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Healthcare Claim Analyst Jobs (NOW HIRING)

Claims Analyst

San Antonio, TX · On-site

$20.30 - $33/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

Claims Analyst

San Antonio, TX · On-site

$19.80 - $31.25/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

Claims Analyst

San Antonio, TX · On-site

$19.80 - $31.25/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

As an EDI Analyst, you will be responsible for the development, implementation and ongoing ... The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835 ...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

Claims Analyst

Brookfield, WI · Remote

$19.25/hr

Verify claim accuracy, completeness, and compliance with billing standards. * Research and gather ... Experience processing or adjudicating healthcare claims preferred. * Strong problem-solving and ...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

Claims Analyst

San Antonio, TX · On-site

$19.80 - $31.25/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

Claims Analyst

San Antonio, TX · On-site

$20.30 - $33/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and ...

... claim. Analyst must also assist in determining cause for manual intervention, then assist in ... Determine and apply appropriate health plan benefits and update claims for payment * Ensure timely ...

As an EDI Analyst, you will be responsible for the development, implementation and ongoing ... The EDI Specialist works with claims and payment teams on the HIPAA 837 -Health Care Claim and 835 ...

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Healthcare Claim Analyst information

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$27

$51

How much do healthcare claim analyst jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for healthcare claim analyst in the United States is $27.39, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $31.49 per hour, depending on experience, location, and employer.

What does a healthcare claim analyst do?

A Healthcare Claim Analyst reviews and processes medical insurance claims to ensure they are accurate, complete, and compliant with policy guidelines. They analyze claim forms, verify patient and provider information, and determine the validity of the claim based on insurance policies and regulations. Analysts also communicate with healthcare providers, patients, and insurance companies to resolve discrepancies or obtain additional information. Their work helps prevent fraud and ensures timely claim payments or denials.

What are the key skills and qualifications needed to thrive as a healthcare claim analyst?

To thrive as a Healthcare Claim Analyst, you need a strong understanding of medical billing, insurance policies, and claims processing, typically supported by a degree in healthcare administration or a related field. Familiarity with claims management software, medical coding systems (such as ICD-10 and CPT), and sometimes certification like Certified Professional Coder (CPC) is advantageous. Attention to detail, analytical thinking, and effective communication are crucial soft skills for reviewing claims and resolving discrepancies. These skills and qualifications are vital to ensure accurate claim adjudication, minimize errors, and maintain compliance with healthcare regulations.

What are some common challenges healthcare claim analysts face when working with insurance providers?

Healthcare Claim Analysts often encounter challenges such as navigating complex insurance policies, ensuring timely claim processing, and resolving discrepancies between providers and payers. They must be detail-oriented to catch errors in billing codes or documentation, which can delay approvals or lead to claim denials. Effective communication and persistence are key, as analysts regularly collaborate with healthcare providers, insurance representatives, and sometimes patients to clarify information and expedite resolutions.

What is the difference between Healthcare Claim Analyst vs Medical Billing Specialist?

AspectHealthcare Claim AnalystMedical Billing Specialist
CredentialsTypically requires a certification like CPC or CCS, and knowledge of insurance policiesOften requires certification such as CPC, with focus on billing procedures
Work EnvironmentWorks in healthcare offices, insurance companies, or third-party payersWorks mainly in medical offices or billing companies
Job FocusAnalyzes and reviews insurance claims for accuracy and compliancePrepares and submits medical bills to insurance companies and patients
Common UsageUsed in insurance and healthcare analysis contextsUsed in medical practice billing processes

While both roles involve insurance claims and billing processes, Healthcare Claim Analysts focus on reviewing and analyzing claims for accuracy and compliance, often requiring analytical skills and certifications. Medical Billing Specialists primarily handle the preparation and submission of bills, emphasizing billing procedures and documentation. Both roles are essential in healthcare revenue cycle management but serve different functions within the billing and claims process.

What cities are hiring for Healthcare Claim Analyst jobs?

Cities with the most Healthcare Claim Analyst job openings:

What states have the most Healthcare Claim Analyst jobs?

States with the most job openings for Healthcare Claim Analyst jobs include:

What are popular job titles related to Healthcare Claim Analyst jobs?

For Healthcare Claim Analyst jobs, the most frequently searched job titles are:

Claims Analyst

San Antonio, TX • On-site

$20.30 - $33/hr

Full-time

Re-posted 8 days ago


University Health System (San Antonio) rating

8.0

Company rating: 8.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz


Job description

POSITION SUMMARY/RESPONSIBILITIES
Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication. Perform in accordance with company standards and policies. Promote harmonious relationships within own department, with other departments and within CFHP. Operate under limited supervision.
EDUCATION/EXPERIENCE
High school diploma or GED equivalent is required. Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.

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