Medical Claims Analyst Location : Scottsdale, AZ Hiring Mode : Contract Review the scanned paper claims document and extracted information in an OCR application to ensure that there is no missing or ...
Medical Claims Analyst Location : Scottsdale, AZ Hiring Mode : Contract Review the scanned paper claims document and extracted information in an OCR application to ensure that there is no missing or ...
ESIS Medical Claims Analyst
Southfield, MI · On-site
ESIS is seeking an experienced workers' compensation Medical Claims Analyst for the Southfield MI. The person in this role will handle and maintain Medical Only Workers' Compensation claims and file ...
ESIS Medical Claims Analyst
Southfield, MI · On-site
ESIS is seeking an experienced workers' compensation Medical Claims Analyst for the Southfield MI. The person in this role will handle and maintain Medical Only Workers' Compensation claims and file ...
Conducts analysis around various claims payment processes to ensure accuracy of system ... Looking for medical claims experience for these position. * Top Three: Claims knowledge, efficient ...
Conducts analysis around various claims payment processes to ensure accuracy of system ... Looking for medical claims experience for these position. * Top Three: Claims knowledge, efficient ...
MEDICAL CLAIMS ANALYST (FULL-TIME / REMOTE / HYBRID) This is a full-time position with a hybrid remote work arrangement in our Sheboygan, WI location. No weekends, holidays or on-call rotations.
MEDICAL CLAIMS ANALYST (FULL-TIME / REMOTE / HYBRID) This is a full-time position with a hybrid remote work arrangement in our Sheboygan, WI location. No weekends, holidays or on-call rotations.
Medical Claims Coder
Tucson, AZ · On-site
Medical Claims Coder, Tucson, AZ Under general supervision from the Director of Operations, the ... Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor ...
Medical Claims Coder
Tucson, AZ · On-site
Medical Claims Coder, Tucson, AZ Under general supervision from the Director of Operations, the ... Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor ...
Medical Claims Coder
Tucson, AZ · On-site
Medical Claims Coder, Tucson, AZ The Medical Claims Coder needs experience with ICD-10, Current ... Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor ...
Medical Claims Coder
Tucson, AZ · On-site
Medical Claims Coder, Tucson, AZ The Medical Claims Coder needs experience with ICD-10, Current ... Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor ...
Medical Claims Examiner
Tucson, AZ · On-site
Medical Claims Examiner, Tucson, AZ Under general supervision from the Director of Operations, the ... Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor ...
Medical Claims Examiner
Tucson, AZ · On-site
Medical Claims Examiner, Tucson, AZ Under general supervision from the Director of Operations, the ... Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor ...
Medical Claims Examiner
Tucson, AZ · On-site
Medical Claims Examiner, Tucson, AZ The Medical Claims Examiner needs experience with ICD-10, ... Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor ...
Medical Claims Examiner
Tucson, AZ · On-site
Medical Claims Examiner, Tucson, AZ The Medical Claims Examiner needs experience with ICD-10, ... Conduct research and analysis of claims; facilitate resolution of specific claims issues. Monitor ...
Medical Claims Examiner
Tucson, AZ · On-site
The Medical Claims Examiner is also responsible for monitoring copays, deductibles, insurance verification, and authorizations, analyzing incoming and outgoing revenue sources and measuring different ...
Medical Claims Examiner
Tucson, AZ · On-site
The Medical Claims Examiner is also responsible for monitoring copays, deductibles, insurance verification, and authorizations, analyzing incoming and outgoing revenue sources and measuring different ...
Claims Analyst
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Quick apply
Claims Analyst
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Claims Analyst
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Quick apply
Claims Analyst
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Claims Analyst
$21.83/hr
Vision insurance Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and ...
Quick apply
Claims Analyst
$21.83/hr
Vision insurance Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and ...
Senior Claims Examiner
Monterey Park, CA · On-site
Company Description The Claims Analyst is responsible for analyzing and adjudicating medical claims. Performs payment reconciliations and/or adjustments related to retroactive contract rate and fee ...
Senior Claims Examiner
Monterey Park, CA · On-site
Company Description The Claims Analyst is responsible for analyzing and adjudicating medical claims. Performs payment reconciliations and/or adjustments related to retroactive contract rate and fee ...
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Medical Claims Eligibility Specialist II-Hybrid
Houston, TX · On-site
$23 - $25/hr
The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established ...
Quick apply
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Medical Claims Eligibility Specialist II-Hybrid
Houston, TX · On-site
$23 - $25/hr
The Medical Claims Eligibility Specialist II will be responsible for analyzing level II claims information to determine eligibility in the dispute resolution process in accordance with established ...
