Medical Claims Analyst Resume

When writing a Medical Claims Analyst Resume remember to include your relevant work history and skills according to the job you are applying for. Whether you're seeking an entry-level position or have been in your career for a few years, exposing your relevant achievements in your resume can allow you to stand out and get that job interview.

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Here is the Medical Claims Analyst Resume example:

Bradley Moore

7930 Carpenter St, Apt#45

Seattle, WA 98119

(555)-555-5555

[email]

Job Objective To secure a Medical Claims Analyst position in a well established organization with a stable environment.

Highlights of Qualifications:

Sound knowledge of CPT, ICD-9, and HCPCS coding guidelines and medical terminology
In-depth knowledge of healthcare and claims concepts
Extensive knowledge of electronic billing systems
Comprehensive knowledge of pharmaceutical claims
Excellent written and oral communication skills
Excellent analytical, critical thinking and problem solving skills

Professional Experience:

Medical Claims Analyst

Crawford & Company, Seattle, WA

August 2005 – Present

Retained high level of security within Government guidelines in the claim submission and review process.
Performed and conducted the pre adjudication of claims as required by the client.
Developed and prepared receivable targets for clients.
Performed and conducted Claim Analysis for the benefit of the practice and clients.
Created reports for clients to include in data exchange meetings.

Medical Claims Analyst

WellPoint, Inc, Seattle, WA

May 2000 – July 2005

Performed data entry of claims into an electronic claiming system.
Authorized claims and ensured all information is processed accurately and in a timely manner.
Entered, recorded and tracked data entry claim receipts using an excel spreadsheet.
Accessed and utilized department mail, count mail, stamp and date.
Scanned claims after payment processed.
Interacted with management on workload, issues and backlog.

Education

Bachelors Degree in Insurance

University of California, Berkeley, CA