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Claims Processor Healthcare

Claims Processor Healthcare Job Description

Claims processors must have claims adjudication experience and knowledge of CPTs, ICD-10 and billing guidelines for different types of healthcare coverage. Strong verbal and writing, Microsoft Office, research, and time-management skills are preferred. The position requires a high school diploma or the equivalent, as well as two to five years of claims processing and adjudication experience.

Typical claims processor duties:

Entering, processing and adjusting health claims in accordance with claims policies and proceduresHandling complex claimsReviewing, analyzing, and processing claims and policies to determine the extent of the company’s liability and entitlementResearching and analyzing claims issuesResponding to inquiries from customers and clients

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Salary for Claims Processor Healthcare
36250 - 46750
25th percentile
36250
The candidate is new to the role and building the needed skills, experience and autonomy.
50th percentile
40500
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
46750
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 84500 109750 130250 Medical Collections Manager/Supervisor 61500 75250 87500 Medical Collections Specialist 36250 41000 48250 Medical Billing Manager/Supervisor 60000 74250 84000 Medical Biller 37500 41750 48500 Revenue Cycle Analyst – Healthcare 50000 64000 73000 Denials Specialist – Healthcare 37250 43000 50250 Payment Poster – Healthcare 36750 41750 46250 Charge Entry Clerk – Healthcare 36500 40500 45500 Claims Examiner Analyst – Healthcare 47000 57750 67500

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