Medical claims analyst vs senior claims processor

The differences between medical claims analysts and senior claims processors can be seen in a few details. Each job has different responsibilities and duties. While it typically takes 4-6 years to become a medical claims analyst, becoming a senior claims processor takes usually requires 2-4 years. Additionally, a medical claims analyst has an average salary of $46,708, which is higher than the $44,873 average annual salary of a senior claims processor.

The top three skills for a medical claims analyst include medical terminology, medicaid and medical insurance claims. The most important skills for a senior claims processor are customer service, process claims, and SR.

Medical claims analyst vs senior claims processor overview

	Medical Claims Analyst	Senior Claims Processor
Yearly salary	$46,708	$44,873
Hourly rate	$22.46	$21.57
Growth rate	-6%	-3%
Number of jobs	65,897	14,768
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 36%	Bachelor's Degree, 37%
Average age	44	44
Years of experience	6	4

Medical claims analyst vs senior claims processor salary

Medical claims analysts and senior claims processors have different pay scales, as shown below.

	Medical Claims Analyst	Senior Claims Processor
Average salary	$46,708	$44,873
Salary range	Between $32,000 And $68,000	Between $30,000 And $65,000
Highest paying City	Bridgewater, NJ	-
Highest paying state	New Jersey	-
Best paying company	Montefiore Mount Vernon Hospital	-
Best paying industry	Insurance	-

Differences between medical claims analyst and senior claims processor education

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

	Medical Claims Analyst	Senior Claims Processor
Most common degree	Bachelor's Degree, 36%	Bachelor's Degree, 37%
Most common major	Business	Business
Most common college	University of Pennsylvania	Stanford University

Medical claims analyst vs senior claims processor demographics

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

	Medical Claims Analyst	Senior Claims Processor
Average age	44	44
Gender ratio	Male, 14.2% Female, 85.8%	Male, 16.3% Female, 83.7%
Race ratio	Black or African American, 11.2% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.4% 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	10%	11%

Differences between medical claims analyst and senior claims processor duties and responsibilities

Medical claims analyst example responsibilities.

Manage cases by aggressively directing the litigation process.
Analyze incoming medical claims using ICD-9, CPT, HCPCS coding, and Medicare fee schedules.
Determine if claims are in compliance under patient benefit plans for payments using DRG regulations :
Review medical records to determine if the ICD-9, CPT codes and modifiers are processed correctly.
Adhere to the HIPAA privacy, security regulations, and maintain confidentiality of patient a business records.
Research medical claims issues in response to informational inquiries by accessing and interpreting EOB's and claims history.

Senior claims processor example responsibilities.

Manage confidential medical records and directs them to the appropriate practitioners while ensuring HIPPA regulations are maintain.
Investigate, manage, negotiate and resolve claims arising out of accidents involving automobile and homeowner policies.
Process CalPERS HMO facility claims.
Experience with HMO's, IPA's and insurance authorizations.
Handle confidential information according to new laws (HIPPA).
Review ICD-9 diagnosis codes against CPT codes for claim payment guidelines.

Medical claims analyst vs senior claims processor skills

Common medical claims analyst skills

Medical Terminology, 9%
Medicaid, 6%
Medical Insurance Claims, 6%
Customer Service, 6%
Data Entry, 6%
Patients, 5%

Common senior claims processor skills

Customer Service, 16%
Process Claims, 8%
SR, 6%
Medical Terminology, 5%
Appeals, 5%
CMS, 5%

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Medical Claims Analyst
Medical Claims Analyst vs Senior Claims Processor

Updated January 8, 2025

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