Health claims examiner vs claims analyst

The differences between health claims examiners and claims analysts can be seen in a few details. Each job has different responsibilities and duties. It typically takes 4-6 years to become both a health claims examiner and a claims analyst. Additionally, a claims analyst has an average salary of $48,398, which is higher than the $45,220 average annual salary of a health claims examiner.

The top three skills for a health claims examiner include medical terminology, medicaid and HMO. The most important skills for a claims analyst are customer service, medical terminology, and CPT.

Health claims examiner vs claims analyst overview

	Health Claims Examiner	Claims Analyst
Yearly salary	$45,220	$48,398
Hourly rate	$21.74	$23.27
Growth rate	-6%	-6%
Number of jobs	59,641	22,062
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 43%	Bachelor's Degree, 52%
Average age	44	44
Years of experience	6	6

Health claims examiner vs claims analyst salary

Health claims examiners and claims analysts have different pay scales, as shown below.

	Health Claims Examiner	Claims Analyst
Average salary	$45,220	$48,398
Salary range	Between $30,000 And $67,000	Between $29,000 And $78,000
Highest paying City	-	Trenton, NJ
Highest paying state	-	New Jersey
Best paying company	-	Google
Best paying industry	-	-

Differences between health claims examiner and claims analyst education

There are a few differences between a health claims examiner and a claims analyst in terms of educational background:

	Health Claims Examiner	Claims Analyst
Most common degree	Bachelor's Degree, 43%	Bachelor's Degree, 52%
Most common major	Business	Business
Most common college	University of Pennsylvania	Stanford University

Health claims examiner vs claims analyst demographics

Here are the differences between health claims examiners' and claims analysts' demographics:

	Health Claims Examiner	Claims Analyst
Average age	44	44
Gender ratio	Male, 17.1% Female, 82.9%	Male, 27.6% Female, 72.4%
Race ratio	Black or African American, 10.5% Unknown, 4.4% Hispanic or Latino, 16.7% Asian, 5.2% White, 62.8% American Indian and Alaska Native, 0.5%	Black or African American, 11.3% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.3% American Indian and Alaska Native, 0.5%
LGBT Percentage	10%	10%

Differences between health claims examiner and claims analyst duties and responsibilities

Health claims examiner example responsibilities.

Manage claims, route/queues, and ECHS, within specify turn- around time parameters.
Review and analyze medical claims to finalize payments according to Medicaid benefits.
Analyze and process Medicare and Medicaid claims (Primary/Secondary).
Blood collection by venipuncture and capillary technique ensure all specimens are collect accurately, on time and according to establish procedures.
Coordinate vendor referrals for additional investigation and/or litigation management

Claims analyst example responsibilities.

Help managed meetings regarding decision making on CMS regulations.
Process UB's and HCFA's according to guidelines.
Analyze and investigate medical claims utilizing ICD-9 and CPT-4 coding.
Review claims (HCFA and UB) for accurate billing submission.
Interpret medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes for member submit claims.
Acquire biometrics and perform phlebotomy.

Health claims examiner vs claims analyst skills

Common health claims examiner skills

Medical Terminology, 13%
Medicaid, 11%
HMO, 10%
Data Entry, 9%
Blood Pressure, 6%
Medical Claims, 5%

Common claims analyst skills

Customer Service, 14%
Medical Terminology, 5%
CPT, 5%
Process Claims, 5%
Medicaid, 5%
Data Entry, 5%

Health Claims Examiner vs. similar jobs

Health Claims Examiner related careers

Health Claims Examiner related jobs

What similar roles do

Zippia Careers
Business and Financial Industry
Health Claims Examiner
Health Claims Examiner vs Claims Analyst

Updated January 8, 2025

Browse business and financial jobs