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Claims Examiner Analyst Healthcare in Wichita, KS

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

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Salary for Claims Examiner Analyst Healthcare in Wichita, KS
39010 - 56025
25th percentile
39010
The candidate is new to the role and building the needed skills, experience and autonomy.
50th percentile
47933
The candidate has the experience to perform core responsibilities without direct supervision and is comfortable with the role’s processes and subject matter.
75th percentile
56025
The candidate delivers value beyond the stated job duties, has advanced qualifications and experience, and is ready for the next career level.
Projected salaries for related positions Position title 25th percentile 50th percentile 75th percentile Revenue Cycle Director – Healthcare 70135 91093 108108 Medical Collections Manager/Supervisor 51045 62458 72625 Medical Collections Specialist 30088 34030 40048 Medical Billing Manager/Supervisor 49800 61628 69720 Medical Biller 31125 34653 40255 Revenue Cycle Analyst – Healthcare 41500 53120 60590 Denials Specialist – Healthcare 30918 35690 41708 Payment Poster – Healthcare 30503 34653 38388 Charge Entry Clerk – Healthcare 30295 33615 37765 Claims Processor – Healthcare 30088 33615 38803

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