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 ...
Senior Medical Claims Processor The Senior Medical Claims Processor is responsible for accurately ... Analyze complex claims, identify discrepancies, and determine appropriate adjudication * Interpret ...
Senior Medical Claims Processor The Senior Medical Claims Processor is responsible for accurately ... Analyze complex claims, identify discrepancies, and determine appropriate adjudication * Interpret ...
Billing & Claims Analyst
Pompano Beach, FL · On-site
$28 - $36/hr
Pompano Beach Schedule: 8:30am - 5:00pm Pay Rate: $28.00 - $36.00 The Billing & Claims Analyst is responsible for monitoring medical claims, tracking payments, reviewing billing issues, and ...
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Billing & Claims Analyst
Pompano Beach, FL · On-site
$28 - $36/hr
Pompano Beach Schedule: 8:30am - 5:00pm Pay Rate: $28.00 - $36.00 The Billing & Claims Analyst is responsible for monitoring medical claims, tracking payments, reviewing billing issues, and ...
Senior Medical Claims Processor (Hybrid)
Phoenix, AZ · On-site
$50K - $55K/yr
... Senior Medical Claims Processor is responsible for accurately reviewing, processing, and ... Analyze complex claims, identify discrepancies, and determine appropriate adjudication * Interpret ...
Senior Medical Claims Processor (Hybrid)
Phoenix, AZ · On-site
$50K - $55K/yr
... Senior Medical Claims Processor is responsible for accurately reviewing, processing, and ... Analyze complex claims, identify discrepancies, and determine appropriate adjudication * Interpret ...
Claims Analyst
Syracuse, NY · On-site
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 ...
Claims Analyst
Syracuse, NY · On-site
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.
Senior Claims Analyst
Philadelphia, PA · On-site
$110K/yr
Clinical review of inpatient and outpatient medical claims * Read, understand, and analyze ... As our Senior Claims Analyst, you will build the pipeline behind that promise: digging into the ...
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Senior Claims Analyst
Philadelphia, PA · On-site
$110K/yr
Clinical review of inpatient and outpatient medical claims * Read, understand, and analyze ... As our Senior Claims Analyst, you will build the pipeline behind that promise: digging into the ...
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 ...
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Medical Claims Quality Auditor
Houston, TX · On-site
$25/hr
Medical Claims Quality Auditor Pay Rate: $25.00/hour Location: Houston Heights Area, 77018 (100 ... Analyze claims data and identify trends or discrepancies. * Communicate with arbitrators and ...
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Medical Claims Quality Auditor
Houston, TX · On-site
$25/hr
Medical Claims Quality Auditor Pay Rate: $25.00/hour Location: Houston Heights Area, 77018 (100 ... Analyze claims data and identify trends or discrepancies. * Communicate with arbitrators and ...
Medicare Claims Analyst
Detroit, MI · On-site
Medical claims analysis (Medicare Advantage preferred) * Understanding of medical benefits * Data Analytical and reporting (include dashboards) * Systems Testing & Defect resolution with partners
Medicare Claims Analyst
Detroit, MI · On-site
Medical claims analysis (Medicare Advantage preferred) * Understanding of medical benefits * Data Analytical and reporting (include dashboards) * Systems Testing & Defect resolution with partners
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 ...
Medicare Claims Analyst
Detroit, MI · On-site
Medical claims analysis (Medicare Advantage preferred) * Understanding of medical benefits * Data Analytical and reporting (include dashboards) * Systems Testing & Defect resolution with partners
Medicare Claims Analyst
Detroit, MI · On-site
Medical claims analysis (Medicare Advantage preferred) * Understanding of medical benefits * Data Analytical and reporting (include dashboards) * Systems Testing & Defect resolution with partners
Senior Data Analyst Claims Reconciliation
Prosper, TX · Remote
$88K - $111K/yr
Senior Data Analyst - Claims Reconciliation Role Type: Senior Data Analyst Duration: 5+ months ... Strong understanding of medical claims coding, billing, processing, adjudication, and payment ...
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Senior Data Analyst Claims Reconciliation
Prosper, TX · Remote
$88K - $111K/yr
Senior Data Analyst - Claims Reconciliation Role Type: Senior Data Analyst Duration: 5+ months ... Strong understanding of medical claims coding, billing, processing, adjudication, and payment ...
Senior Claims Analyst
Orlando, FL · On-site
Senior Claims Analyst The Senior Claims Analyst supports the administration, investigation ... Medical, Dental and Vision Benefits. * Company-Paid Life Insurance and Short-Term Disability.
Senior Claims Analyst
Orlando, FL · On-site
Senior Claims Analyst The Senior Claims Analyst supports the administration, investigation ... Medical, Dental and Vision Benefits. * Company-Paid Life Insurance and Short-Term Disability.
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 ...
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 ...
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Claims Data Analyst
Frisco, TX · On-site
$65K - $85K/yr
Analyze prospective clients' historical medical claims, eligibility, and provider data to evaluate provider disruption, network discounts, repriced costs, geographic access, and overall network fit.
