The primary role of an Insurance Clerk is to gather information from the insured or designated person to settle claims with an insurance carrier. The day-to-day activities and allocated tasks are mentioned on the Insurance Clerk Resume as follows – applying insurance rating systems, calculating amount of claims, contacting insured or other involved person to obtain missing information, paying small claims, posting and attaching information to claim files, preparing and reviewing insurance claims forms, ensuring completeness of claim forms, providing customer service, and reviewing insurance policies to determine the amount of coverage.
To embark in this career field, aspiring candidates must depict these skills on the resume – a broad base and background knowledge of business and management; outstanding communication skills, and excellent customer service skills. Many employers prefer to hire candidates possessing a bachelor’s degree in business, accounting, or related fields.
Objective : Dedicated Insurance Clerk with two years of experience in efficiently processing insurance claims and managing patient inquiries. Proven ability to streamline administrative tasks and enhance customer satisfaction while ensuring compliance with regulations. Eager to contribute to a dynamic team and support organizational objectives through effective communication and meticulous attention to detail.
Accurately recorded and entered patient insurance data into the electronic health record system.
Responded to patient inquiries regarding insurance coverage, co-payments, and outstanding balances.
Processed payments and posted them to patient accounts, facilitating timely billing cycles.
Utilized a multi-line phone system to direct calls to appropriate healthcare staff and take detailed messages.
Managed incoming and outgoing mail, ensuring confidentiality of patient information.
Prepared and transmitted faxes, adhering to HIPAA compliance standards.
Gathered and documented initial patient information, including insurance coverage and medical history, for efficient processing.
Experience
0-2 Years
Level
Entry Level
Education
AAS in Med Billing
Junior Insurance Clerk Resume
Headline : Proficient Junior Insurance Clerk with over 7 years of experience in processing claims, managing records, and enhancing client relations. Demonstrated success in ensuring compliance with industry regulations and optimizing administrative workflows. Committed to delivering exceptional service and supporting team objectives through strong communication and detail-oriented practices.
Skills : Proficient In Icd-10 And Cpt Coding, Multi-tasking, Time Management, Organizational Skills, Problem Solving
Description :
Processed insurance applications and claims with accuracy and efficiency.
Maintained organized records of policyholders and claims.
Assisted clients in understanding their insurance coverage options.
Reviewed and verified insurance documents for completeness.
Prepared correspondence and assisted physicians with report generation and documentation.
Corresponded with insured clients to obtain information and inform them about account statuses or changes.
Maintained detailed office records, ensuring files for each patient were organized and up-to-date.
Experience
5-7 Years
Level
Junior
Education
AAS
Insurance Clerk Resume
Objective : Results-oriented Insurance Clerk with two years of experience in processing insurance claims and managing customer inquiries. Skilled in optimizing administrative workflows and enhancing client satisfaction while adhering to industry regulations. Passionate about supporting team objectives through effective communication and precise data management.
Facilitated timely processing of insurance claims, ensuring accuracy and compliance with policies.
Managed customer inquiries efficiently, providing clear information and resolving issues promptly.
Collaborated with healthcare providers to verify patient eligibility and coverage details.
Monitored and updated patient records to reflect current insurance information.
Assisted in the development of training materials for new staff on claims processing procedures.
Supported the billing department by providing necessary documentation and follow-ups.
Utilized electronic health record systems to streamline administrative tasks.
Experience
0-2 Years
Level
Junior
Education
AAS-HIT
Senior Insurance Clerk Resume
Headline : Accomplished Senior Insurance Clerk with 7 years of expertise in processing claims, managing extensive records, and enhancing client interactions. Adept at ensuring regulatory compliance and streamlining operational workflows to boost efficiency. Passionate about delivering exceptional service and fostering team collaboration to achieve organizational goals.
Skills : Microsoft Office Suite, Team Collaboration, Record Keeping, Insurance Regulations, Policy Management, Attention To Detail
Description :
Produced comprehensive documentation by transcribing, formatting, and inputting data efficiently.
Streamlined office operations by organizing correspondence and managing telecommunications.
Engaged with clients to address inquiries and facilitate effective communication.
Protected sensitive information by maintaining confidentiality and adhering to compliance standards.
Generated detailed reports by gathering and analyzing relevant data.
Managed inventory of office supplies, ensuring timely orders and stock levels.
Ensured operational efficiency by maintaining equipment per established guidelines.
Experience
5-7 Years
Level
Senior
Education
AAS
Insurance Clerk Resume
Objective : Motivated Insurance Clerk with 5 years of experience in processing claims and managing insurance documentation. Expertise in enhancing operational efficiency and ensuring compliance with regulatory standards. Dedicated to providing exceptional customer service and supporting team goals through effective communication and organized record-keeping.
Executed administrative functions, maintaining accurate records and managing policy renewals efficiently.
Developed client relationships through effective networking, resulting in a 15% increase in new business.
Communicated with policyholders to gather necessary information for claims processing.
Utilized computer systems to manage and retrieve detailed office records accurately.
Reviewed and attached relevant documentation to claims files for thorough processing.
Ensured completeness of insurance claim forms and related documents prior to submission.
Provided guidance to clients on claim procedures and referred them to appropriate service providers.
Experience
2-5 Years
Level
Junior
Education
AABA
Assistant Insurance Clerk Resume
Objective : Accomplished Assistant Insurance Clerk with 5 years of experience in processing claims and managing insurance documentation. Proven track record in enhancing operational efficiency and ensuring compliance with industry regulations. Committed to delivering exceptional customer service and facilitating effective communication to support team objectives.
