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Medical Claims Analyst

Medical Claims 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 medical claims 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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Request candidates now and a specialized recruiter will typically contact you within one business day to discuss your staffing needs and help you hire a medical claims analyst.Search medical claims analyst openings and apply now or submit your resume to be considered for opportunities that match your experience.

National salary range for Medical Claims Analyst

48250 - 69000

Low
48250
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
59000
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
69000
The candidate has extensive experience in the role, demonstrates advanced skills and often brings specialized certifications or industry experience.

Projected salaries for related positions

 Job title Low Mid High Revenue Cycle Director 99000 113750 135250 Revenue Cycle Manager 87750 97750 107500 Revenue Cycle Supervisor 62750 76750 89250 Revenue Cycle Analyst 52500 67250 76750 Revenue Cycle Specialist 40000 43750 52500 Denials Specialist 44000 54000 64000 Medical Payment Poster 41000 47000 53000 Medical Billing Specialist 40000 43750 50500 Charge Entry Specialist 37750 41250 47250 Medical Claims Processor 37750 41250 48000

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