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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in medical claims adjudication and data entry, with strong communication skills for effective member interaction and teamwork. Capable of working independently while ensuring accuracy in processing claims and validating data.
Highest-signal resume keywords
Medical Claims AdjudicationData EntryVerbal Communication SkillsWritten Communication SkillsTeam Collaboration
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 Claims AdjudicationScanning Software Validation
Soft Skills
Excellent Communication SkillsSelf-StarterAbility to Work Independently
Tools & Technologies
Computer Systems
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Medical ClaimsMember InquiryProvider Submitted Claims
About the role
Key responsibilities & impact- Review and accurately adjudicate all member and provider submitted medical claims
- Perform accurate data entry of paper claim forms
- Validate scanned data recognized by scanning software
- Document member’s response to inquiry letters
Requirements
What you’ll need- High School Diploma or Equivalent
- Proficient in using computers and computer systems
- Excellent verbal and written communication skills
- Able to work independently and collaboratively in teams
- Self starter
- 1-2 Years Related Experience preferred
Benefits
Comp & perks- Medical insurance
- Vision insurance
- Dental insurance
- Retirement with Employer Match
- Benefits eligibility for employees working 20+ hours/week