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 how reinsurance aids in meeting the long-term debts and financial obligations of a business.
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Level 2 Behaviors
(Light Experience)
Locates resources to acquire updates regarding market shifts and regulatory changes in insurance.
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Level 3 Behaviors
(Moderate Experience)
Reviews and analyzes claim applications to determine coverage eligibility and rates.
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Level 4 Behaviors
(Extensive Experience)
Monitors market trends in insurance services to deliver improved business impacts.
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Level 5 Behaviors
(Mastery)
Establishes and enforces standards for handling claims to maximize insurance workflow efficiency.
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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)
Helps in integrating CRM applications to deliver seamless customer service.
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Level 4 Behaviors
(Extensive Experience)
Monitors performance indicators of customer relationship management to support business growth.
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Level 5 Behaviors
(Mastery)
Develops an organizational framework to efficiently manage all relations throughout our customer base.
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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)
Provides technical information for procedures related to 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)
Gathers information on workflows and business controlling points.
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Level 3 Behaviors
(Moderate Experience)
Maintains the accuracy of SOPs to provide consistent guidance in our workplace.
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Level 4 Behaviors
(Extensive Experience)
Leverages the use of SOPs to solve business and operation problems.
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Level 5 Behaviors
(Mastery)
Keeps abreast of industry regulation and its effect on our internal SOPs.
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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)
Records all appointments on the calendar to easily track daily activities.
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Level 3 Behaviors
(Moderate Experience)
Sets up processes to ensure delivery of high-quality work.
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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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