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Medical Claims Specialist
Waterbury, CT · On-site
$17 - $24/hr
Position Summary The Medical Claims Specialist is responsible for the accurate and timely ... Analytical and problem-solving skills for denial resolution and accounts reconciliation * Effective ...
Urgent
Quick apply
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Medical Claims Specialist
Waterbury, CT · On-site
$17 - $24/hr
Position Summary The Medical Claims Specialist is responsible for the accurate and timely ... Analytical and problem-solving skills for denial resolution and accounts reconciliation * Effective ...
Urgent
Be Seen First
Medical Claims Specialist
Waterbury, CT · On-site
$17 - $24/hr
Position Summary The Medical Claims Specialist is responsible for the accurate and timely ... Analytical and problem-solving skills for denial resolution and accounts reconciliation * Effective ...
Urgent
Quick apply
Be Seen First
Medical Claims Specialist
Waterbury, CT · On-site
$17 - $24/hr
Position Summary The Medical Claims Specialist is responsible for the accurate and timely ... Analytical and problem-solving skills for denial resolution and accounts reconciliation * Effective ...
Urgent
Claims Analyst I
Syracuse, NY · On-site
Looking for medical claims experience for these position Top Three: Claims knowledge, efficient and ... Conducts analysis around various claims payment processes to ensure accuracy of system ...
Claims Analyst I
Syracuse, NY · On-site
Looking for medical claims experience for these position Top Three: Claims knowledge, efficient and ... Conducts analysis around various claims payment processes to ensure accuracy of system ...
Able to juggle and prioritize workloads, have strong analytical skills * Experienced. Knowledgeable about medical claims processing, minimum 1 year * Communicator. Strong verbally and in writing ...
Able to juggle and prioritize workloads, have strong analytical skills * Experienced. Knowledgeable about medical claims processing, minimum 1 year * Communicator. Strong verbally and in writing ...
Medical Claims Processor
$34.30/hr
Able to juggle and prioritize workloads, have strong analytical skills * Experienced. Knowledgeable about medical claims processing, minimum 1 year * Communicator. Strong verbally and in writing ...
Medical Claims Processor
$34.30/hr
Able to juggle and prioritize workloads, have strong analytical skills * Experienced. Knowledgeable about medical claims processing, minimum 1 year * Communicator. Strong verbally and in writing ...
Medical Claims Review Nurse
Atlanta, GA · On-site
Responsibilities: o Analyzing claims issues for claims pended to Medical Review o Performing evidence-based research o Determining whether claims issues can be resolved internally or require client ...
New
Medical Claims Review Nurse
Atlanta, GA · On-site
Responsibilities: o Analyzing claims issues for claims pended to Medical Review o Performing evidence-based research o Determining whether claims issues can be resolved internally or require client ...
New
Medical Claims Analyst information
See salary details
$15.63 - $17.94
16% of jobs
$18.76 is the 25th percentile. Wages below this are outliers.
$17.94 - $20.26
26% of jobs
The median wage is $20.94 / hr.
$20.26 - $22.57
29% of jobs
$23.62 is the 75th percentile. Wages above this are outliers.
$22.57 - $24.89
11% of jobs
$24.89 - $27.21
5% of jobs
$27.21 - $29.52
1% of jobs
$29.52 - $31.84
1% of jobs
$31.84 - $34.16
4% of jobs
$34.16 - $36.47
1% of jobs
$36.47 - $38.79
4% of jobs
$38.79 - $41.11
2% of jobs
$15
$25
$41
How much do medical claims analyst jobs pay per hour?
As of Jun 13, 2026, the average hourly pay for 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 a Medical Claims Analyst Do?
As a medical claims analyst, your responsibilities revolve around healthcare reimbursement, where you audit medical claims to ensure company reimbursement payments are accurate and reprice claims according to hospital payment schedules and Medicare reimbursement, which can be done manually or using computer software. You monitor electronic claims utilizing a processing system and provide detailed reporting on data such as claims volume, savings, and billed charges. You are expected to provide excellent customer service when working with customers and hospitals to resolve insurance claim issues, answer questions, and provide solutions to other problems related to medical claims. Other duties include abiding by all healthcare industry policies and regulations, staying updated on changing laws, and collaborating with the claims team to identify process gaps and improve your procedures.
What does a medical claims analyst do?
A medical claims analyst reviews and processes healthcare insurance claims to ensure accuracy, compliance, and proper reimbursement. They analyze claim data, identify errors or discrepancies, and work with healthcare providers and insurance companies to resolve issues, often using claims processing software and adhering to industry regulations.
