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Medical Claims Processor

Medical Claims Processor 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 medical claims processor 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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National salary range for Medical Claims Processor

37750 - 48000

Low
37750
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
41250
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
48000
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 Medical Claims Analyst 48250 59000 69000 Denials Specialist 44000 54000 64000 Medical Payment Poster 41000 47000 53000 Medical Billing Specialist 40000 43750 50500 Charge Entry Specialist 37750 41250 47250

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The salary benchmarks in the Salary Guide From Robert Half are the result of a rigorous, multistep process designed to reflect projected market trends for 2027. They are based on actual compensation for professionals Robert Half has placed nationwide, along with third-party job posting data from Textkernel that we use for independent validation. Learn more about our methodology.