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Medical Claims Analyst Salary

An average Medical Claims Analyst in the United States can expect to take home roughly $15.53 per hour. Most Medical Claims Analysts are fairly content with their jobs, and work satisfaction falls in line with the national average. Most enjoy medical while a strong majority get dental coverage. Vision coverage is also available to the larger part. The vast majority of Medical Claims Analysts (84 percent) who participated in the survey are women. This report is based on responses to the PayScale salary survey.

$30,848 - $64,984
(Median)
$31K
$42K
$65K
MEDIAN: $41,774
10%
50%
90%

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$12.43 - $21.44
(Median)
$12
$16
$21
MEDIAN: $15.00
10%
50%
90%

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National Salary Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$22K$44K$66K
Salary
$30,848 - $64,984  
   
Bonus
$0.00 - $6,061  
Profit Sharing
$250.00 - $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).
)
$27,742 - $55,133  
Country: United States | Currency: USD | Updated: 31 Mar 2015 | Individuals Reporting: 93
National Hourly Rate Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$11$22$33
Hourly Rate
$12.43 - $21.44  
   
Overtime
$18.30 - $32.32  
National Annualized Data (?
XAll compensation data shown are gross, national 10th to 90th percentile ranges. Pay can vary greatly by location. To view local data, take the PayScale survey.
)
$0$22K$44K$66K
Bonus
$0.00 - $6,061  
   
Profit Sharing
$250.00 - $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).
)
$27,742 - $55,133  
Country: United States | Currency: USD | Updated: 31 Mar 2015 | Individuals Reporting: 153

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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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Pay by Experience Level for Medical Claims Analyst

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


For Medical Claims Analysts, more experience in the field does not usually mean bigger paychecks. Respondents with less than five years' experience take home $33K on average. In contrast, those who have been around for five to 10 years earn a noticeably higher average of $38K. People with 10 to 20 years of experience make an average of about $39K in this role. In the end, the overall pattern seems to be that more experience generally corresponds to higher pay; a Medical Claims Analyst with more than 20 years of experience can earn $44K on average.

Related Job Salaries

United States (change)

Experience Affects Medical Claims Analyst Salaries

Late-Career
up arrow 20%

Experienced
up arrow 7%

Mid-Career
up arrow 3%

National Average
$37,000

Entry-Level
up arrow 10%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 42 votes.

Gender

Female
84 %
Male
16 %

Years of Experience

Less than 1 year
3%
1-4 years
33%
5-9 years
26%
10-19 years
23%
20 years or more
15%

Common Health Benefits

medical benefits Medical: 87% dental benefits Dental: 79%
vision benefits Vision: 66% employee benefits None: 10%