Medical Claims Specialist Resume Example & Writing Guide
Use this Medical Claims Specialist resume example and guide to improve your career and write a powerful resume that will separate you from the competition.
Medical claims specialists are responsible for processing insurance claims for health care providers, working with doctors, hospitals, labs, pharmacies, and other medical facilities to ensure that their patients receive the care they need. They’re also tasked with identifying errors or inconsistencies in claims, returning calls to patients or providers when there are questions about a claim, and following up with insurance companies when there are issues with payment.
If you’re looking for a career in healthcare that allows you to use your analytical skills and attention to detail while also helping people, then becoming a medical claims specialist could be the perfect fit for you. Follow these tips and resume example to write a great medical claims specialist resume that will land you interviews in no time.
How to Write a Medical Claims Specialist Resume
Here’s how to write a medical claims specialist resume of your own.
Write Compelling Bullet Points
The best way to make your resume stand out is to use specific examples and numbers. So rather than saying you “managed claims processing for large health care provider,” you could say that you “managed claims processing for large health care provider, reducing turnaround time from 10 days to 3 days while maintaining 99.9% accuracy rate.”
The second bullet point is much stronger because it provides specific details about what you did, how you did it, and the results of your work.
Identify and Include Relevant Keywords
When you submit your resume for a medical claims specialist role, it’s likely that it will be scanned by an applicant tracking system (ATS) for certain keywords. ATS programs look for certain terms related to the job, like “medical coding” or “insurance” in order to determine whether your skills are a match for the job. If your resume doesn’t have enough of the right keywords, the ATS might filter out your application.
To increase your chances of getting an interview, use this list of common medical claims specialist keywords as a starting point when writing your resume:
- Medical Billing
- Electronic Medical Record (EMR)
- Medical Terminology
- U.S. Health Insurance Portability and Accountability Act (HIPAA)
- Healthcare
- Healthcare Management
- Healthcare Information Technology (HIT)
- Medical Coding
- Insurance
- Data Entry
- Claims Management
- Account Reconciliation
- Insurance Claims
- Medical Records
- Medicaid
- Hospitals
- Claim Appeals
- Patient Safety
- Reimbursement
- Medicare
- Life Insurance
- Property & Casualty Insurance
- Reinsurance
- Customer Service
- Medical Assisting
- Electronic Billing
- Government Programs
- Commercial Insurance
- Working with Physicians
- Teamwork
Showcase Your Technical Skills
As a medical claims specialist, you will need to be proficient in the use of software programs like ICD-10, CPT, and HCPCS. You will also need to have a solid understanding of medical billing and coding. Additionally, it is important to be able to effectively communicate with doctors, nurses, and other members of the healthcare team.