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Entry Level Medical Claims Analyst Jobs (NOW HIRING)

Pay Range:$31.83 - $44.56 The Medical Claims Analyst is responsible for supporting the accuracy, completeness, and compliance of medical claims processing and related Purchased/Referred Care (PRC ...

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RN/Medical Claims Analyst

Houston, TX · Remote

$32.50 - $34/hr

Responsibilities may include additional research on medical claims data and other sources of information to identify problems and utilize a variety of tools to detect situations of potential fraud ...

... package includes medical, dental, vision, disability, parking stipend, 401-K, generous PTO ... Duties Analyze Claims in accordance with Review procedures. Take a proactive approach to claims ...

... package includes medical, dental, vision, disability, parking stipend, 401-K, generous PTO ... Duties Analyze Claims in accordance with Review procedures. Take a proactive approach to claims ...

Able to juggle and prioritize workloads, have strong analytical skills. * Knowledgeable about medical claims processing, minimum 1 year. * Strong verbally and in writing, including interpersonal ...

Claims Analyst

Boston, MA · On-site

$24 - $29/hr

Insight Global's client is seeking a detail-oriented Claims Analyst to support a growing plastic ... This individual will join a high-volume medical billing and revenue cycle team, focusing on ...

Obtain all pertinent information from Insured (s) regarding the service of legal papers and medical ... Collaborate with Claims Analyst / Management on the review of legal and vendor invoices received ...

Obtain all pertinent information from Insured (s) regarding the service of legal papers and medical ... Collaborate with Claims Analyst / Management on the review of legal and vendor invoices received ...

Claims Analyst

Scottsdale, AZ · On-site

$22 - $24/hr

Job Summary Our client is seeking a Claims Analyst responsible for managing, reviewing, and ... Prior experience in health insurance claims processing or medical claims management. * Strong ...

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Entry Level Medical Claims Analyst information

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How much do entry level medical claims analyst jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for entry level medical claims analyst in the United States is $25.11, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $25.24 per hour, depending on experience, location, and employer.

What does an entry level medical claims analyst do?

An Entry Level Medical Claims Analyst is responsible for reviewing, processing, and evaluating medical insurance claims to ensure accuracy and compliance with policy and regulatory requirements. They verify patient and billing information, determine coverage, and communicate with healthcare providers or policyholders to resolve discrepancies. This role involves data entry, attention to detail, and learning about medical codes and insurance procedures. Entry level analysts often work under supervision and receive training to develop their expertise.

What are some common challenges faced by entry level medical claims analysts, and how can they be managed effectively?

Entry level medical claims analysts often encounter challenges such as interpreting complex insurance policies, keeping up with frequent regulatory changes, and accurately processing a high volume of claims within tight deadlines. To manage these effectively, it's important to develop strong organizational skills, familiarize yourself with industry-specific terminology, and proactively seek guidance from experienced colleagues. Many organizations provide on-the-job training and encourage collaboration, which can help new analysts build confidence and accuracy in their role.

What are the key skills and qualifications needed to thrive as an entry level medical claims analyst?

To thrive as an Entry Level Medical Claims Analyst, you need a basic understanding of healthcare terminology, insurance guidelines, and claims processing, often supported by a high school diploma or associate degree. Familiarity with claims management software, Microsoft Office Suite, and sometimes ICD-10/CPT coding systems is typically required. Attention to detail, analytical thinking, and effective communication are valuable soft skills for this position. These skills ensure accurate claims review, minimize errors, and facilitate timely processing, which are essential for organizational efficiency and customer satisfaction.
More about Entry Level Medical Claims Analyst jobs
What cities are hiring for Entry Level Medical Claims Analyst jobs? Cities with the most Entry Level Medical Claims Analyst job openings:
What are the most commonly searched types of Medical Claims Analyst jobs? The most popular types of Medical Claims Analyst jobs are:
What states have the most Entry Level Medical Claims Analyst jobs? States with the most job openings for Entry Level Medical Claims Analyst jobs include:
What job categories do people searching Entry Level Medical Claims Analyst jobs look for? The top searched job categories for Entry Level Medical Claims Analyst jobs are:
Infographic showing various Entry Level Medical Claims Analyst job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 83% Physical, 7% Hybrid, and 10% Remote job distribution, with an average salary of $52,237 per year, or $25.1 per hour.

