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Claims support specialist vs claims clerk

The differences between claims support specialists and claims clerks 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 support specialist, becoming a claims clerk takes usually requires 2-4 years. Additionally, a claims support specialist has an average salary of $37,033, which is higher than the $32,815 average annual salary of a claims clerk.

The top three skills for a claims support specialist include data entry, dictation and claims support. The most important skills for a claims clerk are data entry, customer service, and clerical support.

Claims support specialist vs claims clerk overview

Claims Support SpecialistClaims Clerk
Yearly salary$37,033$32,815
Hourly rate$17.80$15.78
Growth rate-4%-3%
Number of jobs120,65078,588
Job satisfaction--
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 31%
Average age4044
Years of experience124

What does a claims support specialist do?

Claims support specialists are the ones who make sure that the right amount of reimbursement rates is paid based on their client's contracts. Their job includes processing medical record requests and reviewing the secondary and tertiary claims for legitimacy. Working with physician and billing office employees to find resolutions for outstanding claim issues is a part of their responsibilities as claim support specialists. They also make follow up calls about unprocessed or denied insurance claims. And having good communication skills and knowledge in healthcare receivables and collections will help them succeed.

What does a claims clerk do?

Claims clerks review the forms and documents for insurance claims to check for missing information and attachments. The data they obtain is entered into their database for safekeeping and quick retrieval. They should know the answers to their clients' questions about the regulations, policies, and procedures covered by their insurance policy. These clerks prepare documents that their agents use to present to their clients. When working for this position, a person must have the ability to communicate well and be familiar with computer applications.

Claims support specialist vs claims clerk salary

Claims support specialists and claims clerks have different pay scales, as shown below.

Claims Support SpecialistClaims Clerk
Average salary$37,033$32,815
Salary rangeBetween $28,000 And $47,000Between $27,000 And $39,000
Highest paying CityRancho Cordova, CA-
Highest paying stateMassachusetts-
Best paying companyW. R. Berkley-
Best paying industryInsurance-

Differences between claims support specialist and claims clerk education

There are a few differences between a claims support specialist and a claims clerk in terms of educational background:

Claims Support SpecialistClaims Clerk
Most common degreeBachelor's Degree, 45%Bachelor's Degree, 31%
Most common majorBusinessBusiness
Most common college--

Claims support specialist vs claims clerk demographics

Here are the differences between claims support specialists' and claims clerks' demographics:

Claims Support SpecialistClaims Clerk
Average age4044
Gender ratioMale, 22.3% Female, 77.7%Male, 17.5% Female, 82.5%
Race ratioBlack or African American, 11.3% Unknown, 4.9% Hispanic or Latino, 18.3% Asian, 6.8% White, 58.1% American Indian and Alaska Native, 0.6%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 Percentage7%11%

Differences between claims support specialist and claims clerk duties and responsibilities

Claims support specialist example responsibilities.

  • Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
  • Key in DC Medicaid claims for processing.
  • Process various compensation benefits applications for veterans in compliance with organizational laws, federal laws, rules and regulations.
  • Review and process HMO facility and professional claims determining benefits due in accordance to plan/policy provisions.

Claims clerk example responsibilities.

  • Manage adding and removing vendors through claims automate system to ensure they are in compliance with IRS regulations.
  • File commercial, worker's comp, Medicare, and Medicaid claims to insurance carriers and employers.
  • Open and sort mail by claim types (HCPA UB 92 and T18).
  • Process medical HMO claims, POS claims, PPO claims and fee for service claims.
  • Review, scan, and file HCFA forms
  • Audit paper claims for accuracy in CPT and ICD9 codes.
  • Show more

Claims support specialist vs claims clerk skills

Common claims support specialist skills
  • Data Entry, 21%
  • Dictation, 10%
  • Claims Support, 9%
  • Loss Reports, 6%
  • Customer Service, 6%
  • Office Equipment, 5%
Common claims clerk skills
  • Data Entry, 26%
  • Customer Service, 9%
  • Clerical Support, 7%
  • Computer System, 5%
  • Medical Claims, 4%
  • Process Claims, 4%

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