Claims Examiner Analyst Healthcare

Claims Examiner Analyst Healthcare Job Description

These professionals must have knowledge of standard claims coding and the ability to process all claim types, as well as experience with healthcare benefits structures and insurance procedures. Candidates should have strong writing and verbal skills and be proficient with Microsoft Office and familiar with HIPAA provisions. An associate’s degree or commensurate work experience is required.

Typical claims examiner analyst duties:

Reviewing and evaluating incoming claims for appropriate coding against the charges that are being billedDetermining the level of reimbursement based on established criteria, provider contract or plan provisionsDenying all claims ineligible for payment and entering coding informationIdentifying and reporting inaccuracies that are related to system configuration, benefit inconsistency and fee schedulesIdentifying circumstances that require claim payment, development or denial and producing the appropriate corresponding outcomes

Looking for a claims examiner analyst or a claims examiner analyst job?

Submit your resume or request talent now and our expert recruiters will be with you shortly.Robert Half can assist you with your claims examiner analyst recruitment needs.
Benefit Functions
Claim Administration
Computer Programs
Customer Service
Data Processing
IBM AS/400
Insurance
Liability
Management System
Medical Claims
Salary for Claims Examiner Analyst Healthcare
47000 - 67500
25th percentile
47000
New to the role, with little or no experience; requires more than casual instruction or supervision to perform day-to-day duties
50th percentile
57750
Has the experience to consistently perform core responsibilities without direct supervision; very comfortable with processes and subject matter associated with the role
75th percentile
67500
Value to the organization goes far beyond the ability to perform normal job duties; has rare qualifications that enable consistent contribution in unique ways; ready for next career level when available
Projected salaries for related positions Position title 25th percentile 50th percentile 75th percentile Revenue Cycle Director – Healthcare 84500 109750 130250 Medical Billing Manager/Supervisor 57000 70500 79750 Medical Collections Manager/Supervisor 57750 70750 82000 Revenue Cycle Analyst – Healthcare 49750 63750 72750 Medical Biller 34750 40750 47500 Denials Specialist – Healthcare 35000 41250 49000 Medical Collections Specialist 34750 40250 47250 Payment Poster – Healthcare 33500 39000 45750 Charge Entry Clerk – Healthcare 32250 37500 45250 Claims Processor – Healthcare 33750 39750 46000

Newest Claims Examiner Analyst Healthcare jobs

Claims Examiner-Lost Time Claims Examiner-Lost Time Medical Claims Specialist Medical Claims Representative See More

Hiring? Start here.

Access millions of skilled contract and permanent candidates at every level from support roles to C-suite, and pinpoint the talent you need using our industry-leading matching technology.
Robert Half Inc. An Equal Opportunity Employer M/F/Disability/Veterans.   Do Not Sell or Share My Personal Information Australia - English Belgium - English Belgium - Nederlands Belgium - Français Brazil - Português Canada - English Canada - Français Chile - Español China - English China - 中文 France - Français Germany - Deutsch Hong Kong, China - English Ireland - English Japan - English Japan - 日本語 Luxembourg - Français Luxembourg - English Netherlands - English Netherlands - Nederlands New Zealand - English Singapore - English Switzerland - Deutsch Switzerland - English Switzerland - Français United Arab Emirates - English United Kingdom - English United States - English