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Medical Claims Processor in Seattle, WA

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 Seattle, WA

49075 - 62400

Low
49075
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
53625
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
62400
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 128700 147875 175825 Revenue Cycle Manager 114075 127075 139750 Revenue Cycle Supervisor 81575 99775 116025 Revenue Cycle Analyst 68250 87425 99775 Revenue Cycle Specialist 52000 56875 68250 Medical Claims Analyst 62725 76700 89700 Denials Specialist 57200 70200 83200 Medical Payment Poster 53300 61100 68900 Medical Billing Specialist 52000 56875 65650 Charge Entry Specialist 49075 53625 61425

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