How To Make Medical Claims Secretary Resume?
This is a sample resume for the post of Medical Claims Secretary. A Secretary’s job, be it from any department, requires full-time commitment and low level of risks or mistakes. A Claim Secretary is a person who handles all the accidental and casual cases of the clients. The Medical Claim requires case solutions on urgent basis. The insurance company is more interested in hiring a resourceful person with references and contacts for his claims with additional knowledge of medical field and great judgment skill. A person who has the quality, experience and capability of solving all cases to customer’s satisfaction.
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How A Good Medical Claims Secretary CV Should Be Written?
Resume is your first interface with the recruiter. It is your very introduction, invest good time in making effective and persuasive resume. The resume sample given below is created by the experts keeping all the crucial points of the employer in mind. There are some basic tactics to make your resume stand upon other pile of resumes; firstly make it as much reader-friendly as possible. Use right font size and style to make the reader read without much effort. The quality of your paper, sheet and folders DOES matter so don’t skimp on to it. The details about your qualification and experience should be precise but not too lengthy to force the reader glide through or not too short to give him an impression of scanty or neglected resume. Your picture should be updated and clear. And lastly references their addresses and immediate contact numbers would seal your success in getting the job.
Our Medical Claims Secretary Resume Sample is perfect.
The information, although, is totally fake and is mostly put there to give you ideas about presenting yourself. Frequent use of bullets is practiced as it makes the reader to have a precise idea about your point of view without really stressing on to it. Text formatting is avoided in order to abstain the content from over emphasis. The text is created in MS Word and can be easily modified and edited there. See also
Medical Claims Secretary Resume Sample
YOUR NAME HERE
United Arab Emirates | WhatsApp: 0000 | E-Mail Address:
CAREER OBJECTIVE:
To work with your company for any position I can utilize my medical profession, skills and work experience.
PROFESSIONAL QUALIFICATIONS:
- Provides quality service to clients and effectively assess and process claims and approval according to set standards.
- Communication and leadership skills; excellent customer service relation.
- Knowledge in MS Office software – Word, Excel, PowerPoint.
- Recognized record of reliability and responsibility.
- Resourceful problem solver capable of implementing solutions to complex problems; Flexible, can work under pressure and overtime as needed.
- Remain calm and professional throughout critical incidents, with enthusiasm.
- Ability to create a positive working environment.
- Commitment to excellence and high standards.
- Strong analytically skills, capable of assessing conditions and implementing appropriate intervention.
PROFESSIONAL EXPERIENCE:
Medical Claims Secretary
Arab Gulf Health Services- Nextcare
Sheikh Zayed Road, Dubai, UAE
September 22, 2014 – Present
- Responsible on all claims update on the system and effectively adhere documentation /filing to the set standards.
- Facilitate urgent follow-ups from call-center and channel it to respective departments.
- Organize files, claims documents received and medical reports according to set standards and retrieved files as necessary.
- Take charge of the high-cost claims sheet.
- Accurately enter data on the system both Inpatient and Outpatient claims.
- Determine all incoming faxes and channel documents to respective department accordingly.
- Record all incoming and outgoing claims in the system and thru excel sheet.
- Entertain all inquiries from phone calls, faxes and email communication.
- Follow-up all status of claims, until a final judgment is made by medical claims officer.
- Offers assistance to other team members.
Medical Claims Assessor
Arab Gulf Health Services.
Sheikh Zayed Road, Dubai, UAE
- Ensuring patients membership validity and insurance coverage.
- Enter ICD codes for patient’s complaints and diagnosis.
- Enter CPT codes for patient request of procedures and other requested items.
- Provide Written approval through emails, faxes, and computer generated system .
- Applying intended coinsurance and deductible as per insurance policy.
- Application of adjudication procedures to make sure proper payment of claims.
- Review pending and denied claims submitted by providers for re-evaluation
- Provide actual decisions for approval and denial in due time.
- Providing quality customer service to members, providers, and other insurance companies.
General Ward Nurse
Saint Jude Clinic and Hospital
Sto. Niño, South Cotabato, Philippines
Nurse Volunteer
Saint Jude Clinic and Hospital
Sto.Niño, South Cotabato, Philippines
CERTIFICATE / LICENSE:
- Professional Board Examination for Nurses,
License No.: 0000
• Registered IV Therapy Nurse
Current Member
License No.: 0000
• Philippine Nurses Association
Current Member
ADVANCED TRAINING’S AND SEMINARS:
April 18, 2009 Cardio-pulmonary Assessment and Emergency Management
October 21, 2008 Seminar on Hospital Waste Management Program
October 16, 2008 Nursing Alert! Look, Listen, and Feel: Sharpening Your Assessment Skills
August 2. 2008 Seminar on Safe Nursing Practice
July 5, 2008 IV Chemotherapy
June 14, 2008 Seminar on Nursing Management for Myocardial Infarction
May 27, 2008 Dosage and Solutions Competency Review
May 22-24, 2008 Basic IV Therapy Training for Nurses
May 15, 2008 Seminar on Care of Patients on
May 13, 2008 Seminar on Training During Emergencies
April 26, 2008 Seminar on Total Parental Nutrition
April 19, 2008 Selected Cardiovascular Drugs: a Refresher
EDUCATIONAL BACKGROUND:
DAVAO DOCTORS COLLEGE
General Malvar St. Davao City
- Bachelor of Science in Nursing, 2007
NOTRE DAME OF NORALA
PoblacionNorala, South Cotabato
- High School Graduate, 2003
NOTRE DAME OF NORALA
PoblacionNorala, South Cotabato
- Elementary School Graduate, 1999
PERSONAL DATA
References :
available upon request.