Claims collector vs medical claims processor

The differences between claims collectors and medical claims processors can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 6-12 months to become a claims collector, becoming a medical claims processor takes usually requires 2-4 years. Additionally, a medical claims processor has an average salary of $36,777, which is higher than the $36,591 average annual salary of a claims collector.

The top three skills for a claims collector include patients, appeals and medicaid. The most important skills for a medical claims processor are patients, healthcare, and data entry.

Claims collector vs medical claims processor overview

	Claims Collector	Medical Claims Processor
Yearly salary	$36,591	$36,777
Hourly rate	$17.59	$17.68
Growth rate	-8%	-3%
Number of jobs	19,142	59,992
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 34%	Bachelor's Degree, 29%
Average age	46	44
Years of experience	12	4

Claims collector vs medical claims processor salary

Claims collectors and medical claims processors have different pay scales, as shown below.

	Claims Collector	Medical Claims Processor
Average salary	$36,591	$36,777
Salary range	Between $30,000 And $43,000	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 claims collector and medical claims processor education

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

	Claims Collector	Medical Claims Processor
Most common degree	Bachelor's Degree, 34%	Bachelor's Degree, 29%
Most common major	Business	Business
Most common college	-	-

Claims collector vs medical claims processor demographics

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

	Claims Collector	Medical Claims Processor
Average age	46	44
Gender ratio	Male, 15.8% Female, 84.2%	Male, 16.0% Female, 84.0%
Race ratio	Black or African American, 14.1% Unknown, 4.0% Hispanic or Latino, 19.5% Asian, 3.5% White, 58.4% 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	8%	11%

Differences between claims collector and medical claims processor duties and responsibilities

Claims collector example responsibilities.

Monitor all assign accounts by reviewing the client's aging, manage all potential bad debit, DSO, aging.
Operate under HIPPA guidelines for all collection activities.
Maintain strict confidentiality and adhere to HIPPA policies.
Maintain high- standards of confidentiality per HIPAA guidelines.
Review and resubmits denials from Medicaid, Medicare and private health insurance.
Research and resolve denials and EOB rejections within standard billing cycle timeframe.

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.

Claims collector vs medical claims processor skills

Common claims collector skills

Patients, 27%
Appeals, 11%
Medicaid, 10%
Medical Insurance Claims, 8%
EOB, 6%
Outbound Calls, 5%

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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Claims Collector vs Medical Claims Processor

Updated January 8, 2025

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