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Medical Claims Processor in Milford, CT

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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Salary for Medical Claims Processor in Milford, CT

42280 - 53760

Low
42280
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
46200
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
53760
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 110880 127400 151480 Revenue Cycle Manager 98280 109480 120400 Revenue Cycle Supervisor 70280 85960 99960 Revenue Cycle Analyst 58800 75320 85960 Revenue Cycle Specialist 44800 49000 58800 Medical Claims Analyst 54040 66080 77280 Denials Specialist 49280 60480 71680 Medical Payment Poster 45920 52640 59360 Medical Billing Specialist 44800 49000 56560 Charge Entry Specialist 42280 46200 52920

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