here's how medical billing clerks use medical claims:
  • Mailed and/or electronically filed primary and secondary medical claims to insurance companies in order to receive payment for the hospital.
  • Create computerized medical claims for internal medicine doctors and specialists at different medical facilities.

9. EOB

EOB stands for explanation of benefits. This is a common outline provided as part of many health insurance plans to explain what services were completed, the co-pay required for each appointment, and how much of your payment is covered by health insurance. EOB is an indication that your insurance claim has already been processed.

Here's how medical billing clerks use eob:
  • Reconcile insurance and patient payments while researching and resolving incorrect payments, EOB rejections, and assorted issues with outstanding accounts.
  • Reviewed files, confirming dates and times of service, compared to EOB forms to ensure proper billing to secondary insurance.

10. HIPAA

Here's how medical billing clerks use hipaa:
  • Utilized medical terminology and follow HIPAA guidelines.
  • Faxed/Scanned HIPAA approved medical record request.

11. Insurance Claims

Here's how medical billing clerks use insurance claims:
  • Submitted insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.
  • Worked directly with Anesthesiologists at various surgical centers to ensure timely processing of insurance claims.

12. Appeals

Here's how medical billing clerks use appeals:
  • Assisted with medical and urinalysis collections, processing Medicare appeals and resolving and resubmitting rejected claims.
  • Experienced in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.

13. Insurance Carriers

Here's how medical billing clerks use insurance carriers:
  • Generated revenue by establishing payment arrangements with patients and insurance carriers; collecting accounts; monitored and pursued delinquent accounts.
  • Called insurance carriers and verified patients correct insurance policy number, active dates of coverage and updating insurance information.

14. Insurance Coverage

Here's how medical billing clerks use insurance coverage:
  • Verified and entered medical insurance coverage in accounts receivable daily in accordance with various insurance regulations.
  • Verify insurance coverage, to ensure necessary procedures are covered by an individual's provider.

15. CPT-4

Here's how medical billing clerks use cpt-4:
  • Interpreted and reviewed medical record documentation to assign accurate CPT-4 procedure and assigned ICD-9 diagnosis codes.
  • Full knowledge of medical coding: ICD-9 codes, CPT-4 codes, and modifiers for proper billing and maximum reimbursement.
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List of medical billing clerk skills to add to your resume

Medical billing clerk skills

The most important skills for a medical billing clerk resume and required skills for a medical billing clerk to have include:

  • Patients
  • Medical Billing
  • Healthcare
  • Data Entry
  • Customer Service
  • Medicaid
  • Patient Accounts
  • Medical Claims
  • EOB
  • HIPAA
  • Insurance Claims
  • Appeals
  • Insurance Carriers
  • Insurance Coverage
  • CPT-4
  • Medical Terminology
  • Billing Issues
  • ICD-9
  • Patient Payments
  • Patient Appointments
  • Unpaid Claims
  • Insurance Verification
  • ICD-10
  • Patient Demographics
  • Billing System
  • Patient Insurance
  • A/R
  • Front Desk
  • Insurance Payments
  • EMR
  • Patient Billing
  • Medical Insurance
  • Insurance Eligibility
  • Medi-Cal
  • Computer System
  • Billing Data
  • Delinquent Accounts
  • Billing Software
  • Procedure Codes
  • HCPCS
  • Submit Claims
  • Charge Entry
  • Insurance Billing
  • Hippa
  • Patient Statements
  • Patient Charts
  • Payment Arrangements
  • HMO
  • Paper Claims
  • Diagnosis Codes

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.

Updated January 8, 2025

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