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Claims Examiner Analyst in Fort Worth, TX

Claims Examiner Analyst Job Description

These professionals must have knowledge of standard claims coding and the ability to process all claim types, as well as experience with healthcare benefits structures and insurance procedures. Candidates should have strong writing and verbal skills and be proficient with Microsoft Office and familiar with HIPAA provisions. An associate’s degree or commensurate work experience is required.

Typical claims examiner analyst duties:

Reviewing and evaluating incoming claims for appropriate coding against the charges that are being billedDetermining the level of reimbursement based on established criteria, provider contract or plan provisionsDenying all claims ineligible for payment and entering coding informationIdentifying and reporting inaccuracies that are related to system configuration, benefit inconsistency and fee schedulesIdentifying circumstances that require claim payment, development or denial and producing the appropriate corresponding outcomes

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Salary for Claims Examiner Analyst in Fort Worth, TX

53865 - 77235

Low
53865
The candidate is new to the role or has limited experience and is building necessary skills.
Mid
65835
The candidate has moderate experience in the role, meets most requirements or has equivalent transferable skills, and may also have relevant certifications.
High
77235
The candidate has extensive experience and advanced skills for the role, and may also have specialized certifications.
Projected salaries for related positions Job title Low Mid High Revenue Cycle Director 98040 126825 150765 Revenue Cycle Analyst 58425 74955 85785 Medical Billing/Collections Manager 98610 109725 120840 Medical Billing/Collections Supervisor 70110 85785 99750 Denials Specialist 42750 49020 57570 Medical Collections Specialist 45030 49020 58425 Medical Biller 45030 48735 57000 Payment Poster 42750 47880 53295 Charge Entry Clerk 42180 46455 52725 Claims Processor – Healthcare 41895 46455 53865

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Our starting salary projections come from a rigorous, multistep process so that our numbers accurately reflect the marketplace. They are based on actual compensation for professionals Robert Half has matched with employers across the country and third-party job posting data from Textkernel that we use to independently validate the salary levels. Starting compensation—pay for someone new to a role—can vary significantly based on a candidate’s skills, experience and certifications, as well as other factors including industry, company size and revenue, and demand for the role. To reflect this variability, we report our salary data in three levels: low, mid and high.