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Claims Processor—Healthcare in Palm Springs, CA

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 Palm Springs, CA

42998 - 55283

Low
42998
The candidate is new to the role or has limited experience and is building necessary skills.
Mid
47678
The candidate has moderate experience in the role, meets most requirements or has equivalent transferable skills, and may also have relevant certifications.
High
55283
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 100620 130163 154733 Revenue Cycle Analyst 59963 76928 88043 Medical Billing/Collections Manager 101205 112613 124020 Medical Billing/Collections Supervisor 71955 88043 102375 Claims Examiner Analyst 55283 67568 79268 Denials Specialist 43875 50310 59085 Medical Collections Specialist 46215 50310 59963 Medical Biller 46215 50018 58500 Payment Poster 43875 49140 54698 Charge Entry Clerk 43290 47678 54113

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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.