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Claims Processor—Healthcare in Houston, TX

Claims Processor—Healthcare Job Description

Healthcare claims processors ensure accurate and timely processing of medical claims. They review, verify and input insurance claims data, working closely with healthcare providers, insurance companies and patients to resolve discrepancies and support reimbursement processes. This role is ideal for professionals with strong attention to detail and a commitment to maintaining compliance in a fast-paced healthcare environment.

Typical claims processor—healthcare duties:

Review and process medical claims for accuracy, completeness and compliance with payer requirementsVerify patient information, insurance coverage and coding accuracyEnter claims data into processing systems and update records as neededCommunicate with healthcare providers, insurance carriers and patients to resolve claim issuesIdentify and flag discrepancies, denials or incomplete documentation for follow-upEnsure adherence to HIPAA regulations and organizational policiesMonitor claim status and follow up on pending or denied claimsAssist with appeals and resubmissions as necessaryMaintain organized records and documentation for audit readinessCollaborate with billing and revenue cycle teams to support timely reimbursement

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Salary for Claims Processor—Healthcare in Houston, TX
40793 - 52448
Low
40793
The candidate is new to the role or has limited experience and is building necessary skills.
Mid
45233
The candidate has moderate experience in the role, meets most requirements or has equivalent transferable skills, and may also have relevant certifications.
High
52448
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 95460 123488 146798 Revenue Cycle Analyst 56888 72983 83528 Medical Billing/Collections Manager 96015 106838 117660 Medical Billing/Collections Supervisor 68265 83528 97125 Claims Examiner Analyst 52448 64103 75203 Denials Specialist 41625 47730 56055 Medical Collections Specialist 43845 47730 56888 Medical Biller 43845 47453 55500 Payment Poster 41625 46620 51893 Charge Entry Clerk 41070 45233 51338

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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.