$31.83 - $44.56/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago


Southeast Alaska Regional Health Consortium rating

8.0

Company rating: 8.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz


Job description

Pay Range:
Pay Range:$31.83 - $44.56The Medical Claims Analyst is responsible for supporting the accuracy, completeness, and compliance of medical claims processing and related Purchased/Referred Care (PRC) activities across the organization. This role performs claims review and processing, eligibility verification, referral validation, payment research, system administration, workflow support, and data integrity monitoring to ensure authorized services are processed accurately and timely. The position partners with PRC leadership, Finance, providers, internal departments, and external vendors to resolve complex claims issues, support reporting needs, improve claims processing workflows, and strengthen operational performance. Additionally, the role supports training, special projects, system upgrades, audit preparation, policy updates, and process improvement initiatives that advance PRC program compliance, provider communication, and financial decision-making.
SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.
Working at SEARHC is more than a job, it's a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.
Key Essential Functions and Accountabilities of the Job
  • Performs all duties of the Medical Claims Specialist role, including review, screening, eligibility verification, alternate health resource verification, referral validation, claim processing, claims research, customer service, and interpretation of PRC Program regulations, policies, and procedures for internal and external customers.
  • Serves as the system administrator for the PRC claims processing platform, including user access coordination, system configuration support, workflow maintenance, issue tracking, testing, troubleshooting, and coordination with internal departments and external vendors as needed.
  • Maintains data integrity within the claims processing system by monitoring claim data, validating system outputs, supporting timely correction of errors, and identifying opportunities to improve accuracy, efficiency, and consistency in claims processing workflows.
  • Develops and supports training for providers, PRC staff, internal departments, and other key stakeholders on claims submission requirements, claims status processes, system workflows, documentation expectations, and applicable PRC policies and procedures.
  • Supports reporting projects for finance leadership and the executive team by gathering, validating, analyzing, and summarizing claims data, utilization trends, outstanding liabilities, denial activity, payment status, and other information needed for operational, financial, and strategic decision-making.
  • Partners with PRC leadership, Finance, providers, and other stakeholders to resolve complex claims issues, improve claims processing workflows, support provider communication, and ensure accurate and timely payment of authorized services.
  • Assists with special projects, process improvement initiatives, system upgrades, audit support, policy updates, and other duties as assigned.

Additional Job Description
Education, Certifications, and Licenses Required
  • High school diploma or equivalent required.
  • Medical terminology course required or 1 year of documented experience in a medical field requiring consistent use of medical terminology.
  • Bachelors degree in health care administration, business, finance, information systems, or related field preferred.

Experience Required
  • 2 years of data entry experience with basic knowledge of accounts payable processing, MS Excel, and MS Word software applications.
  • 4 years of business, medical office, claims processing, revenue cycle, health care finance, or related experience OR an equivalent combination of education and experience.
  • Experience processing medical claims in a tribal health organization preferred.
  • Experience with claims processing systems, system administration, reporting, training, workflow support, or process improvement preferred.
  • Medical coding background preferred.

Knowledge of
  • State, federal, and tribal health care programs.
  • Medical insurance process.
  • PRC Program regulations, policies, and procedures.
  • ICD, CPT, revenue, and diagnosis coding.
  • Claims processing systems, data entry standards, workflow controls, and system integrity practices.
  • Basic reporting concepts, data validation, and financial or operational analysis.

Skills in
  • Interpreting state, federal, and tribal contract health care guidelines.
  • Research, problem solving, claims analysis, and issue resolution.
  • Using claims processing systems, MS Excel, MS Word, and related reporting tools.
  • Training, presenting information, and communicating technical or process information to providers, staff, and other stakeholders.
  • Oral/written interpersonal communication and excellent customer service skills.

Ability to
  • Ability to multitask and manage competing priorities.
  • Ability to enter, review, and analyze large volumes of data timely and accurately.
  • Ability to work independently with minimal supervision and exercise sound judgment in resolving claims and system-related issues.
  • Ability to support users, troubleshoot workflow issues, and coordinate system-related follow-up with internal and external stakeholders.
  • Ability to prepare clear, accurate, and timely reporting to support finance leadership and executive decision-making.
  • Ability to respond quickly in urgent situations with attention to detail.

Required Certifications:
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

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