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Medical Claims Processor in Boston, MA

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

Looking for a medical claims processor or a medical claims processor job?

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 processor.Search medical claims processor openings and apply now or submit your resume to be considered for opportunities that match your experience.

Salary for Medical Claims Processor in Boston, MA

50208 - 63840

Low
50208
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
54863
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
63840
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 131670 151288 179883 Revenue Cycle Manager 116708 130008 142975 Revenue Cycle Supervisor 83458 102078 118703 Revenue Cycle Analyst 69825 89443 102078 Revenue Cycle Specialist 53200 58188 69825 Medical Claims Analyst 64173 78470 91770 Denials Specialist 58520 71820 85120 Medical Payment Poster 54530 62510 70490 Medical Billing Specialist 53200 58188 67165 Charge Entry Specialist 50208 54863 62843

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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.
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