Skills & Competencies for Claims Processing Clerk I - Healthcare

Claims Processing Clerk I - Healthcare job profile

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JOB SUMMARY for Claims Processing Clerk I - Healthcare

Receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries.

JOB RESPONSIBILITIES for Claims Processing Clerk I - Healthcare

Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Produces routine and ad hoc reports.

Claims Processing Clerk I - Healthcare SALARY RANGE

BASE 50%
$40,130
TOTAL 50%
$40,862
Job Level
A01
Job Code
HC07000518
Education/Degree
High School Diploma or Technical Certificate
Reports To
Supervisor

Claims Processing Clerk I - Healthcare Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Claims Processing Clerk I - Healthcare skill and competencie below to view definitions.
INDUSTRY COMPETENCIES JOB FAMILY COMPETENCIES CORE COMPETENCIES
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8 hard skills or competencies (industry competencies) for Claims Processing Clerk I - Healthcare

1 Industry Competency – Insurance Industry
Proficiency Level -1
Skill definition-Applying knowledge of the insurance industry to provide risk management services and protection to various individuals from financial loss.
Level 1 Behaviors
(General Familiarity)
Explains the policy conditions of various insurance contracts and products.
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Level 2 Behaviors
(Light Experience)
Provides prompt responses to clients’ insurance-related questions and concerns.
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Level 3 Behaviors
(Moderate Experience)
Utilizes various tools and technologies to optimize insurance claims turnaround cycles.
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Level 4 Behaviors
(Extensive Experience)
Provides recommendations for improving methods and procedures to enhance insurance claims handling.
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Level 5 Behaviors
(Mastery)
Leads the deployment of strategic approaches to address complex insurance risk management programs.
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2 Industry Competency – Insurance Legal and Regulatory Environment
Proficiency Level -1
Skill definition-Creating, executing, and adhering to state and federal laws governing insurance operations to ensure financial security and consumer protection.
Level 1 Behaviors
(General Familiarity)
Discusses the importance of insurance regulations in protecting clients' financial security and assets.
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Level 2 Behaviors
(Light Experience)
Gathers and interprets policy contracts to understand insurance legal and regulatory standards.
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Level 3 Behaviors
(Moderate Experience)
Maintains financial and market regulation to validate insurance's accounting methods and procedures.
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Level 4 Behaviors
(Extensive Experience)
Sets guidelines to promote fairness and transparency in financial markets in providing insurance products.
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Level 5 Behaviors
(Mastery)
Develops compliance and risk management standards to manage overall insurance legal and regulatory environment.
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3 Claims Processing Clerk I - Healthcare - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Claims Processing Clerk I - Healthcare
Proficiency Level - 4
5 Competency for - Claims Processing Clerk I - Healthcare
Proficiency Level - 5

2 general skills or competencies (Job family competencies) for Claims Processing Clerk I - Healthcare

1 Job Family Competencies – Customer Relations
Proficiency Level -1
Skill definition-Creating mutually beneficial relationships with customers to improve their overall experience.
Level 1 Behaviors
(General Familiarity)
Explains the process of creating and maintaining customer relationships.
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Level 2 Behaviors
(Light Experience)
Selects appropriate resources to understand customer behavior and create good relations.
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Level 3 Behaviors
(Moderate Experience)
Maintains a high level of engagement with key customers to grow our customer base.
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Level 4 Behaviors
(Extensive Experience)
Plans customer engagement activities to create value in all interactions and increase loyalty.
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Level 5 Behaviors
(Mastery)
Forecasts trends in customer relationship management to adapt our strategies with customer behaviors.
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2 Job Family Competencies – Payment Processing
Proficiency Level -1
Skill definition-Completing transfer of funds from the transaction to the merchant's account.
Level 1 Behaviors
(General Familiarity)
Explains the essential payment processing terms to clients and the staff.
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Level 2 Behaviors
(Light Experience)
Receives invoices from vendors for payment processing.
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Level 3 Behaviors
(Moderate Experience)
Reviews the transactions through the relevant systems to provide accurate payment processing.
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Level 4 Behaviors
(Extensive Experience)
Manages the payment processing tasks for our business.
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Level 5 Behaviors
(Mastery)
Establishes and implements controls for the payment processing team.
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3 Claims Processing Clerk I - Healthcare - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Claims Processing Clerk I - Healthcare
Proficiency Level - 4
5 Competency for - Claims Processing Clerk I - Healthcare
Proficiency Level - 5

6 soft skills or competencies (core competencies) for Claims Processing Clerk I - Healthcare

1 Core Competencies – Standard Operating Procedures (SOP)
Proficiency Level -1
Skill definition-A set of written instructions that describes the step-by-step activities to complete tasks in compliance with business standards and industry regulations.
Level 1 Behaviors
(General Familiarity)
Identifies our internal and external sources for the SOPs we need.
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Level 2 Behaviors
(Light Experience)
Participates in the implementation of new SOPs and enhancement of existing ones.
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Level 3 Behaviors
(Moderate Experience)
Modifies SOPs accordingly to reflect changes in our business practices and policies.
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Level 4 Behaviors
(Extensive Experience)
Optimizes the current SOP development and implementation processes.
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Level 5 Behaviors
(Mastery)
Leads cross-functional efforts to develop and implement SOPs across our organization.
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2 Core Competencies – Attention to Detail
Proficiency Level -2
Skill definition-Executing and completing a task with a high level of accuracy.
Level 1 Behaviors
(General Familiarity)
Lists best practices and tools to maintain high accuracy and thoroughness in the workplace.
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Level 2 Behaviors
(Light Experience)
Uses checklists to ensure that information goes out error-free.
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Level 3 Behaviors
(Moderate Experience)
Suggests solutions to issues that arise while executing the tasks.
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Level 4 Behaviors
(Extensive Experience)
Employs techniques for motivating personnel to meet or exceed accuracy goals.
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Level 5 Behaviors
(Mastery)
Leads the creation of tools for enhancing and assuring accuracy.
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3 Claims Processing Clerk I - Healthcare - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Claims Processing Clerk I - Healthcare
Proficiency Level - 4
5 Competency for - Claims Processing Clerk I - Healthcare
Proficiency Level - 5

Summary of Claims Processing Clerk I - Healthcare skills and competencies

There are 8 hard skills for Claims Processing Clerk I - Healthcare, Insurance Industry, Insurance Legal and Regulatory Environment, Health Insurance, etc.
2 general skills for Claims Processing Clerk I - Healthcare, Customer Relations, Payment Processing.
6 soft skills for Claims Processing Clerk I - Healthcare, Standard Operating Procedures (SOP), Attention to Detail, Time Management, etc.
While the list totals 16 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Claims Processing Clerk I - Healthcare, he or she needs to be proficient in Standard Operating Procedures (SOP), be proficient in Attention to Detail, and be proficient in Time Management.

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