Claim taker vs medical claims processor

The differences between claim takers and medical claims processors can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a claim taker and a medical claims processor. Additionally, a claim taker has an average salary of $47,469, which is higher than the $36,777 average annual salary of a medical claims processor.

The top three skills for a claim taker include unemployment claims, unemployment insurance and customer support. The most important skills for a medical claims processor are patients, healthcare, and data entry.

Claim taker vs medical claims processor overview

	Claim Taker	Medical Claims Processor
Yearly salary	$47,469	$36,777
Hourly rate	$22.82	$17.68
Growth rate	-3%	-3%
Number of jobs	3,937	59,992
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 50%	Bachelor's Degree, 29%
Average age	44	44
Years of experience	4	4

Claim taker vs medical claims processor salary

Claim takers and medical claims processors have different pay scales, as shown below.

	Claim Taker	Medical Claims Processor
Average salary	$47,469	$36,777
Salary range	Between $33,000 And $66,000	Between $29,000 And $45,000
Highest paying City	-	Dover, DE
Highest paying state	-	Delaware
Best paying company	-	Cognizant
Best paying industry	-	Government

Differences between claim taker and medical claims processor education

There are a few differences between a claim taker and a medical claims processor in terms of educational background:

	Claim Taker	Medical Claims Processor
Most common degree	Bachelor's Degree, 50%	Bachelor's Degree, 29%
Most common major	Accounting	Business
Most common college	-	-

Claim taker vs medical claims processor demographics

Here are the differences between claim takers' and medical claims processors' demographics:

	Claim Taker	Medical Claims Processor
Average age	44	44
Gender ratio	Male, 12.9% Female, 87.1%	Male, 16.0% Female, 84.0%
Race ratio	Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%	Black or African American, 13.8% Unknown, 4.3% Hispanic or Latino, 14.4% Asian, 3.9% White, 63.2% American Indian and Alaska Native, 0.5%
LGBT Percentage	11%	11%

Differences between claim taker and medical claims processor duties and responsibilities

Claim taker example responsibilities.

Manage truck and equipment inventory, rental tracking and GPS monitoring.
Assist select REA participants with enrollment, WorkKeys and orientation.
Schedule REA participants for initial meeting in workshops, assessments and case management.
Enter appeals, distribute mail & faxes, separate and prepare quick picks, scan appeals into AAA.
Update account information and verify accuracy according to HIPPA guidelines.
Maintain confidentiality of member information in accordance with HIPPA regulations.

Medical claims processor example responsibilities.

Enter UB 92 and 1500 HCFA medical claims into computer system manage and process insurance claims.
Manage cases by aggressively directing the litigation process.
Submit medical claims to commercial insurance companies, Medicare, and Medicaid for payment with use of ICD-9 and CPT coding.
Review and verify patient account information against insurance program specifications, analyze surgical procedures and diagnoses using CPT-4 and ICD-9 codes.
Acknowledge and enforces confidentiality in alignment with (HIPPA) guidelines.
Audit encounters and ICD-10 codes to ensure correct coding and maximum reimbursement.

Claim taker vs medical claims processor skills

Common claim taker skills

Unemployment Claims, 32%
Unemployment Insurance, 24%
Customer Support, 17%
Unemployment Benefits, 16%
Unemployment Compensation, 10%

Common medical claims processor skills

Patients, 13%
Healthcare, 10%
Data Entry, 10%
Medical Insurance Claims, 9%
Medical Terminology, 6%
Customer Service, 3%

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Claim Taker vs Medical Claims Processor

Updated January 8, 2025

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