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Medical Claims Processor in Phoenix, AZ

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 Phoenix, AZ

42658 - 54240

Low
42658
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
46613
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
54240
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 111870 128538 152833 Revenue Cycle Manager 99158 110458 121475 Revenue Cycle Supervisor 70908 86728 100853 Revenue Cycle Analyst 59325 75993 86728 Revenue Cycle Specialist 45200 49438 59325 Medical Claims Analyst 54523 66670 77970 Denials Specialist 49720 61020 72320 Medical Payment Poster 46330 53110 59890 Medical Billing Specialist 45200 49438 57065 Charge Entry Specialist 42658 46613 53393

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