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Job Description
Professional Summary
Hard working and self - motivated medical claims processor available to offer professionalism and thoroughness to a medical care company in need.
Core Qualifications
- Good experience in using MS Office Applications ( Excel, Word, Power Point )
- Knowledge of medical terminology useful in reading medical reports and determining coverage or able to learn
- Intelligent in mathematics and accounting and how they apply to medical claims
- Determine the amount of claim a hospital or service provider should receive according the procedure done and the coverage on the account
- Efficient in time management
Education Requirements For a Medical Claims Processor
- There are no set educational requirements for medical claims processors. Companies may provide on-the-job training, though some previous knowledge or courses in the field may be required to enter the profession.
Career Requirements for a Medical Claims Processor
- Medical claims processing is often an entry-level position that includes on-the-job training. However, it is beneficial to have proven customer service and computer experience. Those with a previous medical background may increase their job opportunities.
- Bachelor’s Degree in: Medicine/Pharmacy/Science/Commerce (Business, Accounting).
