Medical Claims Analyst Salary

Average Medical Claims Analysts in the United States make around $15.58 per hour. Female Medical Claims Analysts far outnumber their male contemporaries among survey respondents. A large number report receiving medical coverage from their employers and a fair number collect dental insurance. Most workers in this position report high levels of job satisfaction. The figures in this rundown are based on the results of PayScale's salary questionnaire.

$30,981 - $64,604
(Median)
$31K
$41K
$65K
MEDIAN: $41,088
10%
50%
90%

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$12.59 - $21.60
(Median)
$13
$16
$22
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
$30,981 - $64,604  
   
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).
)
$28,072 - $55,567  
Country: United States | Currency: USD | Updated: 20 Jun 2015 | Individuals Reporting: 104
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 - $21.60  
   
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).
)
$28,072 - $55,567  
Country: United States | Currency: USD | Updated: 20 Jun 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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Just a handful of professional skills are reported by Medical Claims Analysts who took the survey. Medical Terminology and Medical Coding are considered valuable skills and can increase employee pay by 7 percent and 4 percent, respectively.

Pay by Experience Level for Medical Claims Analyst

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


Experience does not seem to be a strong driver of pay increase in this role. 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 $38K on average — a distinctly larger sum. People with 10 to 20 years of experience make an average of about $39K in this role. As Medical Claims Analysts reach more than two decades on the job, compensation remains commensurate with experience; the average pay in this group is $44K.

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Experience Affects Medical Claims Analyst Salaries

Late-Career
up arrow 18%

Experienced
up arrow 6%

Mid-Career
up arrow 3%

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

Job Satisfaction

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

Gender

Female
84 %
Male
16 %

Years of Experience

Less than 1 year
3%
1-4 years
33%
5-9 years
25%
10-19 years
23%
20 years or more
16%

Common Health Benefits

medical benefits Medical: 86% dental benefits Dental: 80%
vision benefits Vision: 67% employee benefits None: 11%
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