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Verification Clerk
Blue Cross and Blue Shield of Louisiana. Confirm that all claim data extracted through OCR is correct and complete .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in data entry and claims processing, with a strong emphasis on accuracy and adherence to business rules. Possesses critical thinking and problem-solving skills, along with effective communication abilities in a medical insurance context.
Highest-signal resume keywords
10-Key Data EntryMedical Coding ExperienceClerical ExperienceMicrosoft Office SuiteOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryMedical CodingClaims ProcessingOCR Data VerificationCritical ThinkingProblem-Solving
Soft Skills
Verbal CommunicationWritten CommunicationTact and DiplomacyPatienceProfessionalism
Tools & Technologies
Microsoft Office WordMicrosoft Office Excel
Certifications & Qualifications
High School DiplomaMedical Coding DiplomaMedical Assistant Certification
Industry Keywords
Claims AdjudicationHealth Insurance TerminologyClaims IntakeProductivity Reporting
About the role
Key responsibilities & impact- Confirm that all claim data extracted through OCR is correct and complete
- Research claim images to correct questionable characters and fields that do not conform to business rules
- Enter omitted claim data
- Ensure claims can complete the adjudication process
- Identify and redirect misrouted claims
- Maintain accurate and consistent reporting of work performed to track productivity
- Cross-train to learn new functions and procedures to assist with claims processing
- Communicate with staff of the Claims Intake unit
- Perform other job-related duties within the scope of responsibilities
Requirements
What you’ll need- High School Diploma or equivalent is required
- 6 months of clerical experience is required
- A medical coding diploma may be used in lieu of the six months of experience
- Completion of the Medical Assistant, Coding & Insurance Pathway from BRCC may be used in lieu of the six months of experience
- Medical coding experience is preferred
- Fast and accurate 10-key data entry ability is required; preference for candidates capable of over 8,000 keystrokes per hour
- Critical thinking and problem-solving skills required
- Familiarity with medical and health insurance terminology preferred
- Verbal and written communication skills with the ability to interpret and communicate information with tact, diplomacy, patience and professionalism
- Strong organizational skills required
- Working knowledge of Microsoft Office Word, Excel, and related software
- Must be authorized to work for Louisiana Blue in the United States without employer-sponsored immigration support
- Residency in or relocation to Louisiana is preferred
- Must complete background and pre-employment drug screening after an offer and before hire
- Individuals convicted of a felony involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner
Benefits
Comp & perks- Resources to live well, be healthy, continue learning, develop skills, grow professionally and serve local communities
- Reasonable accommodations for individuals with disabilities
- Smoke- and tobacco-free company properties
- Drug-free workplace
- Pre-employment background and drug screening