Medical Claims Analyst Salary

Medical Claims Analysts in the United States take home an average $15.59 per hour. Women account for the majority of Medical Claims Analysts who took the survey — 83 percent to be exact. Most report receiving medical coverage from their employers and a strong majority collect dental insurance. The majority of workers are highly satisfied with their job.

$30,941 - $64,782

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$12.62 - $21.46

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National Salary Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$22K$44K$66K
Salary
$30,941 - $64,782  
   
Bonus
$0.00 - $5,781  
Profit Sharing
$0.00 - $4,250  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$28,059 - $55,274  
Country: United States | Currency: USD | Updated: 18 Jul 2015 | Individuals Reporting: 102
National Hourly Rate Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$11$22$33
Hourly Rate
$12.62 - $21.46  
   
Overtime
$18.49 - $32.37  
National Annualized Data (?
XAll compensation data shown are gross 10th to 90th percentile ranges. Take the PayScale Survey to find out how location influences pay for this job.
)
$0$22K$44K$66K
Bonus
$0.00 - $5,781  
   
Profit Sharing
$0.00 - $4,250  
Total Pay (?
XTotal Pay combines base annual salary or hourly wage, bonuses, profit sharing, tips, commissions, overtime pay and other forms of cash earnings, as applicable for this job. It does not include equity (stock) compensation, cash value of retirement benefits, or the value of other non-cash benefits (e.g. healthcare).
)
$28,059 - $55,274  
Country: United States | Currency: USD | Updated: 18 Jul 2015 | Individuals Reporting: 160
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Job Description for Medical Claims Analyst

Medical claims analysts typically work for insurance companies as the person who verifies or audits medical claims to ensure the accuracy of company reimbursement payments. They usually work at a computer workstation in an office environment. Because the job is highly computerized, many companies offer flexible, remote, or work-from-home shifts.

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Medical Claims Analyst Tasks

  • Create reports and documentation for regulatory bodies, lawyers and other groups.
  • Analyze database and contracts to make adjustments, report on current state and research claims.
  • Process denials, refunds, appeals and claim status.
  • Communicate with patients, payers and insurance to follow up and resolve claims.
  • Work with patients to set up payment plans and confirm coverage and claim status.

Medical Claims Analyst Job Listings

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Survey takers who work as Medical Claims Analysts report a focused set of job skills. Most notably, skills in Medicaid & Medicare Billing, Medical Coding, Medical Terminology, and Claim Handling are correlated to pay that is above average. Skills that pay less than market rate include Claim Handling.

Pay by Experience Level for Medical Claims Analyst

Median of all compensation (including tips, bonus, and overtime) by years of experience.


Medical Claims Analysts with more experience do not necessarily bring home bigger paychecks. In fact, experience in this field tends to impact compensation minimally. Salaries for inexperienced workers average out to $37K, and those with five to 10 years' experience earn a higher median of $34K. For Medical Claims Analysts, 10 to 20 years of experience on the job amounts to an average salary of $39K. As Medical Claims Analysts reach more than two decades on the job, compensation remains commensurate with experience; the average pay in this group is $43K.

Related Job Salaries

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Experience Affects Medical Claims Analyst Salaries

Late-Career
up arrow 17%

Experienced
up arrow 5%

Mid-Career
up arrow 1%

National Average
$37,000

Entry-Level
up arrow 9%

Skills That Affect Medical Claims Analyst Salaries

Medicaid & Medicare Billing
up arrow 6%

Medical Coding
up arrow 2%

National Average
$37,000

Medical Terminology
up arrow 2%

Claim Handling
up arrow 11%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 44 votes.

Gender

Female
83 %
Male
17 %

Years of Experience

Less than 1 year
3%
1-4 years
32%
5-9 years
26%
10-19 years
23%
20 years or more
17%

Common Health Benefits

medical benefits Medical: 85% dental benefits Dental: 78%
vision benefits Vision: 67% employee benefits None: 12%
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