What are some common challenges faced by Medical Claims Analysts and how can they be addressed?
Medical Claims Analysts often encounter challenges such as interpreting complex medical codes, identifying discrepancies in claims, and navigating frequent changes in insurance policies and regulations. Staying current with coding standards (like ICD-10 and CPT) and maintaining strong attention to detail are crucial for accuracy. Effective communication with healthcare providers and insurance companies also helps resolve ambiguities quickly. Regular training and collaboration with experienced colleagues can further enhance problem-solving skills and adaptability in this dynamic role.
Is an analyst a high paying job?
The salary of a Medical Claims Analyst varies by location, experience, and employer, but generally it is considered an entry- to mid-level position with average salaries ranging from $40,000 to $60,000 annually. Advanced certifications or specialized skills in healthcare billing and coding can lead to higher pay. Overall, it is not typically classified as a high-paying job compared to other healthcare roles, but it offers stable employment and growth opportunities.
What are the key skills and qualifications needed to thrive as a Medical Claims Analyst, and why are they important?
To thrive as a Medical Claims Analyst, you need a solid understanding of medical terminology, health insurance policies, and claims processing, often 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 typically required. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately reviewing and processing claims. These skills ensure the correct adjudication of claims, minimize errors or fraud, and contribute to efficient healthcare reimbursement processes.
How much do claims analysts make in the US?
Medical claims analysts in the US typically earn a median annual salary of around $45,000 to $65,000, depending on experience, location, and certifications. Entry-level positions may start lower, while experienced analysts or those with specialized skills can earn higher salaries. Many roles also offer benefits such as health insurance and opportunities for career advancement.
What is the difference between Medical Claims Analyst vs Medical Billing Specialist?
| Aspect | Medical Claims Analyst | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires a certification like CPC or CCS | Often requires certification but less frequently |
| Work Environment | Insurance companies, healthcare providers, or third-party administrators | Medical offices, clinics, or billing companies |
| Job Focus | Analyzing and processing insurance claims, ensuring accuracy | Preparing and submitting patient bills, following up on payments |
| Common Usage | Used in insurance and healthcare administration | Used in healthcare provider billing departments |
While both roles involve handling healthcare financial processes, Medical Claims Analysts focus on reviewing and processing insurance claims for accuracy and reimbursement, often requiring analytical skills and certifications. Medical Billing Specialists primarily handle the creation and submission of patient bills and follow-up, emphasizing billing procedures and customer service. Understanding these differences helps job seekers identify the right career path in healthcare finance.
What is a claims analyst?
A claims analyst is a professional who reviews and processes insurance claims, ensuring accuracy and compliance with policies. They often use specialized software and require knowledge of insurance regulations, with attention to detail and analytical skills being essential for the role.
More about Medical Claims Analyst jobs
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What are popular job titles related to Medical Claims Analyst jobs? For Medical Claims Analyst jobs, the most frequently searched job titles are:
Job description
Job Description
Job Title : Medical Claims Analyst
Location : Scottsdale, AZ
Hiring Mode : Contract
Job Description
Review the scanned paper claims document and extracted information in an OCR application to ensure that there is no missing or incomplete information
Review couple of claims systems to identify the missing information and accurately capture the data/information necessary for processing
Correct the data elements extracted in OCR Application for self-learning where needed
Validate the claims that fall out while pre-load batch job into adjudication system, correct and re-load.
Additional Information
All your information will be kept confidential according to EEO guidelines.
About KRG Technologies
Sourced by ZipRecruiter
KRG Technologies was founded with a simple motive of offering the clients exactly what they want, how they want and when they want. By leveraging for its clients its technological edge and right-sourcing advantage, KRG in a short period of time has grown to become one of the most trusted strategic technology partners. Treating every client as the top priority, we customize our solutions and services to align with the unique needs of each client. Headquartered in Valencia, California, KRG employs a unique global delivery platform to minister its offerings spanning from application development and maintenance to business process reengineering. With years of hands-on domain experience and international presence, we offer state-of-the-art solutions backed by our follow-the-sun service model in the most cost effective manner. We value our clientele for the trust reposed in us and our clientele admire us for our personalized approach and deep commitment to their success. Our biggest strength lies in technical expertise of our team and individual competency of our employees, which enables us to be the most befitting solution provider.
Industry
It services
Company size
201 - 500 Employees
Headquarters location
Valencia, CA, US
Year founded
2003