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Become A Medical Claims Processor

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Working As A Medical Claims Processor

  • Interacting With Computers
  • Evaluating Information to Determine Compliance with Standards
  • Communicating with Supervisors, Peers, or Subordinates
  • Documenting/Recording Information
  • Getting Information
  • Mostly Sitting

  • Repetitive

  • $35,000

    Average Salary

What Does A Medical Claims Processor Do

Financial clerks do administrative work for many types of organizations. They keep records, help customers, and carry out financial transactions.

Duties

Financial clerks typically do the following:

  • Keep and update financial records
  • Compute bills and charges
  • Offer customer assistance
  • Carry out financial transactions

Financial clerks give administrative and clerical support in financial settings. Their specific job duties vary by specialty and by setting.

Billing and posting clerks calculate charges, develop bills, and prepare them to be mailed to customers. They review documents such as purchase orders, sales tickets, charge slips, and hospital records to compute fees or charges due. They also contact customers to get or give account information.

Gaming cage workers work in casinos and other gaming establishments. The “cage” in which they work is the central depository for money and gaming chips. Gaming cage workers sell gambling chips, tokens, or tickets to patrons. They count funds and reconcile daily summaries of transactions in order to balance books.

Payroll and timekeeping clerks compile and post employee time and payroll data. They verify and record attendance, hours worked, and pay adjustments. They ensure that employees are paid on time and that their paychecks are accurate.

Procurement clerks compile requests for materials, prepare purchase orders, keep track of purchases and supplies, and handle questions about orders. They respond to questions from customers and suppliers about the status of orders. They handle requests to change or cancel orders. They make sure that purchases arrive on schedule and that the items meet the purchaser’s specifications.

Brokerage clerks help with tasks associated with securities such as stocks, bonds, commodities, and other kinds of investments. Their duties include writing orders for stock purchases and sales, computing transfer taxes, verifying stock transactions, accepting and delivering securities, distributing dividends, and keeping records of daily transactions and holdings.

Credit authorizers, checkers, and clerks review the credit history, and get the information needed to determine the creditworthiness, of individuals or businesses applying for credit. Credit authorizers evaluate customers’ computerized credit records and payment histories to decide, based on predetermined standards, whether to approve new credit. Credit checkers call or write credit departments of business and service establishments to get information about applicants’ credit standing.

Loan interviewers, also called loan processors or loan clerks, interview applicants and others to get and verify personal and financial information needed to complete loan applications. They also prepare the documents that go to the appraiser and are issued at the closing of a loan.

New accounts clerks interview people who want to open accounts in financial institutions. They explain the account services available to prospective customers and help them fill out applications. They also investigate and correct errors in accounts.

Insurance claims and policy processing clerks process applications for insurance policies. They also handle customers’ requests to change or cancel their existing policies. Their duties include interviewing clients and reviewing insurance applications to ensure that all questions have been answered. They also notify insurance agents and accounting departments of policy cancellations or changes.

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How To Become A Medical Claims Processor

A high school diploma or equivalent is typically required for most financial clerk jobs. These workers usually learn their duties through on-the-job training.

Education

Financial clerks typically need a high school diploma or equivalent to enter the occupation. Employers of brokerage clerks may prefer candidates who have taken some college courses in business or economics and, in some cases, require a 2- or 4-year college degree.

Training

Most financial clerks learn how to do their job duties through on-the-job training. Some formal technical training also may be necessary; for example, gaming cage workers may need training in specific gaming regulations and procedures.

Advancement

Financial clerks can advance to related occupations in finance. For example, a loan interviewer or clerk can become a loan officer, and a brokerage clerk can become a securities, commodities, or financial services sales agent, after obtaining the required education and license.

Important Qualities

Communication skills. Financial clerks should have good communication skills so that they can explain policies and procedures to colleagues and customers.

Math skills. The job duties of financial clerks, including calculating charges and checking credit scores, require basic math skills.

Organizational skills. Strong organizational skills are important for financial clerks because they must be able to find files quickly and efficiently.

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Medical Claims Processor Career Paths

Medical Claims Processor
Billing Specialist Team Leader Office Manager
Practice Manager
9 Yearsyrs
Billing Specialist Team Leader Assistant Manager
Center Manager
6 Yearsyrs
Billing Specialist Team Leader Case Manager
Clinical Manager
8 Yearsyrs
Account Representative Account Executive Office Manager
Business Office Manager
7 Yearsyrs
Account Representative Account Executive Account Manager
Client Services Manager
7 Yearsyrs
Account Representative Specialist Executive Assistant
Administrative Manager
6 Yearsyrs
Medical Records Clerk Medical Coder Office Manager
Office Manager Of Human Resources
6 Yearsyrs
Medical Records Clerk Specialist Benefit Specialist
Benefits Manager
8 Yearsyrs
Medical Records Clerk Specialist Accountant
Accounts Receivable Manager
6 Yearsyrs
Claims Adjuster Account Executive Customer Service Manager
Call Center Manager
6 Yearsyrs
Claims Adjuster Supervisor Unit Manager
Collections Manager
5 Yearsyrs
Claims Adjuster Claims Manager
Risk Manager
8 Yearsyrs
Accounts Receivable Specialist Analyst Medical Coder
Billing Manager
7 Yearsyrs
Accounts Receivable Specialist Medical Coder Billing Manager
Revenue Manager
8 Yearsyrs
Accounts Receivable Specialist Billing Analyst
Billing Supervisor
6 Yearsyrs
Medical Billing, Receptionist Billing Analyst Billing Supervisor
Billing Office Manager
6 Yearsyrs
Medical Billing, Receptionist Reimbursement Specialist Billing Supervisor
Patient Account Manager
7 Yearsyrs
Certified Nursing Assistant Patient Service Representative Billing And Insurance Coordinator
Senior Billing Specialist
7 Yearsyrs
Medical Billing Clerk Medical Assistant/Biller Medical Office Manager
Medical Billing Manager
6 Yearsyrs
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Do you work as a Medical Claims Processor?

