Processor vs medical claims processor

The differences between processors 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 processor, 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 $32,098 average annual salary of a processor.

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

Processor vs medical claims processor overview

	Processor	Medical Claims Processor
Yearly salary	$32,098	$36,777
Hourly rate	$15.43	$17.68
Growth rate	-3%	-3%
Number of jobs	11,448	59,992
Job satisfaction	-	-
Most common degree	Bachelor's Degree, 35%	Bachelor's Degree, 29%
Average age	50	44
Years of experience	12	4

What does a processor do?

Processors are employees who deal with clients and ensure that the clients' requests are provided. Processors usually handle loans or any other related claims. They are in charge of managing the submission of the clients' rights. They communicate the requirements to clients, schedule appointments, receive requirements submitted by clients, validate the requirements, and endorse further processing and approval requirements. Processors act as the bridge between clients and other institutions. They also communicate the request's status to clients and assist should it be needed after approval.

What does a medical claims processor do?

A medical claims processor has working knowledge of medical billing and coding. The qualifications for this position include knowledge of current procedural terminology (CPT) and international classification of diseases (ICD) coding systems. They are responsible for processing claims forms, adjudicating the allocation of deductibles and copays, and following through with adjudication policies to facilitate proper payment of claims.

Processor vs medical claims processor salary

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

	Processor	Medical Claims Processor
Average salary	$32,098	$36,777
Salary range	Between $24,000 And $41,000	Between $29,000 And $45,000
Highest paying City	Randolph, MA	Dover, DE
Highest paying state	California	Delaware
Best paying company	Argonne National Laboratory	Cognizant
Best paying industry	Finance	Government

Differences between processor and medical claims processor education

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

	Processor	Medical Claims Processor
Most common degree	Bachelor's Degree, 35%	Bachelor's Degree, 29%
Most common major	Business	Business
Most common college	-	-

Processor vs medical claims processor demographics

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

	Processor	Medical Claims Processor
Average age	50	44
Gender ratio	Male, 34.0% Female, 66.0%	Male, 16.0% Female, 84.0%
Race ratio	Black or African American, 6.7% Unknown, 4.5% Hispanic or Latino, 10.7% Asian, 4.7% White, 72.3% American Indian and Alaska Native, 1.1%	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	7%	11%

Differences between processor and medical claims processor duties and responsibilities

Processor example responsibilities.

Manage the project schedule and design the PowerPoint presentation.
Manage a monthly pipeline averaging 100 files from origination to funding per month as a Jr. processor.
Coach fellow team members to help attain higher QA and assist with CANDE questions to ensure efficiency.
Manage the ordering of homeowner's association estoppel letters for payoffs; as well as surveys and clear lien searches.
Obtain title policies and process title claims to expedite REO closings and obtain clear title to properties in numerous states.
Mail clerk, stamp, open, count mail and match checks with EOB 's

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.

Processor vs medical claims processor skills

Common processor skills

Data Entry, 19%
Customer Service, 18%
Patients, 11%
Standard Operating Procedure, 6%
Strong Customer Service, 5%
Bank Deposits, 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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Processor vs Medical Claims Processor

Updated January 8, 2025

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