Medical claims processor resume examples from 2025
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How to write a medical claims processor resume
Craft a resume summary statement
Your resume summary sums up your experience and skills, making it easy for hiring managers to understand your qualifications at a glance. Here are some tips to writing the most important 2-4 sentences of your resume:
Step 1: Mention your current job title or the role you're pursuing.
Step 2: Include your years of experience in medical claims processor-related roles. Consider adding relevant company and industry experience as relevant to the job listing.
Step 3: Highlight your greatest accomplishments. Here is your chance to make sure your biggest wins aren't buried in your resume.
Step 4: Again, keep it short. Your goal is to summarize your experience and highlight your accomplishments, not write a paragraph.
These four steps should give you a strong elevator pitch and land you some medical claims processor interviews.Please upload your resume so Zippia’s job hunt AI can draft a summary statement for you.
List the right project manager skills
Use your Skills section to show you have the knowledge and technical ability to do the job. Here is how to make the most of your skills section and make sure you have the right keywords:
- Start with the job listing. Frequently, the keywords looked for by recruiters will be listed. Be careful to include all skills in the job listing you have experience with.
- Consider all the software and tools you use on a daily basis. When in doubt, list them!
- Make sure you use accurate and up to date terms for all the skills listed.
Here are example skills to include in your “Area of Expertise” on a medical claims processor resume:
- Patients
- Healthcare
- Data Entry
- Medical Insurance Claims
- Medical Terminology
- Customer Service
- ICD-9
- CPT-4
- Medicaid
- EOB
- Process Claims
- Medical Charts
- HCPCS
- Medical Bills
- Hippa
- HIPAA
- Insurance Policies
- CMS
- ICD-10
- DME
- EMR
- HCFA
- Computer System
- Electronic Claims
- Diagnosis Codes
- COB
- Patient Accounts
- PPO
- Dental Claims
- Outbound Calls
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How to structure your work experience
Your employment history is arguably one of the most important parts of your resume. It shows you have experience and foundation in your field to successfully master the medical claims processor position. Here is how to most effectively structure your work experience:
- List your most recent experience first, followed by earlier roles in reverse chronological order. Employers care about your most recent experience the most.
- Start with your job title, company name, city, and state on the left. Align dates in month and year format on the right-hand side.
- Include only recent, relevant jobs.
How to write medical claims processor experience bullet points
Remember, your resume is not a list of responsibilities or a job description. This is your chance to show why you're good at your job and what you accomplished.
Use the XYZ formula for your work experience bullet points. Here's how it works:
- Use strong action verbs like Led, Built, or Optimized.
- Follow up with numbers when possible to support your results. How much did performance improve? How much revenue did you drive?
- Wrap it up by explaining the actions you took to achieve the result and how you made an impact.
This creates bullet points that read Achieved X, measured by Y, by doing Z.
Here are effective examples from medical claims processor resumes:
Work history example #1
Accounts Payable Clerk
Philadelphia Magazine
- Maintained building code and municipality law compliance for each rental community.
- Coordinated with internal and external stakeholders to research, review, and issue payments to Veterans and beneficiaries.
- Provided tenant fit-outs, building repairs, building furnishings, and building improvements.
- Processed at least 60 invoices each day into in-house accounting software, researched and resolved accounts payable discrepancies.
- Controlled and verified chassis inventory* Maintained customer database on AS400.
Work history example #2
Medical Claims Processor
Anthem
- Followed Sarbanes-Oxley as well as HIPAA guidelines.
- Certified in all Hipaa processes.
- Coded and entered health insurance UB04 and CMS1500 claims into claims processing system.
- Adhered to company and departmental policies and procedures, specifically HIPAA regulations.
- Generated EOP and EOB of processed claims, generated letters, and notification of member's homeplans response.
Work history example #3
Medical Claims Processor
State Farm
- Assisted claim adjusters and management of allocated caseload by performing administrative functions in easing the workload.
- Reviewed and processed Personal Injury claims, to establish reasonable and necessary treatment using Medical Codes and Procedures Guide.
- Utilized CPT, ICD-9 and medical terminology to process medical claims.
- Communicated with customers and associates via telephone and other communications channels.
- Updated claims with proper communications/notations.
Work history example #4
Insurance Clerk
Liberty Mutual
- Managed data base system to match policy endorsements with proper "Request for Policy Change" forms.
- Assisted in processing and delivering mail to office staff of adjusters.
- Assigned Bodily Injury claims to 30+ adjusters for the Region with the YTD assignments of 17,752.
- Trained as back-up no fault medical subro rep in NJ region.
- Worked with a team of licensed auto claims adjusters.
Zippia’s AI can customize your resume for you.
Add an education section to your resume
The education section should display your highest degree first.
Place your education section appropriately on your resume. If you graduated over 5 years ago, this section should be at the bottom of your resume. If you just graduated and lack relevant work experience, the education section should go to the top.
If you have a bachelor's or master's degree, do not list your high school education. If your graduation year is more than 15-20 years ago, it's better not to include dates in this section.
Here are some examples of good education entries from medical claims processor resumes:
High School Diploma
2014 - 2014
Bachelor's Degree in business
Miami Dade College, Miami, FL
2008 - 2011
Highlight your medical claims processor certifications on your resume
Certifications are a great way to showcase special expertise or niche skills. Some jobs even require certifications to be hired.
Start simple. Include the full name of the certification. It's also good to mention the organization that issued the certification. Next, specify when you obtained the certification.
If you have any of these certifications, be sure to include them on your medical claims processor resume:
- Medical Assistant
- Certified Billing and Coding Specialist (CBCS)
- Certified Medical Administrative Assistant (CMAA)
- Certified Coding Specialist (CCS)
- Certified Medical Office Manager (CMOM)
- Certified Medical Insurance Specialist (CMIS)
- Certified Clinical Medical Assistant (NHA)
- Basic Life Support for Healthcare and Public Safety (BLS)
- Certified Professional Coder (CPC)