Skills : Fax Management, Document Scanning, Insurance Records Management, Healthcare Administrative Support
Description :
Managed an average of 30 insurance claims daily, ensuring accurate processing and timely follow-up.
Assisted clients with inquiries regarding their policies and claims, enhancing customer satisfaction.
Collaborated with healthcare providers to obtain necessary documentation for claims processing.
Maintained organized records of insurance transactions and client communications.
Provided administrative support to the insurance team, facilitating smooth operations.
Reviewed and verified insurance documents for accuracy and compliance with regulations.
Supported the billing department in resolving discrepancies and processing payments.
Experience
2-5 Years
Level
Executive
Education
A.S. in Health Admin.
Insurance Clerk Resume
Headline : Insurance Clerk with 7 years of comprehensive experience in processing insurance claims and managing client accounts. Expertise in verifying benefits, ensuring regulatory compliance, and optimizing administrative workflows. Committed to delivering exceptional service and enhancing operational efficiency while fostering strong relationships with clients and providers.
Skills : Data Entry Accuracy, 10-key Data Entry, Insurance Claims Processing, Medicare Billing Expertise, Confidentiality, Customer Service
Description :
Coordinated insurance benefits for obstetrical patients, enhancing care management.
Processed charges to insurance companies efficiently, ensuring timely payments.
Followed up on past-due insurance claims, improving recovery rates.
Analyzed delinquent accounts, creating strategies for resolution and collection.
Registered patients into the clinic, ensuring accurate record-keeping.
Verified insurance benefits daily, facilitating service access for patients.
Managed the credentialing of providers across multiple programs, ensuring compliance.
Experience
5-7 Years
Level
Management
Education
AAS
Associate Insurance Clerk Resume
Objective : With 5 years of dedicated experience in the insurance sector, I excel in processing claims and managing documentation with precision. My strong analytical skills and attention to detail have consistently improved operational efficiency and customer satisfaction. I am eager to leverage my expertise to support a dynamic team and enhance organizational success.
Skills : Proficient In Microsoft Office Suite, Document Scanning And Management, Mail Processing And Management, Fax Communication Management, Organized Record Filing, Follow-up Skills
Description :
Verified the accuracy of billing data and corrected discrepancies to ensure compliance.
Operated various office equipment, including billing machines and calculators, to facilitate efficient processing.
Prepared detailed itemized statements and invoices for services rendered.
Reviewed purchase orders and sales tickets to compute fees and charges accurately.
Performed bookkeeping tasks, including posting data related to costs and services.
Maintained organized records of invoices and supporting documents.
Resolved discrepancies in accounting records, enhancing accuracy and reliability.
Experience
2-5 Years
Level
Executive
Education
AAS in Insurance
Insurance Clerk Resume
Objective : Accomplished Insurance Clerk with 5 years of experience in processing claims and managing insurance documentation. Demonstrated expertise in enhancing operational workflows, ensuring regulatory compliance, and delivering exceptional customer service. Committed to utilizing analytical skills to support team objectives and drive organizational success.
Skills : Proficient In Ms Office Suite, Effective Communication Skills, Data Entry, Microsoft Office, Customer Support, Policy Analysis
Description :
Processed and verified insurance claims, ensuring accuracy and compliance with regulatory standards.
Maintained organized patient records and efficiently tracked billing information.
Served as a key liaison between patients, healthcare providers, and insurance companies.
Trained new clerks on office procedures and compliance requirements.
Implemented a digital filing system that improved document retrieval time by 40%.
Resolved patient inquiries and billing issues, enhancing customer satisfaction.
Conducted regular audits on billing processes to identify areas for improvement.
Experience
2-5 Years
Level
Junior
Education
AAS in HIT
Billing And Insurance Clerk
Resume
Objective : Skilled Billing and Insurance Clerk with 5 years of experience in processing claims and managing patient accounts. Adept at ensuring compliance with industry regulations and enhancing operational efficiency. Eager to leverage strong analytical skills and attention to detail to contribute to a collaborative team, driving exceptional service and organizational success.
Updated client information in the insurance database promptly.
Monitored payments and followed up with patients for timely collections.
Generated reports on claims status and policy renewals.
Collaborated with insurance carriers, healthcare providers, and patients to ensure prompt claims processing.
Reviewed, appealed, and resolved unpaid or denied claims to maximize revenue.
Verified patients' insurance coverage and obtained necessary authorizations for services.
Addressed patient billing inquiries and resolved discrepancies effectively.
Experience
2-5 Years
Level
Executive
Education
ASHA
Insurance Clerk Resume
Objective : Enthusiastic Insurance Clerk with two years of hands-on experience in processing insurance claims and managing customer interactions. Adept at maintaining compliance with industry regulations and improving operational workflows. Looking to leverage my strong organizational skills and commitment to excellence to support a collaborative team environment.
Skills : Data Entry Software Proficiency, Claim Processing Expertise, Communication Skills, Research Skills, Negotiation Skills
Description :
Processed death claims and issued checks to beneficiaries efficiently.
Balanced and audited tax reporting on life insurance, ensuring compliance with IRS regulations.
Coordinated daily operations, distributing tasks to staff for optimal workflow.
Managed customer inquiries through phone and email, providing timely resolutions.
Collaborated with the accounting department for accurate posting of payments and data entry.
Developed a system for checking tax forms, enhancing efficiency for the team.
Maintained accurate records to support audits and compliance checks.
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