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Medicare Claims Analyst Jobs (NOW HIRING)

Village Care

HealthCare Claims Analyst

Manhattan, NY · On-site

$65K - $72K/yr

Position: HealthCare Claims Analyst Location: Hybrid (Must Reside in NY/NJ/CT) Compensation: $65 ... Medicare guidelines. The ideal candidate should possess advanced SQL coding and Excel skills to ...

Village Care

HealthCare Claims Analyst

Manhattan, NY · On-site

$65K - $72K/yr

The Full-Time HealthCare Claims Analyst position at VillageCare requires a seasoned professional ... Medicare guidelines. The ideal candidate should possess advanced SQL coding and Excel skills to ...

WPS Health Solutions

Medicare Pricing Analyst

Madison, WI · On-site +1

Review Medicare Part A and Part B claims, including complex and specialty claims, to ensure proper ... Review, analyze, and provide feedback on Fee Schedule Disclosures and pricing articles, ensuring ...

New

Novacore

Claims Analyst, Managed Care

Conshohocken, PA · On-site

Claims Analyst, Managed Care The Managed Care Claims Analyst is a healthcare claims professional ... Proficiency with claim industry pricing methodology including Medicare DRG, RBRVS, transplant ...

New

Ennoble Care

Sr. Medical Economics Analyst

Marlton, NJ · Remote

Process and analyze large healthcare datasets, combining multiple data sources including EHR systems and Medicare claims data. * Ensure data quality and integrity across all analytical processes.

New

1 Legacy, Inc

Manager I Claims

Miami, FL

Assure timely and accurate processing of Medicare claims and encounters, and respond to provider ... Highly developed quantitative and qualitative analytical skills. Highly developed project ...

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Medicare Claims Analyst information

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How much do medicare claims analyst jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for medicare claims 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 Medicare Claims Analyst do?

A Medicare Claims Analyst reviews, processes, and evaluates Medicare claims to ensure they comply with government regulations and payer policies. They analyze medical records, verify patient eligibility, and assess claim accuracy to prevent fraud or errors. Additionally, they communicate with healthcare providers, insurance companies, and beneficiaries to resolve claim disputes or discrepancies. Their role helps ensure timely and accurate reimbursements while maintaining compliance with Medicare guidelines.

What skills and qualifications are needed to be a Medicare Claims Analyst?

To thrive as a Medicare Claims Analyst, you need strong analytical skills, a solid understanding of medical billing and coding, and familiarity with Medicare regulations, often supported by a relevant degree or certification such as Certified Professional Coder (CPC). Experience with claims management software, electronic health records (EHRs), and Medicare processing systems is typically required. Attention to detail, critical thinking, and clear communication are standout soft skills in this field. These capabilities are crucial to accurately processing claims, ensuring compliance, and helping healthcare organizations receive proper reimbursements.

What challenges do Medicare Claims Analysts face in their day-to-day work?

Medicare Claims Analysts often encounter complex or ambiguous claims that require thorough investigation and careful interpretation of Medicare guidelines. Keeping up-to-date with frequent policy changes and varying payer requirements can be challenging and demands a high level of adaptability and continuous learning. The role may also involve managing a significant workload with tight deadlines, requiring strong organizational skills. However, working with medical, billing, and compliance teams provides collaborative opportunities and support, helping analysts address these challenges efficiently.

How much do Medicare Claims Analysts make in the US?

Medicare Claims Analysts in the US typically earn an average salary ranging from $45,000 to $65,000 per year, depending on experience, location, and certifications. Entry-level positions may start lower, while experienced analysts with specialized skills can earn higher salaries. The role often requires knowledge of healthcare billing, claims processing, and familiarity with Medicare policies.

How to become a Medicare Claims Analyst?

To become a Medicare Claims Analyst, candidates typically need a bachelor's degree in health administration, healthcare management, or a related field. Relevant skills include knowledge of Medicare policies, claims processing, and data analysis, often supported by certifications such as the Certified Professional Coder (CPC) or Certified Claims Professional (CCP). Gaining experience through internships or entry-level roles in healthcare billing or claims processing can also be beneficial.

Is claims processing a stressful job?

Medicare Claims Analysts often work in a fast-paced environment where accuracy and attention to detail are essential, which can lead to stress, especially during high-volume periods or when resolving complex claims. The job typically involves working with claims management software and adhering to strict deadlines, but stress levels vary depending on workload and organizational support.
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Medicare Claims Analyst jobs near you
Infographic showing various Medicare Claims Analyst job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 76% In-person, and 24% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

Claims Analyst Collector - Full Time

Montrose Regional Health

Montrose, CO • On-site

$19.44 - $34.57/hr

Full-time

Medical, Retirement

Re-posted 15 days ago

Montrose Regional Health rating

7.7

Company rating: 7.7 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

226th of 1,061 rated hospitals

Job description

About Montrose Regional Health:
  • As the leading healthcare in the Uncompahgre Valley, MRH offers patients personalized and professional healthcare backed by the latest technology experience, and partnership, we continue to evolve and broaden our comprehensive services in 23-specialties and sub- specialties. We are the hospital, the healthcare resource, and the employer of choice in our communities. Montrose Regional Health is a not for-profit accredited by the Joint Commission meeting the highest standards of healthcare.

About The Career:
The Claims Analyst III must know the essential functions of denied claims for Medicare, Medicaid and Commercial payers for accurate payments of services provided by Montrose Memorial Hospital. They must also be proficient in the Electronic Health Record system, Electronic Billing System, and all insurance portals.
All About You:
Education: High school graduate or equivalent. Associates degree preferred. AAHAM(American Association of Hospital Administrative Management) CRCS (Certified Revenue Cycle Specialist) preferred.
Training & Experience: 2 years hospital PFS department experience with a broad knowledge of hospital billing, collections and payment application for Medicare, Medicaid and Commercial insurances
What We Offer:
  • Mentoring
  • Continuing Education
  • 401 K Retirement Plan with employer match
  • Multiple health options to selection from

Our Brand:
  • Integrity & honesty in everything we do
  • Service with care and compassion
  • Excellence
  • Leadership with innovation & Creativity
  • We care for our team like family.

* This position is located in Montrose Colorado
M. Chav

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