Medical Claims Analyst Salary

An average Medical Claims Analyst in the United States can expect to take home roughly $15.91 per hour. Most report receiving medical coverage from their employers and a strong majority collect dental insurance. Medical Claims Analysts who responded to the questionnaire are largely women, dominating at 80 percent. Job satisfaction is high and work is enjoyable for most Medical Claims Analysts. This report is based on responses to the PayScale salary survey.

$30,748 - $62,084
(Median)
$31K
$41K
$62K
MEDIAN: $40,852
10%
50%
90%

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$12.87 - $21.51
(Median)
$13
$16
$22
MEDIAN: $15.00
10%
50%
90%

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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$21K$42K$63K
Salary
$30,748 - $62,084  
   
Bonus
$0.00 - $5,106  
Profit Sharing
$400.00  
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).
)
$28,175 - $53,940  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 96
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
$12.87 - $21.51  
   
Overtime
$18.47 - $31.97  
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 - $5,106  
   
Profit Sharing
$400.00  
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).
)
$28,175 - $53,940  
Country: United States | Currency: USD | Updated: 12 Jan 2016 | Individuals Reporting: 172
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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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Medical Claims Analysts usually report a few specific 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 seem to negatively impact pay include Claim Handling and Medical Terminology.

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. Relatively untried employees who have fewer than five years of experience earn around $35K on average. People who have worked for five to 10 years can expect a higher median salary of $37K. Medical Claims Analysts with one to two decades of relevant experience report an average salary of approximately $39K. Survey participants who have spent more than 20 years on the job report a predictably higher median income of $43K, demonstrating that compensation is roughly commensurate with experience in the end.

Related Job Salaries

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Experience Affects Medical Claims Analyst Salaries

Late-Career
up arrow 15%

Experienced
up arrow 4%

Mid-Career
0%

National Average
$37,000

Entry-Level
up arrow 6%

Skills That Affect Medical Claims Analyst Salaries

Medicaid & Medicare Billing
up arrow 5%

Medical Coding
up arrow 1%

National Average
$37,000

Medical Terminology
up arrow 5%

Claim Handling
up arrow 13%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 43 votes.

Gender

Female
80 %
Male
20 %

Years of Experience

Less than 1 year
4%
1-4 years
33%
5-9 years
25%
10-19 years
20%
20 years or more
18%

Common Health Benefits

medical benefits
Medical: 85%
dental benefits
Dental: 80%
medical benefits
Vision: 68%
dental benefits
None: 12%
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