Median pay for Medical Claims Analysts in the United States is around $16.75 per hour. Job satisfaction for Medical Claims Analysts is high. A large number report receiving medical coverage from their employers and a fair number collect dental insurance. Among survey respondents, women are more common than men; 82 percent of Medical Claims Analysts are female.

$31,352 - $59,572
(Median)
$31K
$40K
$60K
MEDIAN: $40,063
10%
50%
90%

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$13.46 - $20.95
(Median)
$13
$17
$21
MEDIAN: $16.00
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$20K$40K$60K
Salary
$31,352 - $59,572  
   
Bonus
$0.00 - $4,966  
Profit Sharing
$393.05  
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).
)
$29,045 - $52,490  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 56
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
$13.46 - $20.95  
   
Overtime
$20.66 - $30.60  
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 - $4,966  
   
Profit Sharing
$393.05  
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).
)
$29,045 - $52,490  
Country: United States | Currency: USD | Updated: 28 Oct 2016 | Individuals Reporting: 124
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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.


Medical Claims Analysts with more experience do not necessarily bring home bigger paychecks. In fact, experience in this field tends to impact compensation minimally. The average worker who claims fewer than five years of experience earns around $36K. In contrast, however, individuals who report five to 10 years in this occupation see a much larger median of $38K. People with 10 to 20 years of experience make an average of about $39K in this role. Medical Claims Analysts who have stuck around for more than two decades see earnings that are only slightly higher than those of folks who have worked for 10 to 20 years; the more senior group makes around $40K on average.

Related Job Salaries

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Experience Affects Medical Claims Analyst Salaries

Late-Career
up arrow 6%

Experienced
up arrow 4%

Mid-Career
up arrow 1%

National Average
$38,000

Entry-Level
up arrow 4%

Skills That Affect Medical Claims Analyst Salaries

Medical Terminology
up arrow 5%

Medicaid & Medicare Billing
up arrow 4%

Medical Coding
up arrow 1%

National Average
$38,000

Claim Handling
up arrow 4%

Job Satisfaction

Highly satisfied
Rated 4 out of 5
based on 20 votes.

Gender

Female
82 %
Male
18 %

Years of Experience

Less than 1 year
6%
1-4 years
31%
5-9 years
23%
10-19 years
24%
20 years or more
16%

Common Health Benefits

medical benefits
Medical: 82%
dental benefits
Dental: 77%
medical benefits
Vision: 65%
dental benefits
None: 16%
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