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Claims Examiner Analyst in Long Beach, CA

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 Long Beach, CA

56700 - 81300

Low
56700
The candidate is new to the role or has limited experience and is building necessary skills.
Mid
69300
The candidate has moderate experience in the role, meets most requirements or has equivalent transferable skills, and may also have relevant certifications.
High
81300
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 103200 133500 158700 Revenue Cycle Analyst 61500 78900 90300 Medical Billing/Collections Manager 103800 115500 127200 Medical Billing/Collections Supervisor 73800 90300 105000 Denials Specialist 45000 51600 60600 Medical Collections Specialist 47400 51600 61500 Medical Biller 47400 51300 60000 Payment Poster 45000 50400 56100 Charge Entry Clerk 44400 48900 55500 Claims Processor – Healthcare 44100 48900 56700

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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.