Medical Claims Analyst Salary

The average Medical Claims Analyst in the United States earns approximately $15.58 per hour. There are far more female Medical Claims Analysts who answered the questionnaire than men, making up 83 percent. Most workers in this position report high levels of job satisfaction. A large number report receiving medical coverage from their employers and a fair number collect dental insurance. This report is based on answers to PayScale's salary questionnaire.

$30,961 - $64,693
(Median)
$31K
$41K
$65K
MEDIAN: $40,975
10%
50%
90%

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$12.59 - $21.49
(Median)
$13
$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
$30,961 - $64,693  
   
Bonus
$0.00 - $5,500  
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).
)
$28,036 - $55,380  
Country: United States | Currency: USD | Updated: 2 Jul 2015 | Individuals Reporting: 103
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
$12.59 - $21.49  
   
Overtime
$18.49 - $32.37  
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 - $5,500  
   
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).
)
$28,036 - $55,380  
Country: United States | Currency: USD | Updated: 2 Jul 2015 | Individuals Reporting: 156
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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 results show that Medical Claims Analysts typically report just a few professional skills. Medical Terminology and Medical Coding are considered valuable skills and can increase employee pay by 7 percent and 4 percent, respectively. 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.


Experience and pay tend to be weakly linked for Medical Claims Analysts — those with more experience do not necessarily bring in higher earnings. Those in the early stages of their career can expect to make around $33K; however, individuals with five to 10 years of experience bring in $37K on average — a distinctly larger sum. Medical Claims Analysts with one to two decades of relevant experience report an average salary of approximately $39K. Veterans who have worked for more than two decades do tend to make the most in the end; the median pay for this group is $43K.

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Experience Affects Medical Claims Analyst Salaries

Late-Career
up arrow 18%

Experienced
up arrow 5%

Mid-Career
up arrow 1%

National Average
$37,000

Entry-Level
up arrow 10%

Skills That Affect Medical Claims Analyst Salaries

Medical Terminology
up arrow 7%

Medical Coding
up arrow 4%

National Average
$37,000

Claim Handling
up arrow 9%

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
25%
10-19 years
23%
20 years or more
17%

Common Health Benefits

medical benefits Medical: 85% dental benefits Dental: 80%
vision benefits Vision: 68% employee benefits None: 11%
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