Skills & Competencies for Claims Processing Clerk I - Healthcare

Claims Processing Clerk I - Healthcare job profile

Book a Demo and Receive a Sample Job Profile

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
BOOK A DEMO

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)
Describes the processes and rate standards for calculating the amount for insurance claims.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Gathers clients' financial information for the preparation of insurance contracts.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Performs thorough investigation and analysis of insurance claims to prevent fraudulent activities.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Leads the digitization and automation of insurance-related services to drive business transformation.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Develops loss control practices to reduce financial exposure and risks in insurance operations.
See 4 More Skill Behaviors
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)
Describes the importance of compliance programs in maintaining an insurance legal and regulatory environment.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Documents compliance complaints to track and escalate possible legal violations and ensure prompt resolution.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Executes market conduct exams to verify the adherence of insurance operations to laws and regulations.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Reviews root causes of regulatory deficiencies to create corrective action plans and ensure adherence.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Develops an insurance regulatory framework to promote consumers' protection and achieve policy objectives.
See 4 More Skill Behaviors
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 importance of customer relations in delivering good customer service.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Reports customer escalations to identify and mitigate negative impacts on customer relations.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Handles customer issues and concerns effectively to maximize customer satisfaction and relations.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Facilitates strategic customer relationships to uncover and meet customer expectations.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Creates best practices to balance customer needs with our interests to create positive relationships.
See 4 More Skill Behaviors
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)
Discusses various payment processing rules and regulations.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Enters relevant information into the system for accurate payment processing.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Performs the electronic payment processing of transactions for our business.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Ensures the accurate recording of relevant data for all payment processing transactions.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Develops an organizational structure to manage the processing of invoices efficiently.
See 4 More Skill Behaviors
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)
Discusses the considerations and concerns on applying SOP for the first time.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Documents the SOP drafts and outlines for final approval.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Initiates SOP revisions to support continuous improvement of processes.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Evaluates the benefits and drawbacks of a specific SOP; oversees the corresponding enhancements.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Establishes formal policies and procedures to guide the our SOP practices.
See 4 More Skill Behaviors
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)
Identifies the procedures for making sure that results are mistake-free.
See 4 More Skill Behaviors
Level 2 Behaviors
(Light Experience)
Processes limited amounts of detailed information with reasonable accuracy.
See 4 More Skill Behaviors
Level 3 Behaviors
(Moderate Experience)
Reviews and analyzes the accuracy of data and details.
See 4 More Skill Behaviors
Level 4 Behaviors
(Extensive Experience)
Designs systems to help the team organize and track details and project progress.
See 4 More Skill Behaviors
Level 5 Behaviors
(Mastery)
Develops best practices for identifying and correcting errors, oversights, and omissions.
See 4 More Skill Behaviors
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.

It's Easy to Get Started

Get the precision you need to assess, hire, and develop top talent with skills and competencies – see how with a personalized demo.