Help others decide if this is a good career for them

Average Length of Employment
Claim Processor 3.5 years
Claims Clerk 3.5 years
Insurance Biller 3.3 years
Claims Coordinator 3.2 years
Claims Analyst 3.2 years
Claims Assistant 3.1 years
Claims Associate 2.9 years
Medical Collector 2.4 years
Top Careers Before Medical Claims Processor
Cashier 8.4%
Internship 2.2%
Processor 2.0%
Top Careers After Medical Claims Processor
Cashier 7.8%
Specialist 2.7%

Do you work as a Medical Claims Processor?

Average Yearly Salary
$35,000
View Detailed Salary Report
$23,000
Min 10%
$35,000
Median 50%
$35,000
Median 50%
$35,000
Median 50%
$35,000
Median 50%
$35,000
Median 50%
$35,000
Median 50%
$35,000
Median 50%
$53,000
Max 90%
Best Paying Company
Ccc Information Services
Highest Paying City
Washington, DC
Highest Paying State
Virginia
Avg Experience Level
3.2 years
How much does a Medical Claims Processor make at top companies?
The national average salary for a Medical Claims Processor in the United States is $35,936 per year or $17 per hour. Those in the bottom 10 percent make under $23,000 a year, and the top 10 percent make over $53,000.

How Would You Rate The Salary Of a Medical Claims Processor?

Have you worked as a Medical Claims Processor? Help other job seekers by rating your experience as a Medical Claims Processor.

Top Skills for A Medical Claims Processor

  1. Insurance Companies
  2. Medical Records
  3. Provider Settlements
You can check out examples of real life uses of top skills on resumes here:
  • Appeal denials from Insurance companies electronically and or paper reconsideration process.
  • Create comprehensive narratives procured from relevant legal case documents and medical records as determined by regulatory and Bayer SOP guidelines.
  • Call in appropriate staff for procedures, and assist Radiology staff with any patient care required.
  • Provide high quality customer service to a diverse customer population regarding routine eligibility, benefits, and claim status.
  • Performed various administrative duties, including data entry and document preparation.

Medical Claims Processor Resume Examples And Tips

The average resume reviewer spends between 5 to 7 seconds looking at a single resume, which leaves the average job applier with roughly six seconds to make a killer first impression. Thanks to this, a single typo or error on your resume can disqualify you right out of the gate. At Zippia, we went through over 3,544 Medical Claims Processor resumes and compiled some information about how best to optimize them. Here are some suggestions based on what we found, divided by the individual sections of the resume itself.

Learn How To Create A Top Notch Medical Claims Processor Resume

View Resume Examples

Medical Claims Processor Demographics

Gender

Female

73.4%

Male

14.6%

Unknown

12.0%
Ethnicity

White

62.5%

Hispanic or Latino

15.7%

Black or African American

11.3%

Asian

6.8%

Unknown

3.8%
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Foreign Languages Spoken

Spanish

53.2%

French

9.1%

Carrier

6.5%

Hindi

5.2%

Vietnamese

2.6%

German

2.6%

Persian

2.6%

Arabic

2.6%

Portuguese

1.3%

Filipino

1.3%

Marathi

1.3%

Greek

1.3%

Somali

1.3%

Japanese

1.3%

Gujarati

1.3%

Tagalog

1.3%

Hmong

1.3%

Norwegian

1.3%

Tamil

1.3%

Hebrew

1.3%
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Medical Claims Processor Education

Schools

University of Phoenix

28.7%

Kaplan University

7.8%

Everest Institute

5.6%

Ashford University

4.9%

Glendale Community College

4.9%

Arizona State University

4.9%

Ultimate Medical Academy - Clearwater

4.5%

Everest College - Phoenix

3.7%

Strayer University

3.7%

The Academy

3.4%

Grand Canyon University

3.4%

University of South Florida

3.0%

Pennsylvania State University

3.0%

Midlands Technical College

3.0%

Pima Community College

2.6%

Illinois State University

2.6%

Walden University

2.6%

American InterContinental University

2.6%

College of DuPage

2.6%

Ashworth College

2.6%
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Majors

Business

24.1%

Health Care Administration

22.7%

Nursing

6.4%

Accounting

5.6%

Medical Assisting Services

5.1%

Psychology

4.1%

Insurance

3.7%

Criminal Justice

3.5%

General Studies

3.0%

Liberal Arts

2.8%

Computer Information Systems

2.4%

Education

2.2%

Management

2.0%

Communication

1.9%

Secretarial And Administrative Science

1.9%

Legal Support Services

1.8%

Computer Science

1.7%

Human Resources Management

1.7%

Medical Technician

1.7%

Pharmacy

1.6%
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Degrees

Other

36.4%

Bachelors

23.9%

Associate

17.8%

Certificate

10.3%

Diploma

5.6%

Masters

5.1%

License

0.6%

Doctorate

0.3%
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