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Claims Data Analyst
Frisco, TX · On-site
$65K - $85K/yr
Analyze prospective clients' historical medical claims, eligibility, and provider data to evaluate provider disruption, network discounts, repriced costs, geographic access, and overall network fit.
They partner closely with Claims Analysts, Senior Analysts, clinical resources, and other internal ... Serve as an expert resource for Stop Loss medical claims, including large-loss and complex claim ...
They partner closely with Claims Analysts, Senior Analysts, clinical resources, and other internal ... Serve as an expert resource for Stop Loss medical claims, including large-loss and complex claim ...
... medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and ... They partner closely with Claims Analysts, Senior Analysts, clinical resources, and other internal ...
... medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and ... They partner closely with Claims Analysts, Senior Analysts, clinical resources, and other internal ...
They partner closely with Claims Analysts, Senior Analysts, clinical resources, and other internal ... Serve as an expert resource for Stop Loss medical claims, including large-loss and complex claim ...
They partner closely with Claims Analysts, Senior Analysts, clinical resources, and other internal ... Serve as an expert resource for Stop Loss medical claims, including large-loss and complex claim ...
Senior 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 senior medical claims analyst jobs pay per hour?
As of Sep 12, 2026, the average hourly pay for senior 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 senior medical claims analyst do?
A Senior Medical Claims Analyst is responsible for reviewing, analyzing, and processing complex medical insurance claims to ensure accuracy and compliance with policy guidelines. They investigate discrepancies, validate the necessity of medical services, and ensure claims are processed within regulatory and company standards. Senior analysts often mentor junior staff, resolve escalated claims issues, and work closely with healthcare providers and insurance companies to clarify coverage and payment questions. Their expertise helps prevent fraud, reduce errors, and support fair and timely claims resolution.
What are the key skills and qualifications needed to thrive as a senior medical claims analyst?
To thrive as a Senior Medical Claims Analyst, you need deep knowledge of medical billing, coding standards, insurance regulations, and claims processing, often supported by a bachelor’s degree or relevant certifications like CPC or CPMA. Familiarity with claims adjudication systems, healthcare management software, and data analysis tools is typically required. Strong analytical thinking, attention to detail, and effective communication skills help you excel in collaborating with teams and resolving complex claims issues. These skills and qualities are crucial for ensuring accurate claims processing, regulatory compliance, and minimizing financial risk for healthcare organizations.
What are some common challenges faced by senior medical claims analysts, and how can they be managed effectively?
Senior Medical Claims Analysts often encounter challenges such as interpreting complex medical documentation, keeping up with regulatory changes, and resolving discrepancies between providers and payers. Managing these issues effectively requires strong analytical skills, ongoing education about insurance policies and medical coding standards, and excellent communication abilities to collaborate with healthcare providers and internal teams. Staying current with industry updates and leveraging technology for claims processing can also help streamline workflows and minimize errors.
What is the difference between Senior Medical Claims Analyst vs Medical Claims Analyst?
| Aspect | Senior Medical Claims Analyst | Medical Claims Analyst |
|---|---|---|
| Required Credentials | Typically requires 3+ years experience, certifications like CPC or CCS | Entry to mid-level, often requires relevant certifications or training |
| Work Environment | Healthcare providers, insurance companies, third-party administrators | Insurance companies, healthcare organizations, billing departments |
| Job Responsibilities | Review complex claims, mentor junior staff, ensure compliance | Process and review standard claims, data entry, basic analysis |
The main difference between a Senior Medical Claims Analyst and a Medical Claims Analyst lies in experience, responsibilities, and expertise. Senior roles involve handling complex claims, mentoring, and ensuring compliance, while Medical Claims Analysts focus on processing standard claims and data entry. Both roles are essential in healthcare and insurance industries, but the senior position requires more experience and specialized knowledge.
How much do senior medical claims analysts make in the US?
Senior medical claims analysts in the US typically earn between $60,000 and $85,000 annually, with salaries varying based on experience, location, and employer. Advanced knowledge of claims processing systems and certifications like CPC or CCS can influence compensation levels.
Is claims processing a stressful job?
Claims processing as a Senior Medical Claims Analyst can be stressful due to tight deadlines, high accuracy requirements, and the need to resolve complex issues efficiently. The role often involves managing large volumes of claims and ensuring compliance with regulations, which can contribute to work-related stress. However, workload and stress levels vary depending on the organization and support systems in place.
What cities are hiring for Senior Medical Claims Analyst jobs?
Cities with the most Senior 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 Senior Medical Claims Analyst jobs?
States with the most job openings for Senior Medical Claims Analyst jobs include:
What are popular job titles related to Senior Medical Claims Analyst jobs?
For Senior Medical Claims Analyst jobs, the most frequently searched job titles are:
Medical Claims Analyst - Contract
Scottsdale, AZ
krg technology inc
• IT Services • 201 - 500 employees201 - 500 employees
Contractor
Re-posted 16 days ago
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